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DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?

Year 2021, Volume: 22 Issue: 6, 494 - 500, 18.10.2021
https://doi.org/10.18229/kocatepetip.844607

Abstract

OBJECTIVE: This study aimed to investigate whether the level of satisfaction differed regarding the level and severity of injury in patients with chronic spinal cord injury (SCI) treated on an in-patient setting and whether patients with different satisfaction levels had distinct functional independence and health related quality of life (HRQoL) measures.
MATERIAL AND METHODS: The SCI level (cervical, thoracic, lumbosacral) of the patients was recorded, and the severity of SCI (incomplete,complete) was determined according to the American Spinal Cord Injury Association (ASIA) Impairment Scale. The degree of functional independence of the patients was determined using the Functional Independence Measure (FIM) motor score. HRQoL was assessed using the Short Form-36 (SF-36). Satisfaction was assessed using a questionnaire instituted to evaluate patient satisfaction. Satisfaction with the physician, nurse, physiotherapist, catering, cleaning service, technical equipment categories and the overall satisfaction were questioned and satisfaction levels were determined as ”very satisfied, satisfied, dissatisfied, very dissatisfied”.
RESULTS: 84 patients with chronic SCI were included in this cross-sectional study. Regarding the level of SCI, 19 patients had cervical (mean age:36.3±14.5, 78.9% male), 52 had thoracic (mean age: 32.1±13.6, 61.5% male), 13 had lumbosacral SCI (mean age: 38.8±20, 61.5% male). Regarding the severity of SCI, 36 patients had complete (mean age: 34±13, 77.7% male), 48 had incomplete (mean age: 35±15, 56.2% male) injury. There was no significant difference between cervical, thoracic and lumbosacral SCI groups in satisfaction categories. However, when the groups were compared in regard to the severity of SCI, patients with incomplete SCI had higher rates for satisfaction with the physician and technical equipment (p=0.03 and p=0.02, respectively). No significant difference was found in the other categories. Regarding the overall satisfaction, there was no significant difference in HRQoL and functional independence of the patients grouped according to their satisfaction levels.
CONCLUSIONS:Patients with incomplete SCI had higher satisfaction level with the physician and technical equipment. Although characteristics of injury are distinct, if the expectations are met similar satisfaction rates may be obtained in patients with chronic SCI. More comprehensive studies are needed in terms of other patient-related variables that affect patient satisfaction.

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References

  • 1. Yeo E, Chau B, Chi B, Ruckle DE, Ta P. Virtual Reality Neurorehabilitation for Mobility in Spinal Cord Injury: A Structured Review. Innovations in clinical neuroscience. 2019;16(1-2):13-20.
  • 2. Ronca E, Scheel-Sailer A, Koch HG, Essig S, Brach M, Munzel N, et al. Satisfaction with access and quality of healthcare services for people with spinal cord injury living in the community. The journal of spinal cord medicine. 2020;43(1):111-21.
  • 3. Bogner HR, de Vries McClintock HF, Hennessy S, Kurichi JE, Streim JE, Xie D, et al. Patient Satisfaction and Perceived Quality of Care Among Older Adults According to Activity Limitation Stages. Archives of physical medicine and rehabilitation. 2015;96(10):1810-9.
  • 4. Bernal OA, McClintock HF, Kurichi JE, Kwong PL, Xie D, Streim JE, et al. Patient Satisfaction and Perceived Quality of Care Among Younger Medicare Beneficiaries According to Activity Limitation Stages. Archives of physical medicine and rehabilitation. 2019;100(2):289-99.
  • 5. Jha A, Patrick DL, MacLehose RF, Doctor JN, Chan L. Dissatisfaction with medical services among Medicare beneficiaries with disabilities. Archives of physical medicine and rehabilitation. 2002;83(10):1335-41.
  • 6. Tooth LR, Ottenbacher KJ, Smith PM, Illig SB, Linn RT, Granger CV. Satisfaction with medical rehabilitation after spinal cord injury. Spine. 2004;29(2):211-9.
  • 7. Hills, R. and S. Kitchen, 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.
  • 8. Jain NB, Sullivan M, Kazis LE, Tun CG, Garshick E. Factors associated with health-related quality of life in chronic spinal cord injury. American journal of physical medicine & rehabilitation. 2007;86(5):387-96.
  • 9. Theriault ER, Huang V, Whiteneck G, Dijkers MP, Harel NY. Antispasmodic medications may be associated with reduced recovery during inpatient rehabilitation after traumatic spinal cord injury. The journal of spinal cord medicine. 2018;41(1):63-71.
  • 10. Kirshblum S, Waring W, 3rd. Updates for the International Standards for Neurological Classification of Spinal Cord Injury. Physical medicine and rehabilitation clinics of North America. 2014;25(3):505-17.
  • 11. Hall KM, Cohen ME, Wright J, Call M, Werner P. Characteristics of the Functional Independence Measure in traumatic spinal cord injury. Archives of physical medicine and rehabilitation. 1999;80(11):1471-6.
  • 12. Gurcay E, Bal A, Eksioglu E, Cakci A. Quality of life in patients with spinal cord injury. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2010;33(4):356-8.
  • 13. Kaya E, Kaplan C, Özyürek S, Güzelküçük U, Kıralp MZ. Alexithymia and Patient Satisfaction in Patients Treated with Balneotherapy. Turkish Journal of Physical Medicine and Rehabilitation. 2014;60:41-6.
  • 14. AlHuthaifi F, Krzak J, Hanke T, Vogel LC. Predictors of functional outcomes in adults with traumatic spinal cord injury following inpatient rehabilitation: A systematic review. The journal of spinal cord medicine. 2017;40(3):282-94.
  • 15. Hudak PL, Wright JG. The characteristics of patient satisfaction measures. Spine. 2000;25(24):3167-77.
  • 16. Hannan-Jones M, Capra S. Impact of type, size and shape of plates on hospital patients' perceptions of the quality of meals and satisfaction with foodservices. Appetite. 2018;120:523-6.
  • 17. McCray S, Maunder K, Krikowa R, MacKenzie-Shalders K. Room Service Improves Nutritional Intake and Increases Patient Satisfaction While Decreasing Food Waste and Cost. Journal of the Academy of Nutrition and Dietetics. 2018;118(2):284-93.
  • 18. Hagen EM, Grimstad KE, Bovim L, Gronning M. Patients with traumatic spinal cord injuries and their satisfaction with their general practitioner. Spinal cord. 2012;50(7):527- 32.
  • 19. Lusilla-Palacios P, Castellano-Tejedor C. Acute spinal cord injury patients' satisfaction with care: Results from an intervention study in a specialized rehabilitation unit. Journal of health psychology. 2017;22(10):1289-99.
  • 20. Lusilla-Palacios P, Castellano-Tejedor C, Lucrecia Ramirez G, Navarro-Sanchis JA, Rodriguez-Urrutia A, Parramon-Puig G, et al. Training professionals' communication and motivation skills to improve spinal cord injury patients' satisfaction and clinical outcomes: Study protocol of the ESPELMA trial. Journal of health psychology. 2015;20(10):1357- 68.
  • 21. Peter C, Muller R, Cieza A, Geyh S. Psychological resources in spinal cord injury: a systematic literature review. Spinal Cord. 2012;50(3):188-201.
  • 22. Nam KY, Kim HJ, Kwon BS, Park JW, Lee HJ, Yoo A. Robot-assisted gait training (Lokomat) improves walking function and activity in people with spinal cord injury: a systematic review. Journal of neuroengineering and rehabilitation. 2017;14(1):24.
  • 23. Li C, Khoo S, Adnan A. Effects of aquatic exercise on physical function and fitness among people with spinal cord injury: A systematic review. Medicine. 2017;96(11):e6328.

YATARAK REHABİLİTASYON UYGULANAN KRONİK SPİNAL KORD YARALANMALI HASTALARDA YARALANMA BÖLGESİ VE YARALANMA ŞİDDETİ HASTA MEMNUNİYETİNİ ETKİLER Mİ ?

Year 2021, Volume: 22 Issue: 6, 494 - 500, 18.10.2021
https://doi.org/10.18229/kocatepetip.844607

Abstract

AMAÇ: Bu çalışmanın amacı yatarak rehabilitasyon tedavisi alan kronik spinal kord yaralanmalı (SKY) hastaların memnuniyet düzeylerinin, yaralanma seviyesi ve şiddetine göre farklılık gösterip göstermediğini incelemek ve farklı memnuniyet düzeyine sahip hastaların fonksiyonel bağımsızlık ve yaşam kaliteleri arasında fark olup olmadığını ortaya koymaktır.
GEREÇ VE YÖNTEM: Hastaların lezyon seviyesi (servikal, torasik, lumbosakral) kaydedildi ve lezyonun şiddeti (komplet/inkomplet) American Spinal Cord Injury Association (ASIA) Impairment Scale'e göre belirlendi. Hastaların bağımsızlık derecesi, Fonksiyonel Bağımsızlık Ölçümü (Functional Independence Measure-FİM) motor skoru kullanılarak belirlendi. Sağlıkla ilişkili yaşam kalitesi değerlendirilmesi için kısa form-36 (Short Form-36- SF-36) kullanıldı. Memnuniyet, hasta memnuniyetini değerlendirmek için oluşturulmuş bir anket kullanılarak değerlendirildi. Ankette memnuniyet düzeyi “çok memnunum, memnunum, memnuniyetsizim, hiç memnun değilim” olarak ve doktor, hemşire, fizyoterapist, yemek hizmeti, temizlik hizmeti, teknik donanım ve genel memnuniyet kategorilerinde sorgulama yapılarak belirlendi.
BULGULAR: Bu kesitsel çalışmaya kronik SKY'li 84 hasta dahil edildi. Lezyon seviyesine göre bakıldığında, hastaların 19’unda servikal (ortalama yaş: 36.3 ± 14.5, % 78.9 erkek), 52’sinde torasik (ortalama yaş: 32.1 ± 13.6, % 61.5 erkek) ve 13’ünde lumbosakral (ortalama yaş : 38.8 ± 20, % 61.5 erkek) yaralanma bulunmaktaydı. SKY'nin şiddetine göre 36 hastada komplet (ortalama yaş: 34 ± 13, % 77.7 erkek), 48 hastada inkomplet (ortalama yaş: 35 ± 15, % 56.2 erkek) yaralanma vardı. Memnuniyet kategorilerinde servikal, torasik ve lumbosakral bölge yaralanmaları arasında anlamlı fark bulunmadı. Ancak, SKY şiddetine göre gruplandırılan hastaların memnuniyetleri karşılaştırıldığında, inkomplet SKY'li hastaların doktor ve teknik donanım memnuniyetleri daha yüksekti (sırasıyla p=0.03 ve p=0.02). Bunun dışında diğer kategorilerde anlamlı fark bulunamadı. Genel memnuniyet kategorisinde, memnuniyet düzeylerine göre gruplandırılan hastaların fonksiyonel motor bağımsızlıkları ve yaşam kaliteleri karşılaştırıldığında arada anlamlı fark bulunamadı.
SONUÇ: İnkomplet SKY’li hastaların doktor ve teknik donanım memnuniyeti daha yüksekti. Yaralanma özellikleri farklı olsa da beklentileri karşılandığında, yatarak rehabilitasyon uygulanan kronik dönem SKY’li hastaların memnuniyet düzeyleri benzer olabilir. Hastaların memnuniyetini etkileyen hastayla ilgili diğer değişkenler açısından daha kapsamlı çalışmalara ihtiyaç vardır.

Project Number

-

References

  • 1. Yeo E, Chau B, Chi B, Ruckle DE, Ta P. Virtual Reality Neurorehabilitation for Mobility in Spinal Cord Injury: A Structured Review. Innovations in clinical neuroscience. 2019;16(1-2):13-20.
  • 2. Ronca E, Scheel-Sailer A, Koch HG, Essig S, Brach M, Munzel N, et al. Satisfaction with access and quality of healthcare services for people with spinal cord injury living in the community. The journal of spinal cord medicine. 2020;43(1):111-21.
  • 3. Bogner HR, de Vries McClintock HF, Hennessy S, Kurichi JE, Streim JE, Xie D, et al. Patient Satisfaction and Perceived Quality of Care Among Older Adults According to Activity Limitation Stages. Archives of physical medicine and rehabilitation. 2015;96(10):1810-9.
  • 4. Bernal OA, McClintock HF, Kurichi JE, Kwong PL, Xie D, Streim JE, et al. Patient Satisfaction and Perceived Quality of Care Among Younger Medicare Beneficiaries According to Activity Limitation Stages. Archives of physical medicine and rehabilitation. 2019;100(2):289-99.
  • 5. Jha A, Patrick DL, MacLehose RF, Doctor JN, Chan L. Dissatisfaction with medical services among Medicare beneficiaries with disabilities. Archives of physical medicine and rehabilitation. 2002;83(10):1335-41.
  • 6. Tooth LR, Ottenbacher KJ, Smith PM, Illig SB, Linn RT, Granger CV. Satisfaction with medical rehabilitation after spinal cord injury. Spine. 2004;29(2):211-9.
  • 7. Hills, R. and S. Kitchen, 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.
  • 8. Jain NB, Sullivan M, Kazis LE, Tun CG, Garshick E. Factors associated with health-related quality of life in chronic spinal cord injury. American journal of physical medicine & rehabilitation. 2007;86(5):387-96.
  • 9. Theriault ER, Huang V, Whiteneck G, Dijkers MP, Harel NY. Antispasmodic medications may be associated with reduced recovery during inpatient rehabilitation after traumatic spinal cord injury. The journal of spinal cord medicine. 2018;41(1):63-71.
  • 10. Kirshblum S, Waring W, 3rd. Updates for the International Standards for Neurological Classification of Spinal Cord Injury. Physical medicine and rehabilitation clinics of North America. 2014;25(3):505-17.
  • 11. Hall KM, Cohen ME, Wright J, Call M, Werner P. Characteristics of the Functional Independence Measure in traumatic spinal cord injury. Archives of physical medicine and rehabilitation. 1999;80(11):1471-6.
  • 12. Gurcay E, Bal A, Eksioglu E, Cakci A. Quality of life in patients with spinal cord injury. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2010;33(4):356-8.
  • 13. Kaya E, Kaplan C, Özyürek S, Güzelküçük U, Kıralp MZ. Alexithymia and Patient Satisfaction in Patients Treated with Balneotherapy. Turkish Journal of Physical Medicine and Rehabilitation. 2014;60:41-6.
  • 14. AlHuthaifi F, Krzak J, Hanke T, Vogel LC. Predictors of functional outcomes in adults with traumatic spinal cord injury following inpatient rehabilitation: A systematic review. The journal of spinal cord medicine. 2017;40(3):282-94.
  • 15. Hudak PL, Wright JG. The characteristics of patient satisfaction measures. Spine. 2000;25(24):3167-77.
  • 16. Hannan-Jones M, Capra S. Impact of type, size and shape of plates on hospital patients' perceptions of the quality of meals and satisfaction with foodservices. Appetite. 2018;120:523-6.
  • 17. McCray S, Maunder K, Krikowa R, MacKenzie-Shalders K. Room Service Improves Nutritional Intake and Increases Patient Satisfaction While Decreasing Food Waste and Cost. Journal of the Academy of Nutrition and Dietetics. 2018;118(2):284-93.
  • 18. Hagen EM, Grimstad KE, Bovim L, Gronning M. Patients with traumatic spinal cord injuries and their satisfaction with their general practitioner. Spinal cord. 2012;50(7):527- 32.
  • 19. Lusilla-Palacios P, Castellano-Tejedor C. Acute spinal cord injury patients' satisfaction with care: Results from an intervention study in a specialized rehabilitation unit. Journal of health psychology. 2017;22(10):1289-99.
  • 20. Lusilla-Palacios P, Castellano-Tejedor C, Lucrecia Ramirez G, Navarro-Sanchis JA, Rodriguez-Urrutia A, Parramon-Puig G, et al. Training professionals' communication and motivation skills to improve spinal cord injury patients' satisfaction and clinical outcomes: Study protocol of the ESPELMA trial. Journal of health psychology. 2015;20(10):1357- 68.
  • 21. Peter C, Muller R, Cieza A, Geyh S. Psychological resources in spinal cord injury: a systematic literature review. Spinal Cord. 2012;50(3):188-201.
  • 22. Nam KY, Kim HJ, Kwon BS, Park JW, Lee HJ, Yoo A. Robot-assisted gait training (Lokomat) improves walking function and activity in people with spinal cord injury: a systematic review. Journal of neuroengineering and rehabilitation. 2017;14(1):24.
  • 23. Li C, Khoo S, Adnan A. Effects of aquatic exercise on physical function and fitness among people with spinal cord injury: A systematic review. Medicine. 2017;96(11):e6328.
There are 23 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Articles
Authors

Selma Eroğlu 0000-0002-3600-5482

Mehmet B. Kuyumcu This is me 0000-0002-5983-8241

Büşra Özdemir This is me

Cansu Manav This is me 0000-0002-7281-4957

Halil Siner This is me 0000-0001-7885-424X

Handan Önal 0000-0002-8548-7756

Sevdenur Karaca This is me 0000-0002-7114-5894

Övgü Özgün 0000-0001-6851-0339

Betül Ateş This is me 0000-0003-1951-272X

Hasan Toktaş 0000-0002-1260-0412

Ümit Dündar 0000-0002-2784-0574

Project Number -
Publication Date October 18, 2021
Acceptance Date January 20, 2021
Published in Issue Year 2021 Volume: 22 Issue: 6

Cite

APA Eroğlu, S., Kuyumcu, M. B., Özdemir, B., Manav, C., et al. (2021). DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?. Kocatepe Tıp Dergisi, 22(6), 494-500. https://doi.org/10.18229/kocatepetip.844607
AMA Eroğlu S, Kuyumcu MB, Özdemir B, Manav C, Siner H, Önal H, Karaca S, Özgün Ö, Ateş B, Toktaş H, Dündar Ü. DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?. KTD. October 2021;22(6):494-500. doi:10.18229/kocatepetip.844607
Chicago Eroğlu, Selma, Mehmet B. Kuyumcu, Büşra Özdemir, Cansu Manav, Halil Siner, Handan Önal, Sevdenur Karaca, Övgü Özgün, Betül Ateş, Hasan Toktaş, and Ümit Dündar. “DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?”. Kocatepe Tıp Dergisi 22, no. 6 (October 2021): 494-500. https://doi.org/10.18229/kocatepetip.844607.
EndNote Eroğlu S, Kuyumcu MB, Özdemir B, Manav C, Siner H, Önal H, Karaca S, Özgün Ö, Ateş B, Toktaş H, Dündar Ü (October 1, 2021) DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?. Kocatepe Tıp Dergisi 22 6 494–500.
IEEE S. Eroğlu, “DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?”, KTD, vol. 22, no. 6, pp. 494–500, 2021, doi: 10.18229/kocatepetip.844607.
ISNAD Eroğlu, Selma et al. “DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?”. Kocatepe Tıp Dergisi 22/6 (October 2021), 494-500. https://doi.org/10.18229/kocatepetip.844607.
JAMA Eroğlu S, Kuyumcu MB, Özdemir B, Manav C, Siner H, Önal H, Karaca S, Özgün Ö, Ateş B, Toktaş H, Dündar Ü. DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?. KTD. 2021;22:494–500.
MLA Eroğlu, Selma et al. “DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?”. Kocatepe Tıp Dergisi, vol. 22, no. 6, 2021, pp. 494-00, doi:10.18229/kocatepetip.844607.
Vancouver Eroğlu S, Kuyumcu MB, Özdemir B, Manav C, Siner H, Önal H, Karaca S, Özgün Ö, Ateş B, Toktaş H, Dündar Ü. DOES THE LEVEL AND SEVERITY OF INJURY AFFECT PATIENT SATISFACTION IN PATIENTS WITH CHRONIC SPINAL CORD INJURY UNDERGOING INPATIENT REHABILITATION ?. KTD. 2021;22(6):494-500.

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