The purpose of the study was to assess satisfaction with physical therapy received during a stay in a cardiac surgery hospital, and to investigate the influence of gender and age of patients on its level. Material and methods. The study involved 87 patients (men n = 56; women n = 31; age 61.59±11.41 years) who underwent cardiac surgery. An adapted version of the Physical Therapy Satisfaction Questionnaire was used to assess satisfaction, which consisted of 17 statements. The obtained results were processed by methods of mathematical statistics. As the results of the vast majority of indicators did not comply with the law of normal distribution, the median (Me) and upper and lower quartiles (25%; 75%) were calculated. For the results of indicators that corresponded to the law of normal distribution, the mean value and the standard deviation (±S) were additionally calculated. To assess the significance of the difference, in the presence of a normal distribution of research results, Student's t-test (for independent groups) was used, and for indicators with a different distribution than normal, Mann-Whitney U-test (for independent groups) and χ2 test were used. Spearman's correlation rank criterion was used to study the effect of age on satisfaction with physical therapy. Results and discussion. Comparison of the results of men and women did not reveal significant differences in the results of the survey. Only two items (explaining the reasons for physical therapy; waiting after the appointment) out of seventeen had a significant inverse relationship with age, but its strength was weak. The results of all points of satisfaction with physical therapy were high. Most patients agreed or completely agreed with the statement of the questionnaire. The answer "uncertain" was observed much less often. In the analysis of the obtained indicators of satisfaction in the general sample of patients, the best results were obtained in the seventh item of the questionnaire (friendliness and politeness), the thirteenth (respect for the physical therapist) and the first (explanation of the reasons for physical therapy). The lowest scores were obtained in the third (the feeling the correct diagnosis of physical therapists), fifth (access to the necessary physical therapists for feedback on physical therapy procedures), sixteenth (matching the patient's ability to physical therapy). The reasons which could influence decrease in estimates in indicators with the lowest results are considered. The total score of all items was 81 (77; 85) points. Taking into account that the theoretical maximum is 85 points and a minimum of 17 points (with the answers "strongly disagree" in all points), the median was 94% of the maximum result, which further confirms the high level of patient satisfaction. Conclusion. The age and sex of cardiac surgery patients did not affect the level of satisfaction with physical therapy. The survey of patients confirmed a high level of satisfaction

Keywords: cardiac surgery, rehabilitation, therapeutic exercises, quality

Full text: PDF (Ukr) 299K

1. Cleary PD, McNeil BJ. Patient satisfaction as an indicator of quality care. Inquiry. 1988; 25: 25-36.
2. Harris LE, Swindle RW, Mungai SM, Weinberger M, Tierney WM. Measuring patient satisfaction for quality improvement. Med Care. 1999; 37: 1207-1213. https://doi.org/10.1097/00005650-199912000-00004 PMid:10599602
3. Krowinski WJ, Steiber SR. Measuring and Managing Patient Satisfaction. 2nd ed. Chicago Ill: American Hospital Association; 1996.
4. Hush JM, Cameron K, Mackey M. Patient satisfaction with musculoskeletal physical therapy care: a systematic review. Phys Ther. 2011; 91(1): 25-36. https://doi.org/10.2522/ptj.20100061 PMid:21071504
5. Brown J, Stewart M, Mccracken E, Mcwhinney IR, Levenstein J. The patient-centred clinical method. 2. Definition and application. Fam Pract. 1986; 3(2): 775-9. https://doi.org/10.1093/fampra/3.2.75 PMid:3721098
6. Hush JM, Lee H, Yung V, Adams R, Mackey M, Wand BM, et al. Intercultural comparison of patient satisfaction with physiotherapy care in Australia and Korea: an exploratory factor analysis. J Man Manip Ther. 2013; 21(2): 103-112. https://doi.org/10.1179/2042618613Y.0000000030 PMid:24421620 PMCid:PMC3649357
7. Layzell M. Back pain management: a patient satisfaction study of services. Br J Nurs. 2001; 10(12): 800-807. https://doi.org/10.12968/bjon.2001.10.12.12337 PMid:11972125
8. May S. Patient satisfaction with management of back pain. Part 2: an explorative, qualitative study into patients' satisfaction with physiotherapy. Physiotherapy. 2001; 87: 10-20. https://doi.org/10.1016/S0031-9406(05)61186-8
9. Sheppard LA, Anaf S, Gordon J. Patient satisfaction with physiotherapy in the emergency department. Int Emerg Nurs. 2010; 18(4): 196-202. https://doi.org/10.1016/j.ienj.2009.11.008 PMid:20869660
10. Bruster S, Jarman B, Bosanquet N, Weston D, Erens R, Delbanco TL. National survey of hospital patients. BMJ. 1994; 309: 1542-1546. https://doi.org/10.1136/bmj.309.6968.1542 PMid:7819893 PMCid:PMC2541766
11. Hays RD, Larson C, Nelson EC, Batalden PB. Hospital quality trends: a short-form patient-based measure. Med Care. 1991; 29: 661-668. https://doi.org/10.1097/00005650-199107000-00006 PMid:2072771
12. Marshall GN, Hays RD, Sherbourne CD, Wells KB. The structure of patient satisfaction with outpatient medical care. Psychol Assess. 1993; 5: 477-483. https://doi.org/10.1037/1040-3590.5.4.477
13. Rubin HR, Gandek B, Rogers WH, Kosinski M, McHorney CA, Ware JE Jr. Patients' ratings of outpatient visits in different practice settings: results from the Medical Outcomes Study. JAMA. 1993; 270: 835-840. https://doi.org/10.1001/jama.1993.03510070057036 PMid:8340982
14. Perneger TV, Etter JF, Raetzo MA, Schaller P, Stalder H. Comparison of patient satisfaction with ambulatory visits in competing health care delivery settings in Geneva, Switzerland. J Epidemiol Community Health. 1996; 50: 463-468. https://doi.org/10.1136/jech.50.4.463 PMid:8882233 PMCid:PMC1060320
15. Davies AR, Ware JE. GHAA's Consumer Satisfaction Survey. 2nd ed. Washington DC: Group Health Association of America; 1991.
16. Ware JE Jr, Snyder MK, Wright WR, Davies AR. Defining and measuring patient satisfaction with medical care. Eval Program Plann. 1983; 6: 247-263. https://doi.org/10.1016/0149-7189(83)90005-8
17. Etter JF, Perneger TV. Validating a satisfaction questionnaire using multiple approaches: a case study. Soc Sci Med. 1997; 45: 879-885. https://doi.org/10.1016/S0277-9536(96)00428-5
18. Monnin D, Perneger TV. Scale to measure patient satisfaction with physical therapy. Physical therapy. 2002; 82(7): 682-691. https://doi.org/10.1093/ptj/82.7.682 PMid:12088465
19. Roush SE, Sonstroem RJ. Development of the Physical Therapy Outpatient Satisfaction Survey (PTOPS). Phys Ther. 1999; 79: 159-170. https://doi.org/10.1093/ptj/79.2.159
20. Casserley-Feeney SN, Phelan M, Duffy F, Roush S, Cairns MC, Hurley DA. Patient satisfaction with private physiotherapy for musculoskeletal pain. BMC Musculoskelet Disord. 2008; 9: 50. https://doi.org/10.1186/1471-2474-9-50 PMid:18412974 PMCid:PMC2359748
21. Olatunji TO, Ogunlana MO, Bello MA, Omobaanu SO. Assessment of patients' satisfaction with physiotherapy care. J Niger Soc Physiother. 2009; 16: 11-5.
22. Hills R, Kitchen S. Satisfaction with outpatient physiotherapy: focus groups to explore the views of patients with acute and chronic musculoskeletal conditions. Physiother Theory Pract. 2007; 23(1): 1-20. https://doi.org/10.1080/09593980601023705 PMid:17454795
23. Crow R, Gage H, Hampson S, Hart J, Kimber A, Storey L, et al. The measurement of satisfaction with healthcare: implications for practice from a systematic review of the literature. Health Technol Assess. 2002; 6(32): 1-244. https://doi.org/10.3310/hta6320 PMid:12925269
24. Fedorenko S, Vitomskyi V, Lazarіeva O, Kashuba V, Andrieieva O, Vitomska M, et al. Influence Specificities of the Type of Attitude towards a Disease on Physical Therapy Satisfaction Among the Orthopedic Profile Patients and the Possibilities of Attitude Improvement. Journal of Physical Education and Sport. 2020; 20 (2): 896-904.
25. Ampiah PK, Ahenkorah J, Karikari M. Patients' Satisfaction With Inpatient Orthopedic Physiotherapy Services at a Tertiary Hospital in Ghana. Journal of patient experience. 2019; 6(3): 238-246. https://doi.org/10.1177/2374373518793144 PMid:31535013 PMCid:PMC6739682
26. Stiller K, Cains G, Drury C. Evaluating inpatient satisfaction with a physiotherapy service: A rehabilitation centre survey. International Journal of Therapy and Rehabilitation. 2009; 16(7): 376-384. https://doi.org/10.12968/ijtr.2009.16.7.43047
27. Keith RA. Patient satisfaction and rehabilitation services. Arch Phys Med Rehabil. 1998; 79: 1122-1128. https://doi.org/10.1016/S0003-9993(98)90182-4
28. McCallum NC. A survey of the views of elderly outpatients on their physiotherapy treatment. Physiother. 1990; 76: 487-492. https://doi.org/10.1016/S0031-9406(10)63001-5
29. Beattie PF, Dowda M, Turner C, Michener L, Nelson R. Longitudinal continuity of care is associated with high patient satisfaction with physical therapy. Phys Ther. 2005; 85(10): 1046-1052. https://doi.org/10.1093/ptj/85.10.1046 PMid:16180953
30. Hall JA, Dornan MC. Patient sociodemographic characteristics as predictors of satisfaction with medical care: a meta-analysis. Soc Sci Med. 1990; 30: 811-818. https://doi.org/10.1016/0277-9536(90)90205-7