Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care
ObjectiveTo 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 secon...
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2025.1628763/full |
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| author | Peili Xie Kaixi Tan Jianfei Zhang |
| author_facet | Peili Xie Kaixi Tan Jianfei Zhang |
| author_sort | Peili Xie |
| collection | DOAJ |
| description | ObjectiveTo 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.MethodsFrom 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 (n = 60, 7-0 fast-absorbing collagen sutures, non-removal) or a control group (n = 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.ResultsBaseline SAS/SDS scores and GQOLI-74 domain scores showed no intergroup differences (P > 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 (P < 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; P < 0.05). SCAR scores showed no significant differences between groups (3.07 ± 1.78 vs. 3.23 ± 1.64, P > 0.05).ConclusionFast-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. |
| format | Article |
| id | doaj-art-4ac27add18314acba72fa3e20e7239e9 |
| institution | DOAJ |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-4ac27add18314acba72fa3e20e7239e92025-08-20T02:58:14ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-08-011310.3389/fped.2025.16287631628763Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma carePeili Xie0Kaixi Tan1Jianfei Zhang2Department of Pediatrics, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, ChinaDepartment of Burns and Plastic Surgery, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, ChinaDepartment of Burns and Plastic Surgery, The Second Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, ChinaObjectiveTo 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.MethodsFrom 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 (n = 60, 7-0 fast-absorbing collagen sutures, non-removal) or a control group (n = 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.ResultsBaseline SAS/SDS scores and GQOLI-74 domain scores showed no intergroup differences (P > 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 (P < 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; P < 0.05). SCAR scores showed no significant differences between groups (3.07 ± 1.78 vs. 3.23 ± 1.64, P > 0.05).ConclusionFast-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.https://www.frontiersin.org/articles/10.3389/fped.2025.1628763/fullpediatric facial traumafast-absorbing collagen suturesparental anxietyfamily quality of lifescar cosmesisfamily-centered care |
| spellingShingle | Peili Xie Kaixi Tan Jianfei Zhang Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care Frontiers in Pediatrics pediatric facial trauma fast-absorbing collagen sutures parental anxiety family quality of life scar cosmesis family-centered care |
| title | Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care |
| title_full | Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care |
| title_fullStr | Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care |
| title_full_unstemmed | Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care |
| title_short | Prioritizing psychological relief: fast-absorbing collagen sutures improve parental well-being in pediatric facial trauma care |
| title_sort | prioritizing psychological relief fast absorbing collagen sutures improve parental well being in pediatric facial trauma care |
| topic | pediatric facial trauma fast-absorbing collagen sutures parental anxiety family quality of life scar cosmesis family-centered care |
| url | https://www.frontiersin.org/articles/10.3389/fped.2025.1628763/full |
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