日帰り角膜移植の患者満足度

Patient satisfaction following outpatient keratoplasty

　過去1年間に同一術者が全層角膜移植術を125症例に行った。入院手術70例，日帰り手術55例であった。両群についてアンケート調査を行い，CSQ-8Jを使って患者満足度を評価した。8項目のスコアの合計は両群間に差がなく，各群の性別・年齢・疾患別でも差がなかった。患者満足度は術後の裸眼視力，矯正視力，矯正視力の改善度とは相関せず，入院群での裸眼視力の改善度のみと有意に相関した。以上の事実から，全層角膜移植術後の患者満足度は，入院と日帰り手術でほとんど同様であることが結論される。

Penetrating keratoplaty was performed on 125 patients by same surgeon during the foregoing one year. Surgery was performed as inpatient in 70 cases and as outpatient in 55 cases. Postoperative patient satisfaction was evaluated by Client Satisfaction Questionnaire (CSQ-8J). There was no difference in the total of eight scores between the two groups. There was no difference between the two groups regarding sex, age, original diseases. Patient satisfaction was not related to postoperative uncorrected visual acuity, corrected visual acuity or its amount of improvement. It was significantly correlated only with the amount of improvement of uncorrected visual acuity in inpatients. Above findings show that patient satisfaction is not dependent whether surgery is performed as inpatient or outpatient.