The State of Patient Satisfaction after Hernioplasty on an Ambulatory Basis.
- Author:
Taek Gu LEE
1
;
Jun Seok PARK
;
Sang Il LEE
;
Yoo Shin CHOI
;
Do Joong PARK
;
Ho Seong HAN
;
Hyung Ho KIM
;
Yoo Seok YOON
;
Sung Bum KANG
Author Information
1. Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. kangsb@snubh.org
- Publication Type:Original Article
- Keywords:
Inguinal hernia;
Hernioplasty;
Satisfaction;
Ambulatory surgery
- MeSH:
Ambulatory Surgical Procedures;
Analgesics;
Follow-Up Studies;
Hernia, Inguinal;
Herniorrhaphy*;
Humans;
Pain, Postoperative;
Patient Satisfaction*;
Postoperative Complications;
Surveys and Questionnaires;
Return to Work;
Surveys and Questionnaires;
Telephone
- From:Journal of the Korean Surgical Society
2007;73(1):53-59
- CountryRepublic of Korea
- Language:English
-
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.
