{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:16:20Z","timestamp":1779196580728,"version":"3.51.4"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1,30]]},"abstract":"<jats:p>\n                    Burn patients often face challenges such as delayed wound healing, high risk of postoperative infection, and poor psychological status. Accelerating the recovery process, improving scar quality, and reducing complications have become key issues in modern burn treatment. This study aimed to evaluate the overall effect of silver ion antibacterial gel combined with meticulous nursing on postoperative recovery in patients undergoing scar reconstruction after burn injury. In this retrospective study, 102 patients who underwent scar reconstruction after burn injury between January 2021 and December 2023 were enrolled. Patients were divided into an experimental group (n\u2005=\u200552) and a control group (n\u2005=\u200550) according to their treatment protocol. The experimental group received general treatment with meticulous nursing care plus silver ion antibacterial gel, while the control group received general treatment with meticulous nursing only. Evaluation indicators included postoperative recovery time, scar healing quality, postoperative infection rate, psychological status (depression and anxiety), and patient satisfaction. The experimental group had a significantly shorter postoperative recovery time than the control group (5.6\u2005\u00b1\u20051.1 months vs 6.3\u2005\u00b1\u20051.2 months,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05). In terms of scar healing, the VSS scores were significantly higher in the experimental group (8.7\u2005\u00b1\u20051.2 vs 6.5\u2005\u00b1\u20051.3,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05). The postoperative infection rate in the experimental group was 1.9%, significantly lower than 8.0% in the control group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05). Scores for depression (Hamilton Depression Scale) and anxiety (Hamilton Anxiety Scale) were also significantly lower in the experimental group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05). Patient satisfaction in the experimental group was 94.2%, notably higher than 86.0% in the control group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;\u2005.05). Silver ion antibacterial gel combined with meticulous nursing can significantly shorten recovery time, improve scar healing quality, reduce infection rates, enhance psychological well-being, and increase overall patient satisfaction after burn surgery. This treatment approach offers an innovative strategy for postoperative recovery in burn patients and holds broad clinical application prospects.\n                  <\/jats:p>","DOI":"10.1097\/md.0000000000045075","type":"journal-article","created":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T17:01:18Z","timestamp":1769965278000},"page":"e45075","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A retrospective analysis of the effects of silver ion antibacterial gel combined with meticulous nursing on postoperative recovery and psychological status in patients undergoing scar reconstruction after burn injury"],"prefix":"10.1097","volume":"105","author":[{"given":"Jiali","family":"Zhu","sequence":"first","affiliation":[{"name":"Physical Therapy Department Medical Aesthetics Specialty, Daegu Catholic University, Gyeongsan-si, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heyu","family":"Li","sequence":"additional","affiliation":[{"name":"Faculty of Health, Zhejiang Zhoushan Tourism and Health College, Zhoushan, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3158-4594","authenticated-orcid":false,"given":"Hwakyeong","family":"Shin","sequence":"additional","affiliation":[{"name":"Physical Therapy Department Medical Aesthetics Specialty, Daegu Catholic University, Gyeongsan-si, South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20260519","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/j.burns.2021.02.019","article-title":"Burns and socioeconomic deprivation: the experience of an adult burns centre.","volume":"47","author":"Snelling","year":"2021","journal-title":"Burns"},{"key":"R2-20260519","article-title":"Amputations in adult burns patients: a 10-year retrospective study [published online ahead of print April 3, 2025].","author":"Mathews","journal-title":"Ann R Coll Surg Engl"},{"key":"R3-20260519","first-page":"180","article-title":"Severe burns in children in Albania: how has the epidemiology of burns in children changed in the past 25 years?","volume":"37","author":"Isaraj","year":"2023","journal-title":"Ann Burns Fire Disasters"},{"key":"R4-20260519","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1016\/j.burns.2021.11.018","article-title":"Impact of inhalation injury on outcomes in critically ill burns patients: 12-year experience at a regional burns centre.","volume":"48","author":"Charles","year":"2022","journal-title":"Burns"},{"key":"R5-20260519","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1007\/s00431-020-03905-z","article-title":"Paediatric chemical burns: a clinical review.","volume":"180","author":"Nguyen","year":"2021","journal-title":"Eur J Pediatr"},{"key":"R6-20260519","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1186\/s12877-023-03883-5","article-title":"Epidemiological and clinical characteristics of older adults with burns: a 15-year retrospective analysis of 2554 cases in Wuhan Institute of Burns.","volume":"23","author":"Wu","year":"2023","journal-title":"BMC Geriatr"},{"key":"R7-20260519","doi-asserted-by":"crossref","first-page":"2058","DOI":"10.1166\/jbn.2022.3413","article-title":"Silver ion loaded agarose\u2013hyaluronic acid hydrogel as a potential antibacterial wound dressing.","volume":"18","author":"Zhu","year":"2022","journal-title":"J Biomed Nanotechnol"},{"key":"R8-20260519","doi-asserted-by":"crossref","first-page":"10778","DOI":"10.1038\/s41598-022-13375-y","article-title":"Silver-doped phosphate coacervates to inhibit pathogenic bacteria associated with wound infections: an in vitro study.","volume":"12","author":"Nikolaou","year":"2022","journal-title":"Sci Rep"},{"key":"R9-20260519","first-page":"885","article-title":"Foot ulcers in patients with diabetes mellitus.","volume":"22","author":"Boulton","year":"2005","journal-title":"Diabet Med"},{"key":"R10-20260519","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1166\/jbt.2022.2861","article-title":"Preparation of silver ion antimicrobial dressings and prevention and treatment of central venous catheter-related infection on burn wounds of critically burned patients.","volume":"12","author":"Li","year":"2022","journal-title":"J Biomaterials Tissue Engineering"},{"key":"R11-20260519","doi-asserted-by":"crossref","first-page":"e2500088","DOI":"10.1002\/advs.202500088","article-title":"A bio-responsive hydrogel with spatially heterogeneous structure for treating infectious tissue injuries.","volume":"12","author":"Li","year":"2025","journal-title":"Adv Sci (Weinh)"},{"key":"R12-20260519","article-title":"Multifunctional silver-enzyme nanogels assembly with efficient trienzyme cascades for synergistic diabetic wound healing.","author":"Ma","year":"2023","journal-title":"Adv Funct Mater"},{"key":"R13-20260519","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1177\/15347346211004032","article-title":"Effects and safety of different silver preparation in burns treatment: a Bayesian network meta-analysis.","volume":"22","author":"Kuerban","year":"2023","journal-title":"Int J Low Extrem Wounds"},{"key":"R14-20260519","first-page":"1","article-title":"Comparison of efficacy and safety between two silver-containing dressings in the treatment of deep partial-thickness thermal burns: a multicenter, double-blind, non-inferiority, randomized clinical trial.","volume":"86","author":"Ye","year":"2023","journal-title":"Brit J Hosp Med"},{"key":"R15-20260519","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1016\/j.burns.2022.11.006","article-title":"Quality indicators in burn care: an international burn care professionals survey to define them.","volume":"49","author":"Dash","year":"2023","journal-title":"Burns"},{"key":"R16-20260519","doi-asserted-by":"crossref","first-page":"rbab037","DOI":"10.1093\/rb\/rbab037","article-title":"A sandwich structure composite wound dressing with firmly anchored silver nanoparticles for severe burn wound healing in a porcine model.","volume":"8","author":"Yang","year":"2021","journal-title":"Regen Biomater"},{"key":"R17-20260519","doi-asserted-by":"crossref","first-page":"107306","DOI":"10.1016\/j.burns.2024.107306","article-title":"The rate of burnout, depression, and anxiety among burn care team members in a tertiary burn hospital: a descriptive cross-sectional study.","volume":"51","author":"Salehi","year":"2023","journal-title":"Burns"},{"key":"R18-20260519","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.burns.2022.06.018","article-title":"Epidemiology of burn injury and the ideal dressing in global burn care \u2013 regional differences explored.","volume":"49","author":"Opriessnig","year":"2023","journal-title":"Burns"},{"key":"R19-20260519","first-page":"e54908","article-title":"The relationship between patients\u2019 overall ICU experiences, psychological distress, and sleep quality among Jordanian burn patients: a cross-sectional study.","volume":"16","author":"Al-Ghabeesh","year":"2023","journal-title":"Cureus"}],"container-title":["Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000045075","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:03:34Z","timestamp":1779195814000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/MD.0000000000045075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,30]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/md.0000000000045075","relation":{},"ISSN":["0025-7974","1536-5964"],"issn-type":[{"value":"0025-7974","type":"print"},{"value":"1536-5964","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,30]]},"assertion":[{"value":"2025-05-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-16","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}