중이내 환기관 삽입술과 후두미세수술에서의 통원수술과 입원수술의 만족도 비교

Background: This study was designed to compare the patient’s satisfaction between ambulatory surgery and inpatient surgery in otolaryngology department. Methods: The data was gathered from 52 pediatric patients who underwent middle ear ventilation tube insertion and 52 adult patients who underwent laryngeal microsurgery in the otolaryngology department between January in 2006 and April in 2009 through telephone survey. Contents of the questionnaire were consisted of the follwoing 7 categories: satisfactory level of time consuming, medical cost, postoperative pain, burden of family, explanation of medical personnel, hospital environment and recommendation of surgery in the same way. Results: It was appeared that both groups of the patients were generally satisfied no all the 7 categories. Satisfactory levels of time consuming and medical cost in the ambulatory surgery group were higher than the inpatient surgery group in both adult and pediatric patients. In the inpatient surgery group, satisfactory levels of postoperative pain and explanation of medical personnel were higher than the ambulatory surgery group in both adult and pediatric patients. Satisfactory level of hospital environment in the inpatient surgery group was higher than ambulatory surgery group only in the pediatric patients. Conclusions: Ambulatory surgery should be more widely implemented, because it has higher economic effi-ciency and patient’s satisfaction level of time consuming and medical cost. However, in ambulatory surgery, patients and caregivers will need more specific education than in inpatient surgery. Active pain control and improvement of hospital environment will be also required. (J Clinical Otolaryngol 2009;20:194–200)