ANALYSIS OF THE INDICATORS OF THE THERAPEUTIC ALLIANCE BETWEEN CARDIAC SURGERY PATIENTS AND PHYSICAL THERAPISTS BASED ON THE RESULTS OF PATIENT SURVEYS
DOI:
https://doi.org/10.24144/2077-6594.3.2.2020.213716Keywords:
working alliance, union, understanding, empathy, physical rehabilitation, therapeutic exercises, qualityAbstract
Purpose: to analyze the indicators of the therapeutic alliance between cardiac surgery patients and physical therapists based on the results of patient surveys.
Materials and methods. The survey involved 87 patients (over 18 years of age, without cognitive impairment) who underwent cardiac surgery. The Working Alliance Inventory was used to study the therapeutic alliance, namely the SF Hatcher Client form (for the patient), which included 12 questions. The assessment was performed on a 5-point scale (1 to 5 points). The questionnaire was completed on the seventh postoperative day.
Results. The frequency analysis confirmed that the majority of patients chose answers with a high score, ie "very often" and "often", in all but one questionnaire. Me indicators (25%; 75%) in the domains of the therapeutic alliance were: 17 (15; 20) points in the domain "goal", 18 (16; 18) points in the domain "task", and in the domain "bond" – 16 (13; 18) points. The average values of these domains were 80.25%, 79.44% and 73.44% of the maximum score, respectively (taking into account the peculiarities of the rating scale). Note that the indicators of the domains "goal" and "bond" (p = 0.019) differed significantly, and when comparing pairs of domains "goal" and "task" (p = 0.141), "task" and " bond" (p = 0.416) no statistical differences were found.
The total score of the entire questionnaire was 50 (43; 55) points, and the values of х̅±S were 49.31±9.02 points, which was 77.7% of the maximum, taking into account the peculiarities of the assessment.
Conclusions. The analysis of the assessments of the therapeutic alliance between cardiac surgery patients and physical therapists based on the results of the patient survey confirmed its rather high level.
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