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Influence on patients satisfaction with rehabilitation assistance of questionnaires focusing on positive impressions of the procedures received

Abstract

This study involved 229 patients receiving rehabilitation care for a wide range of diseases of the spine and joints and the consequences of injuries. The assessment of patients 'satisfaction with medical care was carried out depending on whether questionnaires were used to increase patients' attention to positive sensations associated with massage and balneotherapy procedures (the main group) or there were no such questionnaires (the control group)

Patients were assigned to the control group (46 people) and the main group (183 people). In both groups, patients received massage and balneotherapy sessions. The average age in both groups was 62.4 ± 8.8 years. There were 73 men and 156 women in both groups. The distribution into groups was randomized using a random number generator.

All patients completed the ppe-15 questionnaire twice (before and after massage and balneotherapy), which allows assessing the level of patient satisfaction in several domains. In the main group, the difference was that patients after massage and balneotherapy were asked to fill out a specially developed questionnaire, which recorded the patient's attention to the severity of positive feelings. The questionnaires were proposed to be filled in against the background of the sensations experienced by the patients (with a high probability of positive) associated with the massage or balneotherapy procedure.

It is determined that the use of potentiating questionnaires against the background of positive impressions associated with massage and balneotherapy contributes to the growth of satisfaction with medical care, in terms of psychological aspects of functioning. According to the Kolmogorov-Smirnov criterion, the differences were significant at p < 0.0001 (Maximum difference = 0.38). However, the use of potentiating questionnaires does not lead to a statistically significant increase in patient satisfaction in terms of their awareness, does not affect assessments related to respect for the patient, does not significantly affect the physical condition and assessments related to the involvement of loved ones.

For a more direct assessment of the subjectively perceived relationship between the effect of massage and balneotherapy using questionnaires on the level of satisfaction with medical care in the institution, a randomized randomized group of 90 people (45 from the main and control groups) was formed. participants in this group answered a question about the impact of massage and balneotherapy on satisfaction with medical care in this institution. according to the statistical analysis, using a four-field table, statistically significant differences were determined between those who filled out the potentiating questionnaires (were more often satisfied with the institution) and those who did not fill out (were less often satisfied with the institution). The Chi-square test = 11.072 at p < 0.001, and the average strength of the relationship between the use of potentiating questionnaires and satisfaction with medical care in the institution was determined by the criteria of Kramer's V, Chuprov's K, φ (0.35) and Pearson's criterion (0.33).

Thus, the use of potentiating questionnaires in association with procedures that cause pleasant sensations (massage and balneotherapy) contributes to the growth of patients satisfaction with the medical care provided to them in the institution.

About the Authors

S. V. Kharitonov
Moscow scientific and practical center for medical rehabilitation, recovery and sports medicine
Russian Federation

Sergey Viktorovich Kharitonov – Dr. Med. Sci., leading researcher

Str. Zemlyanoy Val, 53, Moscow, 105120 



D. I. Tagirova
Moscow scientific and practical center for medical rehabilitation, recovery and sports medicine
Russian Federation

Dilyara Ilyasovna Tagirova – head of the consulting and diagnostic Department of branch N 2

Talalikhina Str., 26 A, Moscow, 109316 



I. V. Ksenofontova
Moscow scientific and practical center for medical rehabilitation, recovery and sports medicine
Russian Federation

Irina Vasilyevna Ksenofontova – PhD Med. Sci., head of branch N 2

Talalikhina Str., 26 A, Moscow, 109316 



N. P. Lyamina
Moscow scientific and practical center for medical rehabilitation, recovery and sports medicine
Russian Federation

Nadezhda Pavlovna Lyamina – Dr. Med. Sci. Prof., head of the Department of medical rehabilitation

Str. Zemlyanoy Val, 53, Moscow, 105120 



M. V. Golubev
Moscow scientific and practical center for medical rehabilitation, recovery and sports medicine
Russian Federation

Mikhail Viktorovich Golubev – Dr. Med. Sci. Prof.

Str. Zemlyanoy Val, 53, Moscow, 105120 



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Review

For citations:


Kharitonov S.V., Tagirova D.I., Ksenofontova I.V., Lyamina N.P., Golubev M.V. Influence on patients satisfaction with rehabilitation assistance of questionnaires focusing on positive impressions of the procedures received. Bulletin of psychotherapy. 2021;1(77):98-116. (In Russ.)

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