Tramontano Marco, Martino Cinnera Alex, Petracca Marco, Gaeta Angela, Tamburella Federica, Audouard Maurice, Caltagirone Carlo
Altern Ther Health Med. 2018 Sep;24(5):18-24.
Although osteopathy is not yet certified as a health profession in Italy, many people choose osteopathic manipulative treatment (OMT) for pain relief. Nevertheless, no study evaluating patients' degree of satisfaction after OMT and the perceived quality of the treatment has occurred in Italy.
The study intended to assess outpatients' satisfaction with OMT carried out at a hospital.
The research team conducted a survey from January 2015 to January 2016 using 3 questionnaires.
The study took place the Fondazione Santa Lucia Hospital (Rome, Italy), an institute for research and health care.
Participants were 101 patients with musculoskeletal (MSK) disorders undergoing OMT at the hospital.
The OMT was performed by 3 osteopathic practitioners who had completed the 6-y, part-time training program recognized by the Italian Register of Osteopaths.
To measure the level of their satisfaction, the research team had patients complete the modified patient satisfaction questionnaire (mPSQ), the patient satisfaction with outpatient physical therapy (PSOPT) instrument, and the visual analog scale for satisfaction (VASS). Parametric and nonparametric analyses were performed to correlate the questionnaires and the demographic variables using the Pearson and Spearman tests.
Data were obtained from 97 patients, with mean age of 42.48 ± 16.1 y, 50 of whom were female. The data showed high, average general satisfaction after OMT: (1) VASS-9.36 ± 1.00 and (2) PSOPT-43.27 ± 3.65. A significant negative correlation was found between access to care (D1-TOT) on the mPSQ and at ages older than 65 y-r = -0.24 and P < .05. A significant positive correlation was found between the VASS and female gender-r = 0.23 and P < .05. A significant positive correlation was also found between continuity of care (D3-TOT) and continuity of care-family (D3-1) on the mPSQ and education level-r = .20 and P < .05 and r = 0.24, P < .05, respectively, and with other dimensions explored by the questionnaires.
The data show a high level of general satisfaction in patients with MSK disorders who underwent OMT in an Italian hospital setting. The overall satisfaction rate was mainly influenced by the patient's perception of the practitioner's technical quality, the continuity of the treatment, and the cost of the service. Some differences emerged for age, gender, and educational level. The information from the current study may be useful for improving the therapeutic assistance provided with OMT and to promote alternative therapies in health and medicine.
尽管整骨疗法在意大利尚未被认证为一种健康职业，但许多人选择整骨手法治疗（OMT）来缓解疼痛。然而，意大利尚未有研究评估OMT后患者的满意度以及对治疗质量的感知。
本研究旨在评估在一家医院接受OMT的门诊患者的满意度。
研究团队在2015年1月至2016年1月期间使用3份问卷进行了一项调查。
研究在圣卢西亚基金会医院（意大利罗马）进行，这是一家研究和医疗保健机构。
参与者为101名在该医院接受OMT的肌肉骨骼（MSK）疾病患者。
OMT由3名完成了意大利整骨疗法注册机构认可的6年兼职培训项目的整骨疗法从业者进行。
为了测量他们的满意度水平，研究团队让患者完成改良的患者满意度问卷（mPSQ）、患者对门诊物理治疗的满意度（PSOPT）工具以及满意度视觉模拟量表（VASS）。使用Pearson和Spearman检验进行参数和非参数分析，以关联问卷和人口统计学变量。
从97名患者处获得了数据，平均年龄为42.48±16.1岁，其中50名是女性。数据显示OMT后总体满意度较高：（1）VASS - 9.36±1.00和（2）PSOPT - 43.27±3.65。在mPSQ上，获得医疗服务（D1 - TOT）与65岁以上年龄之间存在显著负相关 - r = -0.24，P < 0.05。在VASS与女性性别之间发现显著正相关 - r = 0.23，P < 0.05。在mPSQ上，医疗服务连续性（D3 - TOT）和家庭医疗服务连续性（D3 - 1）与教育水平之间也分别发现显著正相关 - r = 0.20，P < 0.05和r = 0.24，P < 0.05，以及与问卷探索的其他维度相关。
数据显示在意大利医院环境中接受OMT的MSK疾病患者总体满意度较高。总体满意度主要受患者对从业者技术质量、治疗连续性和服务成本的感知影响。在年龄、性别和教育水平方面出现了一些差异。本研究的信息可能有助于改善OMT提供的治疗辅助，并促进健康和医学中的替代疗法。
