갑상선 수술 환자의 입원 만족도를 높이기 위한 환자의 질병에 대한 이해도,관심 사항 및 회복도 조사
Investigation on Patients’ Understanding and Concern about the Disease and Recovery Rate in Thyroidectomy Patients to Enhance Satisfaction of Hospitalization
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Background and Objectives Diagnosis of thyroid disease requiring surgery and subsequent thyroidectomy may affect patients’ emotion and quality of life. The purpose of this study is to evaluate the patients’ understanding and concern about the disease and recovery rate after thyroidectomy,and therefore to enhance the satisfaction of hospitalization. Subjects and Method Seventy-seven patients undergoing thyroidectomy in a tertiary hospital from April 2009 to October 2009 were enrolled. Questionnaires were filled out on the admission day, discharge day, and 2 weeks after operation. Questionnaires consisted questions regarding the understanding of the disease, details of concern, recovery rate after surgery, and satisfaction on hospitalization duration. Retrospective chart review was also performed. Results Many patients (42.9%) acquired their knowledge of thyroid cancer through the internet. The possibility of voice change was the major concern before surgery (46.8%), whereas the major postoperative concern was adjuvant therapy (37.7%). The patient group with higher understanding of the disease showed higher recovery rate than the others at the time of discharge (mean postdischarge surgical recovery 67.4% vs. 55.3%, p=0.01). The patient group with lower understanding wanted longer hospitalization than the other group at discharge (p<0.001). Conclusion Patient education about the thyroid disease may reduce patients’ anxiety and therefore may enhance subjective recovery rate and satisfaction of hospitalization. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:557-63
Abstract
Background and Objectives Diagnosis of thyroid disease requiring surgery and subsequent thyroidectomy may affect patients’ emotion and quality of life. The purpose of this study is to evaluate the patients’ understanding and concern about the disease and recovery rate after thyroidectomy,and therefore to enhance the satisfaction of hospitalization. Subjects and Method Seventy-seven patients undergoing thyroidectomy in a tertiary hospital from April 2009 to October 2009 were enrolled. Questionnaires were filled out on the admission day, discharge day, and 2 weeks after operation. Questionnaires consisted questions regarding the understanding of the disease, details of concern, recovery rate after surgery, and satisfaction on hospitalization duration. Retrospective chart review was also performed. Results Many patients (42.9%) acquired their knowledge of thyroid cancer through the internet. The possibility of voice change was the major concern before surgery (46.8%), whereas the major postoperative concern was adjuvant therapy (37.7%). The patient group with higher understanding of the disease showed higher recovery rate than the others at the time of discharge (mean postdischarge surgical recovery 67.4% vs. 55.3%, p=0.01). The patient group with lower understanding wanted longer hospitalization than the other group at discharge (p<0.001). Conclusion Patient education about the thyroid disease may reduce patients’ anxiety and therefore may enhance subjective recovery rate and satisfaction of hospitalization. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:557-63
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