The effect of incentive spirometry on pulmonary function recovery and satisfaction with physical therapy of cardiac surgery patients

Al-Hawamdeh, К. М.; Vitomskyi, V. V.; Лазарєва, Олена; Haidai, Olena

doi:10.5114/areh.2020.102020

Cited by 9 publications

(8 citation statements)

References 37 publications

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“…However, they do not meet the requirements of the European Region of the World Confederation for Physical Therapy [1]. Improving training quality is a very important issue since physical therapy involves a wide range of patients with various disorders of the nervous [2,3], musculoskeletal [4,5] and cardiovascular systems [6][7][8][9], as well as congenital pathologies [10].…”

Section: Introductionmentioning

confidence: 99%

Рhysical therapу graduate students' and examiners' perception of objective structured clinical examination: a feedback for process improvement

Vitomskyi

Kļaviņa

Мруга

et al. 2022

HSR

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Purpose: to analyze the first experience of administering Objective Structured Clinical Examination (OSCE) for the students (studs) enrolled in the master's degree program majoring in physical therapy at National University of Ukraine on Physical Education and Sport. Material and methods. The survey included 21 examiners (examrs) and 46 studs involved in OSCE administering. The questionnaire consisted of the questions assessing the quality of station equipment, clarity of the exam format, other aspects. Results. All the examrs informed of total clarity of the examination format, but only 13 (61.9%) of them noted a similar level of clarity for the studs. Тhe examrs identified 3 main reasons for unsuccessful attempts to perform a skill/task: insufficient training, new format of checking knowledge/examination, slightly different focus of training. The distribution of answers concerning the clarity of the format of the examination and its tasks provided by the studs did not differ statistically from those provided by the teachers. The vast maj ority of the examrs indicated that the skills were of sufficient difficulty for the purpose of the examination. 5 examrs had significant difficulties assessing skill performance according to the provided form, while 7 of them had slight difficulties and the rest had no difficulties. The majority of the studs noted that the number of stations and equipment was sufficient (no statistical differences were determined between the answers of the studs and the examrs). Conclusions. The survey revealed the need for introducing certain changes in OSCE assessment form, in the educational program, conducting special preparatory classes for studs. The obtained results can be used to improve the development of OSCE in physical therapy in Ukraine.

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Section: Introductionmentioning

confidence: 99%

Рhysical therapу graduate students' and examiners' perception of objective structured clinical examination: a feedback for process improvement

Vitomskyi

Kļaviņa

Мруга

et al. 2022

HSR

Self Cite

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“…Вступ. Дослідження біопсихологічної моделі у сфері охорони здоров'я набуває все більшої актуальності [1]. Одними з найбільш важливих компонентів біопсихологічної моделі у фізичній терапії (ФТ) є терапевтичний альянс [2,3] та задоволеність фізичною терапією [4].…”

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Development of Ukrainian Versions of the Working Alliance Inventory and Scale to Measure Patient Satisfaction with Physical Therapy on the Basis of Surveys of Cardiosurgical Patients

Vitomskyi¹,

Vitomska²,

Vasylenko³

2022

Ukr. ž. med. bìol. sportu

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The purpose of the study is to conduct intercultural adaptation of the questionnaires for the assessment of the therapeutic alliance, satisfaction with physical therapy in the Ukrainian language and verification of the validity and reliability of these versions of the tools. Materials and methods. The study involved 250 patients (32.4% – women; Me (25%; 75%) values of age 63 (56; 69) years) who underwent heart surgery on the basis of the State Institution "Scientific and Practical Medical Center for Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine” (Kyiv), as well as 10 employees of the Department of Physical Therapy and Occupational Therapy of the National University of Physical Education and Sport of Ukraine. Three tools were used in the work. The first one was the Working Alliance Inventory for the patient, namely the SR Hatcher Client form (WAI-SR-C). The Hatcher Therapist form (WAI-S-T), which consists of 10 items, was used for specialists (physical therapists). An adapted version questionnaire of the Scale patient satisfaction with physical therapy (SPSPT) adapted by Ampiah P. K. and co-authors was taken for translation into Ukrainian. The questionnaire includes 17 items. Results and discussion. The proposed versions of the questionnaires went through all stages of translation and intercultural adaptation, which meets international standards. A sufficient number of translators, a science editor and a group of patients were involved in the process to conduct cognitive interviews. The test of statistical hypotheses to confirm the content validity (including face validity) found sufficient relevance and completeness of the questions of all questionnaires, as all completed questionnaires did not contain blank items, and the minimum and maximum scores (floor and ceiling effects) for the overall score were less than 15%. A sufficient level of construct validity was also confirmed, as no differences were found in the overall scores of the questionnaires between the groups of patients who were formed by sex and age. At the same time, the verification of discriminant validity found that the items of all three questionnaires have a sufficiently high resolution property, and the instruments have a high discriminant validity. Ukrainian versions of the questionnaires have high levels of internal consistency, which indicates their reliability. The analysis of the results of the test-retest procedure confirmed the high reliability of the questionnaires. There are three factors in the structure of each tool. Conclusion. The developed Ukrainian versions of the questionnaires can be used to assess the level of therapeutic alliance and patient satisfaction in the field of physical therapy and occupational therapy

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“…Втручання. Усі групи проходили однаковий протокол мобілізації та використання терапевтичних фізичних вправ у процедурі лікувальної гімнастики, котрий представлений у інших дослідженнях [16,17] Після розділення отриманих результатів першого УЗД відповідно до рівня вираженості рівня ПВ [18] на клінічно незначні (відсутність зниження сатурації, задишки) при рівні рідини до 20 мм, клінічно незначні при рівні рідини більше 20 мм та відсутність ПВ проведено аналіз частот (рис. 2).…”

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The Effect of Respiratory Physical Therapy on the Lеvel of Free Fluid in Pleural Cavities after Cardiac Surgery

Vitomskyi¹

2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to investigate the effect of respiratory physical therapy on the level of free fluid in the pleural cavities after cardiac surgery. Materials and methods. The study involved 138 patients. The patients were randomly divided into three groups: control (respiratory physical therapy was limited to cough), group of incentive spirometry (in classes with a physical therapist patients performed additional 3 approaches of 10 breaths through the simulator; they received recommendations for hourly performance of a similar number of cycles of exercise), a group of patients who received additional respiratory physical therapy with positive expiratory pressure in the form of exhalation into a bottle of water through a tube (number of repetitions and recommendations are similar to those received by the previous group). All groups underwent the same protocol of mobilization and use of therapeutic physical exercises in the procedure of therapeutic gymnastics. Performing exercises with breathing simulators began on the 1st postoperative day. Results and discussion. The results of ultrasound examinations of the level of free fluid in the left and right pleural cavities, which were performed according to the postoperative protocol, were studied. The first ultrasound examination, which was analyzed, was performed on the seventh postoperative day, and in the absence of the study on this day, the data of the next study were selected with the registration of the postoperative day number. In addition, the indicators of the final studies of the level of free fluid of the pleural cavities were compared. The position of the patient during the examinations was a sitting one. Analysis of the level of pleural effusion did not establish the benefits of using additional respiratory physical therapy in both groups. The results of studies of the right pleural cavities did not differ in groups of patients, but those of the left ones differed. Conclusion. Pairwise comparison of the groups confirmed the presence of statistically worse results of examinations of the left pleural cavities in the group of incentive spirometry, as well as the absence of statistical differences between the results of the other two groups. The negative effect of incentive spirometry should be confirmed by additional studies, as its effect differed for the results of the left (negative effect) and right (no advantage) pleural cavity

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The effect of incentive spirometry on pulmonary function recovery and satisfaction with physical therapy of cardiac surgery patients

Cited by 9 publications

References 37 publications

Рhysical therapу graduate students' and examiners' perception of objective structured clinical examination: a feedback for process improvement

Рhysical therapу graduate students' and examiners' perception of objective structured clinical examination: a feedback for process improvement

Development of Ukrainian Versions of the Working Alliance Inventory and Scale to Measure Patient Satisfaction with Physical Therapy on the Basis of Surveys of Cardiosurgical Patients

The Effect of Respiratory Physical Therapy on the Lеvel of Free Fluid in Pleural Cavities after Cardiac Surgery

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