이비인후과 질환 별 일상적 스트레스 비교

Background and Objectives: Stress is defined as excited state resulted from interaction of body and mind. It is subjective notion in that the amount of stress can be different in each person from same event. Nevertheless, there have been many studies to find objective measure to assess stress and many questionnaires have been developed. In our study, we tried to measure the amount of stress of representative diseases of Otorhinolaryngology and head and neck surgery using ‘Daily Hassless Scale’, one of well known stress questionnaire. Materials and Methods: 276 people including 36 people of normal control, 20 patients of chronic sinusitis, 20 of laryngopharyngeal reflux, 20 of obstructive sleep apnea, 19 of nasal septal deviation, 20 of facial palsy, 20 of vocal nodule, 21 of allergic rhinitis, 20 of hearing disturbance, 20 of dizziness, 21 of tinnitus, 23 of chronic otitis media and 16 of preauricular fistula were enrolled to our study. They were made to fill up the questionnaire form when they visited our clinic. The questionnaire is composed of 36 questions and each is 4 point scale. We statistically compared total stress score and health related score. Results: Laryngopharyngeal reflux and allergic rhinitis patients group showed significantly higher stress score than control group (p=0.003). Laryngopharyngeal reflux, facial palsy, vocal nodule, allergic rhinitis patients group showed significantly higher score than control group in sum of four health related questions (p=0.000). Conclusion: Laryngopharyngeal reflux, facial palsy, vocal nodule, allergic rhinitis patients group were suffered from higher stress than other otolaryngology disesases and these shoud be considered during managing patients. (J Clinical Otolaryngol 2011;22:65–71)