scholarly journals Telerehabilitation for musculoskeletal disorders during the COVID-19 pandemic

2021 ◽  
Vol 9 (1) ◽  
pp. 3765-3772
Author(s):  
Mundhada Sheetal ◽  
◽  
Mundhada Preeti ◽  
Khandelwal Rekha ◽  
Shrivastava Divya ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Musculoskeletal Disorders ◽  
Rating Scale ◽  
Pain Reduction ◽  
Rank Test ◽  
Functional Score ◽  
Patient Feedback ◽  
Patient Reported ◽  
Relationship Of ◽  
The Relationship

Aim: To evaluate the clinical effectiveness of telerehabilitation for various musculoskeletal disorders during the COVID-19 pandemic. Methods: This is a retrospective analysis of patients who underwent musculoskeletal telerehabilitation at a well-established physiotherapy centre in Central India between 1st April – 30th June 2020. A team of two experienced physiotherapists conducted one-on-one video-based physiotherapy sessions for every patient. The main outcome measures included pain reduction using the Numeric Pain Rating Scale (NPRS), functional goals achieved, and patient satisfaction. The effectiveness of treatment was determined based on the change in NPRS scores using the Wilcoxon signed-rank test. The relationship of percent change in NPRS and the functional score as well as the patient feedback score was obtained using Pearson’s correlation coefficient. Results: Of 77 patients who received telerehabilitation during the study period, 31 patients undergoing musculoskeletal rehabilitation who satisfied the eligibility criteria were included. There was a significant reduction in NPRS scores after rehabilitation (P < 0.0001). However, the median number of sessions and the baseline NPRS scores differed insignificantly for various patient characteristics. The distribution of functional score and change in NPRS demonstrated a moderately positive and significant correlation (P = 0.001). The relationship of patient feedback score with the change in NPRS was low positive. Conclusion: Telerehabilitation resulted in significant pain reduction among patients with various musculoskeletal disorders during the COVID-19 pandemic. A positive correlation was demonstrated between change in NPRS scores, patient-reported functional goals, and patient satisfaction. Hence, telerehabilitation provided by a trained physiotherapist can be an effective approach for conservative management of musculoskeletal pain. KEY WORDS: Telerehabilitation, Musculoskeletal disorder, Back pain, COVID-19.

scholarly journals The Association Between Patient Satisfaction and Patient-Reported Health Outcomes

2018 ◽  
Vol 6 (3) ◽  
pp. 201-209 ◽  
Author(s):  
Qinyu Chen ◽  
Eliza W Beal ◽  
Victor Okunrintemi ◽  
Emily Cerier ◽  
Anghela Paredes ◽  
...  
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Health Outcomes ◽  
Medical Expenditure Panel Survey ◽  
Emergency Department Visits ◽  
Medical Expenditure ◽  
Health Score ◽  
Patient Reported ◽  
Relationship Of ◽  
The Relationship

Objective: Although patient satisfaction is increasingly used to rate hospitals, it is unclear how patient satisfaction is associated with health outcomes. We sought to define the relationship of self-reported patient satisfaction and health outcomes. Design: Retrospective cross-sectional analysis using regression analyses and generalized linear modeling. Setting: Utilizing the Medical Expenditure Panel Survey Database (2010-2014), patients who had responses to survey questions related to satisfaction were identified. Participants: Among the 9166 patients, representing 106 million patients, satisfaction was rated as optimal (28.2%), average (61.1%), and poor (10.7%). Main Outcome Measures: We sought to define the relationship of self-reported patient satisfaction and health outcomes. Results: Patients who were younger, male, black/African American, with Medicaid insurance, as well as patients with lower socioeconomic status were more likely to report poor satisfaction (all P < .001). In the adjusted model, physical health score was not associated with an increased odds of poor satisfaction (1.42 95% confidence interval [CI]: 0.88-2.28); however, patients with a poor mental health score or ≥2 emergency department visits were more likely to report poor overall satisfaction (3.91, 95% CI: 2.34-6.5; 2.24, 95% CI: 1.48-3.38, respectively). Conclusion: Poor satisfaction was associated with certain unmodifiable patient-level characteristics, as well as mental health scores. These data suggest that patient satisfaction is a complex metric that can be affected by more than provider performance.

scholarly journals Relationship of Nurse Caring Behaviour with Patient Satisfaction at the Emergency Department of Catholic Hospital of Budi Rahayu Blitar

2020 ◽  
Vol 7 (1) ◽  
pp. 001-005
Author(s):  
Suprajitno Suprajitno ◽  
Yeni Kartikasari ◽  
Elizabeth Niken Budi Anggraeni
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
Rank Test ◽  
Cross Sectional ◽  
Nursing Services ◽  
Strong Positive Relationship ◽  
Nurse Caring ◽  
Catholic Hospital ◽  
Relationship Of ◽  
The Relationship

One indicator of hospital services is patient satisfaction related to nurses caring behaviour. The caring behaviour of nurses who provide nursing services in the Emergency Department is expected to increase the satisfaction of nursing services. The purpose of this study was to study the relationship between nurses caring behaviour with patient satisfaction receiving nursing services at the Emergency Department of Catholic Hospital of Budi Rahayu Blitar. The research design was cross sectional. Sample sizes were 80 patients who received nursing services at the Emergency Department were selected by purposive sampling. The study variables were nurse caring behaviour and patient satisfaction. Data were collected using a questionnaire. Analysis using the Spearman rank test. The analysis results obtained p = 0.000 and r = 0.618, which means there is a strong positive relationship between nurses caring behaviour with patient satisfaction. Suggestion, nurses maintain and even increase caring behaviour, especially communication skills in the orientation phase.

scholarly journals The relationship of posture working with musculoskeletal disorders (MSDs) in the weaver West Sulawesi Indonesia

2021 ◽  
Vol 35 ◽  
pp. S15-S18
Author(s):  
Fatmawaty Mallapiang ◽  
Azriful ◽  
Nildawati ◽  
Syarfaini ◽  
Masyitha Muis ◽  
...  
Keyword(s):  
Musculoskeletal Disorders ◽  
Relationship Of ◽  
The Relationship

scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts
Keyword(s):  
Patient Satisfaction ◽  
Working Alliance ◽  
Preliminary Investigation ◽  
Community Members ◽  
Content Type ◽  
Mediation Analyses ◽  
External Shame ◽  
Relationship Of ◽  
The Relationship

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.

Patient Satisfaction and Short-Term Outcome in Elective Cranial Neurosurgery

Neurosurgery ◽  
2015 ◽  
Vol 77 (5) ◽  
pp. 769-776 ◽  
Author(s):  
Elina Reponen ◽  
Hanna Tuominen ◽  
Juha Hernesniemi ◽  
Miikka Korja
Keyword(s):  
Patient Satisfaction ◽  
Quality Of Care ◽  
Health Status ◽  
Patient Experience ◽  
University Hospital ◽  
Term Outcome ◽  
Major Morbidity ◽  
Patient Reported ◽  
Relationship Of

Abstract BACKGROUND: Patient-reported experience is often used as a measure for quality of care, but no reports on patient satisfaction after cranial neurosurgery exist. OBJECTIVE: To study the association of overall patient satisfaction and surgical outcome and to evaluate the applicability of overall patient satisfaction as a proxy for quality of care in elective cranial neurosurgery. METHODS: We conducted an observational study on the relationship of overall patient satisfaction at 30 postoperative days with surgical and functional outcome (modified Rankin Scale [mRS] score) in a prospective, consecutive, and unselected cohort of 418 adult elective craniotomy patients enrolled between December 2011 and December 2012 at Helsinki University Hospital, Helsinki, Finland. RESULTS: Postoperative overall (subjective and objective) morbidity was present in 194 (46.4%) patients; yet almost 94% of all study patients reported high overall satisfaction. Low overall patient satisfaction at 30 days was not associated with postoperative major morbidity in elective cranial neurosurgery. Dependent functional status (mRS score ≥3) at 30 days, minor infections, poor postoperative subjective overall health status, and patient-reported severe symptoms (double vision, poor balance) may contribute to unsatisfactory patient experience. CONCLUSION: Overall patient satisfaction with elective cranial neurosurgery is high. Even 9 of 10 patients with postoperative major morbidity rated high overall patient satisfaction at 30 days. Overall patient satisfaction may merely reflect patient experience and subjective postoperative health status, and therefore it is a poor proxy for quality of care in elective cranial neurosurgery.

scholarly journals Youth leadership: a proposal for identifying and developing creativity and giftedness

2013 ◽  
Vol 30 (2) ◽  
pp. 219-229 ◽  
Author(s):  
Steven I. Pfeiffer ◽  
Solange Muglia Wechsler
Keyword(s):  
Rating Scales ◽  
Rating Scale ◽  
Leadership Skills ◽  
Youth Leadership ◽  
Global Consensus ◽  
Creative Leadership ◽  
Relationship Of ◽  
The Military ◽  
The Relationship ◽  
Basic Level

There is a considerable amount of literature on leadership, particularly as it relates to organizations, government, and the military. However, educators and psychologists know considerably less about early precursors of leadership, how leadership develops in youth, possible gender differences, and the relationship of leadership, intelligence and creativity. A global consensus exists that leaders are needed and that we shouldn't delay the early development of leadership skills. The authors propose a model to enhance creative leadership and introduce a teacher-completed rating scale, the Gifted Rating Scales to help accomplish this. As demonstrated, there are possibilities to detect early creative and intellectual giftedness among children and youngsters in the classrooms and expectations to move from a basic level of competence to reach an elite or expert level in any field, facilitating the emergence of leadership.

scholarly journals Hubungan Antara Tingkat Kecemasan Emosional Ibu Post Partum Dengan Kejadian Post Partum Blues Di Kelurahan Sukorame Wilayah Kerja Puskesmas Sukorame Kediri Tahun 2018

2020 ◽  
Vol 7 (1) ◽  
Author(s):  
Halimatus Saidah
Keyword(s):  
Rating Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Anxiety Level ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Work Area ◽  
Hamilton Anxiety Rating Scale ◽  
Relationship Of ◽  
The Relationship

ABSTRAKHubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues  sangat penting diketahui karena pada fase ini terjadi perubahan secara fisiologis maupun secara psikologis yang dapat mempengaruhi kelabilan emosional ibu setelah melahirkan. Tujuan dari penelitian ini untuk mengetahui hubungan tingkat kecemasan emosional ibu Post Partum dengan kejadian Post Partum Blues  yang ada dikelurahan sukorame wilayah kerja puskesmas sukorame.Desain yang digunakan pada penelitian ini menggunakan analitik korelasional dengan pendekatan Cross Sectional. Sampel penelitian menggunakan teknik Purposive Sampling, diperoleh jumlah sampel 24 orang responden dengan kriteria responden yaitu ibu Post Partum hari ke 7- minggu ke 2, nifas normal. Pengumpulan data menggunakan lembar ceklist skala Hamilton Anxiety Rating Scale dan kuesioner Edinburgh Post Natal Depression Scale. Analisa data menggunkan uji Sperman Rank.         Tingkat kecemasan emosional ibu post partum sebagian kecil (25,0%) yaitu 6 responden. dan kejadian Post Partum Blues  sebagian besar (62,5%) yaitu 15 responden. Hasil analisa data dengan menggunakan uji Spearmen Rank didapatkan hasil p-value 0,000 taraf signifikan (α = 0,05) dengan demikian ada hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues  di Kelurahan Sukorame wilayah Kerja Puskesmas Sukorame. Dan  nilai koefisien (r) sebesar 0,859 kekuatan korelasi dalam kategori sangat kuat dengan arah positif.Dari hasil penelitian ini dapat disimpulkan adanya hubungan antara tingkat kecemasan emosional ibu post partum dengan kejadian Post Partum Blues  di kelurahan Sukorame wilayah kerja Puskesmas Sukorame. Kata Kunci: Tingkat Kecemasan, Post Partum, dan Kejadian Post Partum Blues  ABSTRACT       The relationship between the level of emotional anxiety of the mother of post partum with Post Partum Blues  occurrence is very important because in this phase there is a change physiologically and psychologically wich can affect the emotional stability of mother after giving birth.       The purpose of this study to determine the relationship of emotional anxiety level of post partum mother with Post Partum Blues  incident that exist in sukorame’s Village its work area of puskesmas Sukorame.       Design used correlational analytics with cross sectional approach. The sample research using purposive sampling technique, obtained the number of samples 24 respondents with the criteria of respondents is post partum mother day 7 to week 2, its good puerperium. Data’s collection using hamilton anxiety rating scale and       Edinburgh Postnatal Depression Scale. Data’s processing is interpreted according to the classification of each measuring instrument.       The result of the research showed that  the relationship of emotional anxiety level of post partum mother with Post Partum Blues  incidence was the amount of the anxiety level 12,5%, 25% heavy anxiety , medium anxiety 16,6% and mild anxiety 20,9% with Post Partum Blues  event. While those without anxiety were 0% for Post Partum Blues  event.        From the result of this study it can be concluded that almost all postpartum mothers with anxiety that there is in the field of Sukorame work area puskesmas Sukorame experience Post Partum Blues . As for recommendation of this research is holding counseling about how to handle Post Partum Blues .Key Word : Anxiety level, Post Partum, Post Partum Blues  Event

Neutrophilia and mortality in women with uterine carcinosarcoma

2019 ◽  
Vol 29 (8) ◽  
pp. 1258-1263 ◽  
Author(s):  
Rebecca Arend ◽  
Anne Van Arsdale ◽  
Anar Gojayev ◽  
Brandon Michael Roane ◽  
David Doo ◽  
...  
Keyword(s):  
Absolute Neutrophil Count ◽  
Neutrophil Count ◽  
Progression Free Survival ◽  
Rank Test ◽  
Uterine Carcinosarcoma ◽  
Poor Prognostic Factor ◽  
Log Rank Test ◽  
Pre Treatment ◽  
Relationship Of ◽  
The Relationship

ObjectiveThe objective of this study was to investigate the relationship between pre-treatment absolute neutrophil count and clinical outcomes in patients with uterine carcinosarcoma.MethodsIn an Institutional Review Board approved, retrospective cohort study of 103 patients with uterine carcinosarcoma, the pre-treatment absolute neutrophil count data were obtained from the medical records, along with clinical, pathologic, treatment, and outcome data. Kaplan–Meier survival estimates were calculated and compared by the log rank test. Univariable and multivariable Cox proportional hazard regression models were used to examine the relationship of pre-treatment absolute neutrophil count with progression-free survival and overall survival.ResultsUterine carcinosarcoma patients in the highest quartile of pre-treatment absolute neutrophil count had significantly reduced progression-free survival (p<0.001, log rank test), and overall survival (p<0.001, log rank test), compared with patients in the lower absolute neutrophil count quartiles. On multivariable analysis, high absolute neutrophil count was an independent poor prognostic factor for disease recurrence, HR 2.97 (95% CI 1.35 to 6.53, p=0.007) for highest versus lowest quartile absolute neutrophil count, and for mortality, HR 4.43 (95% CI 1.64 to 12.00, p= 0.003).ConclusionsHigh pre-treatment absolute neutrophil count is an independent poor prognostic factor in patients with uterine carcinosarcoma and may be useful as a potential biomarker in clinical trials. The mechanistic relationship of neutrophilia and uterine carcinosarcoma progression merits further investigation.

Outcomes Assessment Survey to Determine Patient Satisfaction

1999 ◽  
Vol 1 (2) ◽  
pp. 20-25 ◽  
Author(s):  
Mary Ann Haisch
Keyword(s):  
Patient Satisfaction ◽  
Dental Service ◽  
Sample Survey ◽  
Patient Satisfaction Survey ◽  
Survey Form ◽  
Patient Feedback ◽  
The Status ◽  
Assessment Survey ◽  
Dental Professional ◽  
The Relationship

Abstract The dental healthcare marketplace is consumer driven. The astute practice manager monitors the effectiveness of patient care in terms of both the actual dental service rendered and the process used to deliver the service. One mechanism that can be helpful is the use of a patient satisfaction survey to determine the status of the relationship between the dental practice and patient's of record. This article presents a perspective on the importance of patient feedback as well as a sample survey form that may be useful to the practicing dental professional.

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