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心脏手术后的物理治疗:患者的认知

Physical therapy in postoperative cardiac surgery: patient's perception.

作者信息

Lima Paula Monique Barbosa, Cavalcante Hermanny Evanio Freitas, Rocha Angelo Roncalli Miranda, Brito Rebeca Taciana Fernandes de

机构信息

Centro de Ensinos Superiores de Maceió - CESMAC, Maceió, AL, Brazil.

出版信息

Rev Bras Cir Cardiovasc. 2011 Apr-Jun;26(2):244-9. doi: 10.1590/s0102-76382011000200015.

Abstract

INTRODUCTION

Many strategies to improve services provided by for physiotherapy are based on patients satisfaction. Listen and observe the behavior of patients in a hospital is crucial to understanding and improvement of service and the hospital.

OBJECTIVE

This study aimed to identify the patient's perception undergoing cardiac surgery on the physiotherapy service provided to wards of hospitals for heart surgery reference in the city of Maceió, AL, Brazil, and from that information detect what actions are perceived as priorities for which are noteworthy plans for improvements in quality of care.

METHODS

Cross-sectional study, conducted in quality and quantity of reference hospitals in cardiac surgery in the city of Maceio, AL, Brazil, in the period from September to November 2008. The study included 30 users of the Sistema Único de Saúde, of which 12 (40%) female and 18 (60%) males. The average age of this sample was 49.2 ± 11.9 years and most belonged to socioeconomic class D (36.7%).

RESULTS

It was found that only 16.7% had contact with the physiotherapist before surgery. Regarding educational guidelines about postoperative period, only 2.9% patients reported having received them. However, 56.8% rated the care as good and 100% of patients reported believing that physiotherapy could improve their health status.

CONCLUSION

We suggest the implementation of preoperative physical therapy protocols with preventive measures and educational as well as new researchs that may characterize the population of users of health plans/private.

摘要

引言

许多改善物理治疗服务的策略都基于患者满意度。倾听和观察医院中患者的行为对于理解和改善服务及医院至关重要。

目的

本研究旨在确定在巴西阿拉戈斯州马塞约市接受心脏手术的患者对心脏外科病房提供的物理治疗服务的看法,并从这些信息中找出被视为优先事项的行动,这些行动是值得注意的改善护理质量的计划。

方法

2008年9月至11月期间,在巴西阿拉戈斯州马塞约市的心脏外科参考医院进行横断面研究。该研究纳入了30名单一卫生系统的使用者,其中12名(40%)为女性,18名(60%)为男性。该样本的平均年龄为49.2±11.9岁,大多数属于社会经济阶层D(36.7%)。

结果

发现只有16.7%的患者在手术前与物理治疗师有过接触。关于术后时期的教育指导,只有2.9%的患者报告接受过。然而,56.8%的患者对护理评价良好,100%的患者报告相信物理治疗可以改善他们的健康状况。

结论

我们建议实施术前物理治疗方案,包括预防措施和教育,以及可能描绘健康计划/私人使用者人群特征的新研究。

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