Xie Peili, Tan Kaixi, Zhang Jianfei
Department of Pediatrics, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China.
Department of Burns and Plastic Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, China.
Front Pediatr. 2025 Aug 11;13:1628763. doi: 10.3389/fped.2025.1628763. eCollection 2025.
To assess the psychological status and quality of life improvements in parents of children undergoing facial trauma repair emphasizing cosmetic outcomes with fast-absorbing collagen sutures, and to compare these outcomes with those in parents of children repaired with nylon sutures. A secondary objective was to compare scar outcomes between the two suture materials.
From January 2024 to October 2024, 120 primary caregivers (defined as the parent providing ≥80% of daily wound care) of pediatric facial trauma patients were randomized into an observation group ( = 60, 7-0 fast-absorbing collagen sutures, non-removal) or a control group ( = 60, 7-0 nylon sutures, removed on day 7). Psychological assessments included the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Generic Quality of Life Inventory-74 (GQOLI-74). Scar formation was evaluated using the Scar Cosmesis Assessment and Rating (SCAR) scale at 1 month postoperatively.
Baseline SAS/SDS scores and GQOLI-74 domain scores showed no intergroup differences ( > 0.05). Post-intervention, both groups exhibited reduced anxiety (ΔSAS: -12.3 ± 2.1 vs. -8.7 ± 1.8) and depression (ΔSDS: -10.9 ± 1.9 vs. -6.4 ± 1.5), with superior reductions in the observation group ( < 0.05). GQOLI-74 scores improved significantly in the observation group across all domains (psychological: 82.4 ± 5.3 vs. 75.1 ± 4.8; social: 79.6 ± 4.7 vs. 71.2 ± 4.1; < 0.05). SCAR scores showed no significant differences between groups (3.07 ± 1.78 vs. 3.23 ± 1.64, > 0.05).
Fast-absorbing collagen sutures significantly alleviate parental anxiety/depression and improve family quality of life without compromising scar outcomes compared to nylon sutures. The non-removal protocol simplifies postoperative care, highlighting the importance of integrating caregiver psychological well-being into suture material selection.
评估接受面部创伤修复的儿童家长的心理状态及生活质量改善情况，重点关注使用快速吸收型胶原蛋白缝线强调美容效果的情况，并将这些结果与使用尼龙缝线修复的儿童家长的结果进行比较。次要目的是比较两种缝线材料的瘢痕结局。
2024年1月至2024年10月，将120名小儿面部创伤患者的主要照顾者（定义为提供≥80%日常伤口护理的家长）随机分为观察组（n = 60，7-0快速吸收型胶原蛋白缝线，无需拆线）或对照组（n = 60，7-0尼龙缝线，在第7天拆线）。心理评估包括自评焦虑量表（SAS）、自评抑郁量表（SDS）和生活质量综合评定问卷-74（GQOLI-74）。术后1个月使用瘢痕美容评估与评分（SCAR）量表评估瘢痕形成情况。
基线SAS/SDS评分和GQOLI-74各领域评分组间无差异（P > 0.05）。干预后，两组焦虑（ΔSAS：-12.3±2.1 vs. -8.7±1.8）和抑郁（ΔSDS：-10.9±1.9 vs. -6.4±1.5）均减轻，观察组减轻更显著（P < 0.05）。观察组GQOLI-74评分在所有领域均显著改善（心理领域：82.4±5.3 vs. 75.1±4.8；社会领域：79.6±4.7 vs. 71.2±4.1；P < 0.05）。SCAR评分组间无显著差异（3.07±1.78 vs. 3.23±1.64，P > 0.05）。
与尼龙缝线相比，快速吸收型胶原蛋白缝线可显著减轻家长的焦虑/抑郁情绪，提高家庭生活质量，且不影响瘢痕结局。无需拆线的方案简化了术后护理，突出了将照顾者的心理健康纳入缝线材料选择的重要性。
