ArticleFrontiers in public health2026
Burn patients' perceptions of skin grafting in China: a single-center retrospective cohort study with paired pre-post assessment.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: This study aimed to quantify changes in psychological perceptions before and after skin grafting and to identify key modifiable factors influencing these perceptions in Chinese burn patients. Methods: A single-center retrospective cohort study analyzed paired pre- and post-operative survey data from adult inpatients who underwent skin grafting between January 2018 and December 2021. Preoperative (1-3 days before surgery) and postoperative (at discharge) data were extracted from the medical records of 475 patients. Surveys assessed anxiety (Numerical Rating Scale, NRS; Hospital Anxiety and Depression Scale, HADS), fear (NRS), depression (HADS), and perceptions of grafting. Multivariate linear regression controlled for confounders including age, sex, burn site, number of surgeries, burn area, and donor site area. Results: Preoperative anxiety (NRS 4.86 ± 2.76) and fear (2.90 ± 2.50) decreased significantly after grafting (anxiety: 3.03 ± 2.48, Conclusion: Preoperative anxiety and fear are prevalent but modifiable. The identification of independent predictors enables risk stratification for psychological support. The correlation between pain and anxiety and the benefit of dual support highlight the need for integrated, multidisciplinary care. These findings support embedding structured education and support systems into burn care pathways. Future prospective trials are warranted.
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