Kim Hyo Young, Kim Jung Won, Park Jin Hyung, Kim Jung Hun, Han Yea Sik
Department of Plastic Surgery, Kosin University Gospel Hospital, Kosin University School of Medicine, Busan, Korea.
Arch Plast Surg. 2013 Jul;40(4):414-24. doi: 10.5999/aps.2013.40.4.414. Epub 2013 Jul 17.
In esthetic surgery, understanding the factors that influence patient satisfaction is important for successful practice. We hypothesize that the factors that influence patient satisfaction include not only aesthetic and functional outcomes, but also personal factors such as the level of familiarity with factors affecting wound healing and expectations regarding aesthetic outcome.
One hundred patients who underwent esthetic closure after thyroidectomy were included in this study. In order to evaluate the individual characteristics of the patients, a preoperative survey was administered to the patients. We estimated the patient satisfaction six months postoperatively and assessed the aesthetic and functional outcomes using the Patient and Observer Scar Assessment Scale.
According to the results of correlation analysis, level of familiarity with wound healing factors had a positive correlation with satisfaction. High expectations, pain, itching, and high observer scale score had negative correlations with satisfaction. The factors that were correlated with satisfaction were included in the multiple regression analysis. Level of familiarity with wound healing factors was found to have a positive relationship with satisfaction, while itching and observer scale were found to have a negative relationship with satisfaction. After excluding 10 patients who had hypertrophic scars, only level of familiarity with wound healing factors and expectations affected satisfaction.
The level of familiarity with factors affecting wound healing and expectations were found to independently affect satisfaction. Improving patients' level of familiarity with wound healing factors and reducing their expectations by providing suitable preoperative education has the potential to improve patient satisfaction.
在美容外科手术中，了解影响患者满意度的因素对于手术的成功开展至关重要。我们推测，影响患者满意度的因素不仅包括美学和功能效果，还包括个人因素，如对影响伤口愈合因素的熟悉程度以及对美学效果的期望。
本研究纳入了100例甲状腺切除术后接受美容缝合的患者。为评估患者的个体特征，对患者进行了术前调查。我们在术后6个月评估患者满意度，并使用患者和观察者瘢痕评估量表评估美学和功能效果。
根据相关性分析结果，对伤口愈合因素的熟悉程度与满意度呈正相关。高期望、疼痛、瘙痒以及观察者量表高分与满意度呈负相关。将与满意度相关的因素纳入多元回归分析。结果发现，对伤口愈合因素的熟悉程度与满意度呈正相关，而瘙痒和观察者量表与满意度呈负相关。排除10例有增生性瘢痕的患者后，仅对伤口愈合因素的熟悉程度和期望影响满意度。
发现对影响伤口愈合因素的熟悉程度和期望独立影响满意度。通过提供适当的术前教育提高患者对伤口愈合因素的熟悉程度并降低其期望，有可能提高患者满意度。
