외래수술을 이용한 탈장 교정술 후 환자 만족도The State of Patient Satisfaction after Hernioplasty on an Ambulatory Basis
- Authors
- 이택구; 박준석; 이상일; 최유신; 박도중; 한호성; 김형호; 윤유석; 강성범
- Issue Date
- 2007
- Publisher
- 대한외과학회
- Keywords
- Inguinal hernia; Hernioplasty; Satisfaction; Ambulatory surgery; 서혜부 탈장; 헤르니아교정술; 환자 만족도; 외래 수술분당서울대학교병원 외과; 1충남대학교병원 외과
- Citation
- 대한외과학회지, v.73, no.1, pp 53 - 59
- Pages
- 7
- Journal Title
- 대한외과학회지
- Volume
- 73
- Number
- 1
- Start Page
- 53
- End Page
- 59
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/29924
- ISSN
- 2288-6575
2288--679
- Abstract
- Purpose: There have been no studies employing a specific questionnaire relating to patient satisfaction following ambulatory hernioplasty. Via the production of a novel specific questionnaire, attempts were made to determine the factors associated with patient satisfaction following hernioplasty on an ambulatory basis.
Methods: Patient satisfaction was evaluated via cross-sectional telephone surveys administered 10.5 (range of 2∼23) months after their operations, consisting of six questions, regarding; anesthetic technique, surgical method, necessity for admission, necessity for follow-up, intraoperative pain, and postoperative pain. Each of the questions was then scored using a 4-point scoring system, with global satisfaction determined via the addition of each score. Factors related to global satisfaction were determined among preoperative, intraoperative and postoperative factors.
Results: Telephone questionnaire interviews were conducted on all 131 consecutive patients. Four respondents (3.1%) expressed dissatisfaction with the ambulatory surgery. Twelve (9.2%) had been admitted overnight after the operation. Thirteen (9.9%) required analgesics for over 3 days. No patients required a re-operation, although 20 (15.3%) experienced minor postoperative complications. Significant factors for global dissatisfaction were analgesic requirement for over 3 days and the presence of surgical complication (P value <0.05). Time until return to work and required overnight admission were important factors for patient satisfaction, but these were not significant.
Conclusion: Patient satisfaction was associated with postoperative pain and surgical complications. Therefore, a more appropriate method for pain control and prevention of minor surgical complication are suggested might serve to enhance patient satisfaction after hernioplasty on an ambulatory basis.
(J Korean Surg Soc 2007;73:53-59)
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