Qualitative study of satisfaction with physiotherapy care of individuals with low back pain at a tertiary hospital in Nigeria: Implication for Patients education on low back pain and expectation of care
DOI:
https://doi.org/10.4314/ajbr.v27i2.25Keywords:
Low back pain, Physiotherapist, Perspective, Expectation, Implication, SatisfactionAbstract
Physiotherapists are leading providers of care for patients with low back pain, a condition with severe economic burden in Nigeria. The satisfaction of patients is an essential indicator of the quality of such care. This study investigated patients' satisfaction with physiotherapy care for low back pain at a tertiary hospital in Nigeria. To explore their satisfaction with physiotherapy care, we conducted qualitative research among patients with LBP receiving treatment at the Out-patient Physiotherapy Clinic of a tertiary hospital in Nigeria. Using the purposive sampling technique, 14 patients (eight females, six males) were recruited for focus group discussion (FGD). Content thematic analysis was used for data analysis; the data was reduced by identifying categories and themes, data check and validation was done. Three themes emerged from the qualitative study: relationship with the physiotherapist, adequacy of treatment, and factors influencing satisfaction. It was established that there was a cordial relationship between physiotherapists and patients, and treatment was perceived to be adequate. However, the following factors were perceived as influencing satisfaction with care negatively; inadequate equipment and supplies, language barrier at the reception for non-Yoruba speaking patients, prolonged waiting time before treatment, insufficient human resources and cost of care. Patients were satisfied with physiotherapy care for LBP they received at the out-patient physiotherapy clinic. Treatment was perceived to be adequate. Surprisingly, patients have little or no knowledge of physiotherapy care for LBP and thus no specific expectation of care. Therefore, patient education is pivotal and should be part of management in Physiotherapy clinics.
References
Ali, N., & May, S. (2017): A qualitative study into Egyptian patients’ satisfaction with physiotherapy management of low back pain. Physiotherapy Research Int.
Atlas S. J., & Deyo R. A. (2001): Evaluating and Managing Acute Low Back Pain in the Primary Care Setting. Journal of General Internal Medicine. 16(2): 120–131.
Australian Institute of Health and Welfare (2008): The Eleventh Biennial Health Report of theAustralian Institute of Health and Welfare. Australia’s Health 11th edition. Canberra,Australia, 2008
Beattie, P.F., Dowda, M., Turner, C. (2005): Longitudinal continuity of care is associated with high patient satisfaction with physical therapy. Physical Therapy. 85: 1046-1052.
Brooks, P.M. (2006): The burden of musculoskeletal disease – a global perspective. Clinical Rheumatology. 2006; 25(6): 778-781.
Buttler, R. J., & Johnson, W. G. (2008): Satisfaction with low back pain care. Spine J. 8(3) 510-21
Casserley-Feeney, S. N., Phelan, M., Duffy, F. (2008): Patient satisfaction with private physiotherapy for musculoskeletal pain. BMC Musculoskeletal Disorders. 29:50-58.
Childs, J., Fritz, J., Flynn, T., Irgang, J., Johnson, K., Majkowski, G., Delitto, A. A. (2004): clinical predication rule to identify patients with low back pain most likely to benefit from spinal manipulation: A validation study. Annals of Internal Medicine. 141(12):920-928.
Cooper K. S., Blair, H., Hancock, E. (2008): Patient centeredness in physiotherapy from the perspective of the low back pain patient. Physiotherapy. 94, 244–252.
Dagenais, S., Caro, J., & Haldeman S. (2008): A systematic review of low back pain cost of illness studies in the United States and internationally. Spine, 8(1): 8-20.
Dunlopp, B., Mclaughlin, L., & Goldsmith, C. (2011) Non-Physician Triage in patients with low back pain, sciatica and spinal stenosis. Journal of Joint and Bone Surgery (British). 93(4): 584.
Guldvog, B. (1999): Can patient satisfaction improve health among patients with angina pectoris? International Journal for Quality in Health Care. 1999; 11: 233–240.
Hush, J. M., Cameron, K., & Mackey, M. (2011): Patient Satisfaction with Musculoskeletal Physical Therapy Care: A Systematic Review. Physical Therapy. 2011; 91: 25-36.
Hush, J. M., Yung, V., Mackey, M., Adams, R., W., Nelson, R. Beattie P. (2012): Patient satisfaction with musculoskeletal physiotherapy care in Australia: an international comparison. Journal of Manual and Manipulative Therapy. 2012; 20(4): 201-208.
Kamau P. W. (2005): Patient satisfaction with physiotherapy services for low back pain at selected hospitals in Kenya. 2005 http://www.ftvs.cuni.cz/hendl/metodologie/disertace/fyziotherap172masters.pdf
Katz, R. (2006): Impairment and disability rating in low back pain. Clinics in Occupational and Environmental Medicine. 5(3):719-740.
Maetzel, A., & Li, L. (2002): The economic burden of low back pain: a review of studies published between 1996 and 2001. Best Practice Research, Clinical Rheumatology. 16(1): 23-30.
Odebiyi, D., Akinpelu, A., Alonge, T. (2009): The effects of a Nigerian back school model on the knowledge of patients with low back pain. The Internet Journal of Medical Education, 1(2) http://ispub.com/IJME/1/2/9933
Omokhodion, F. O. (2004): Low back pain in an urban population in Southwest Nigeria Tropical Doctor. 34 (1): 17-20.
Potter, M., Gordon, S., & Hamer, P. (2003): Identifying physiotherapist and patient expectations in private practice physiotherapy. Physiotherapy Canada. 55 (4): 200-201.
Sparkes, V. (2005); Treatment of low back pain: monitoring clinical practice through audit. Physiotherapy. 91: 171-175.
Toye, F. & Barker, K. (2012): Persistent non-specific low back pain and patients experiences of general practice: a qualitative study. Primary Health Care Research Dev. 2012; 13(1) 72-84.
Wagner, D. & Bear, M. (2009): Patient satisfaction with nursing care. A concept analysis within a nursing framework. Journal of Advance Nursing. 65: 692–701.
Walker, B. (2000): The Prevalence of Low Back Pain: A Systematic Review of the Literature from 1966 to 1998. Journal of Spinal Disorders. 13(3):205-217.
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