Valtonen Hannu, Qvarnberg Yrjö, Blomgren Karin
Department of Otolaryngology, Kuopio University Hospital, Finland.
Acta Otolaryngol. 2004 Nov;124(9):1086-9. doi: 10.1080/00016480410015758.
To assess the amount and causes of patient contact with healthcare professionals after elective tonsillectomy.
This was a prospective study. All consecutive patients undergoing elective tonsillectomy or adenotonsillectomy in 1997 received a questionnaire concerning the post-discharge period.
A total of 276 patients (93.6%) answered questions regarding post-discharge contact. After their discharge, 43.8% of patients contacted healthcare professionals. Pain was the leading indication for telephone contact, and hemorrhage for visits in person. Information given over the telephone was sufficient in 49.5% of cases. Telephone contact was followed by a visit in person in the case of hemorrhage in 88.9% of patients and in the case of pain in 34.1%. Contact was made most frequently in the older age groups.
Although the patients repeatedly received both written and oral information, nearly half of them still contacted healthcare professionals during the recovery period. Frequent post-tonsillectomy contact should be taken into account when the financial and personnel resources of day surgery units are evaluated. In order to reduce the amount of post-tonsillectomy contact with healthcare professionals, careful attention must be paid to the quality of patient counseling prior to discharge.
评估择期扁桃体切除术后患者与医护人员接触的次数及原因。
这是一项前瞻性研究。1997年所有连续接受择期扁桃体切除术或腺扁桃体切除术的患者均收到一份关于出院后时期的问卷。
共有276名患者（93.6%）回答了关于出院后接触的问题。出院后，43.8%的患者与医护人员进行了接触。疼痛是电话联系的主要原因，出血是亲自就诊的主要原因。49.5%的病例通过电话提供的信息就足够了。88.9%因出血的患者和34.1%因疼痛的患者在电话联系后会亲自就诊。年龄较大的人群接触最为频繁。
尽管患者反复收到书面和口头信息，但近一半的患者在恢复期仍与医护人员进行了接触。在评估日间手术单元的财务和人力资源时，应考虑扁桃体切除术后频繁的接触情况。为了减少扁桃体切除术后与医护人员的接触次数，出院前必须认真关注患者咨询的质量。
