유방초음파검사 및 환자용 모니터 설치에 대한 만족도 조사 = Breast Ultrasound Examination with Video Monitor System: A Satisfaction Survey among Patients

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to assess the patients satisfaction with a newly established video-monitor system and the associated basic items for performing breast ultrasound exams by conducting a survey among the patients.
Materials and Methods: 349 patients were invited to take the survey and they had undergone breast ultrasound examination once during the 3 months after the monitor system has been introduced. The questionnaire was composed of 8 questions, 4 of which were about the basic items such as age, gender and the reason of their taking the breast ultrasound exam, their preference for the gender of the examiner and the desired length of time for the examination. The other 4 question were about their satisfaction with the video monitor. The patients were divided into two groups according to the purposes of taking the exams, which were screening or diagnostic purposes. The results were compared between these 2 groups. The satisfaction with the video monitor system was assessed by using a scoring system that ranged from 1 to 5.
Results: For the total patients, the screening group was composed of 124 patients and the diagnostic group was composed of 225. The reasons why the patients wanted to take the examinations in the diagnostic group varied. The questionnaire about the preference of the gender of the examiner showed that 81.5% in the screening group and 79.1% in the diagnostic group preferred a woman doctor. The required,suitable time for the breast ultrasound examination was 5 to 10 minutes or 10 to 15minutes for about 70% of the patients. The mean satisfaction score for the video monitor system was as high as 3.95 point. The portion of patients in each group who answered over 3 points for their satisfaction with the monitor system was 88.7% and 94.2%, respectively.
Conclusion: Our study showed that patients preferred 5-15 minutes for the length of the examination time and a female examiner. We also confirmed high patient satisfaction with the video monitor system.

국문 초록 (Abstract)

목적: 유방초음파검사를 받는 환자들을 대상으로 유방초음파검사에 대한 기본적인 사항과 새로이 도입된 환자용 모니터에 대한 만족도를 설문 조사를 통해 알아보고 문제점 및 개선방향을 파악하고자 하였다.
대상과 방법: 새로운 환자용 모니터가 설치된 이후 3개월 동안 유방초음파실 에서 유방초음파검사를 받은 349명의 환자를 대상으로 설문을 하였다. 총 8문항으로 이루어져 있었으며 환자의 기본적인 사항에 대한 질문 (나이, 유방초음파검사를 받는 이유, 검사자의 성별에 대한 선호도,적절한 검사 소요시간)과 모니터에 대한 만족도에 대한 질문으로 나누어 답하도록 하였다. 전체 환자를, 증상이 없이선별검사를 위한 경우 (screening group) 와 다양한 증상과 목적을 위한 진단적 검사인 경우 (diagnostic group)로 나누어 설문조사 결과를 서로 비교하여 보았다. 환자용모니터 시청에 대한 만족도는 5점 척도를 사용하여 답하도록 하였다.
결과: 전체 환자 중 screening group이 124명이었고diagnostic group은 225명이었다. 유방초음파를 시행하는검사자에 대한 선호도를 묻는 질문에서, screening group 에서는 81.5%가, diagnostic group에서는 79.1%가 여자의사를 선호하는 결과를 보였다. 적절하다고 판단되는 유방초음파 소요시간에 대하여는 전체 응답자의 약70%가 5분에서 15분 정도를 선호하는 것으로 나타났다. 모니터 시청에 대한 만족도는, 평균 3.97점을 나타내어 비교적 높은만족도를 나타냈는데, group별로 3점 이상의 만족도를 보인 정도를 보면 screening group과 diagnostic group에서각각 88.7%와 94.2%를 보여 높은 만족도를 나타냈다.
결론: 유방초음파 검사를 받는 환자들은 약 5분에서 15분 정도의 검사시간과 여자 검사자를 선호하였다. 또한, 새로 도입된 환자용 모니터 시스템에 대한 높은 만족도를 보였다.

참고문헌 (Reference)

• 1 Ministry for Health, "Welfare and Family Affairs Korea Central Cancer Registry"
• 2 Ministry for Health, "Welfare and Family Affairs Korea Central Cancer Registry"
• 3 P.Thurley, "Patient satisfaction and efficacy of vacuum-assisted excision biopsy of fibroadenomas" 64 : 381-385, 2009
• 4 "Korea National Statistical Office"
• 5 Korean society of breast imaging, "Imaging modalities of breast disease, in Breast diagnostic imaging" Ilchokak 26-130, 2006
• 6 Stavros AT, "Breast Ultrasound" Lippincott Williams & Wilkins 2-10, 2004
• 7 American College of Radiology, "BI-RADS: ultrasound, 1st ed, In Breast Imaging Reporting and Data System Atlas: (BI-RADS ) atlas, 4th ed" American College of Radiology 2003