Title

Values-based practice in the rehabilitation of patients with low back pain : a qualitative study

Date of Completion

2016

Document Type

Thesis

Degree Name

Bachelor of Science in Physical Therapy

Keywords

Low Back Pain, Rehabilitation

Abstract

The study used a phenomenological type of qualitative research and took place at Dasmarinas, Cavite, specifically at the De La Salle University Medical Center, St. Paul Hospital Cavite Inc., Emilio Aguinaldo Medical Center, Dasmarinas City Medical Center, DLS Physical Therapy Clinic and Asia Medic Family Hospital and Medical Center. Using a purposive type of sampling, respondents were patients in the rehabilitation clinic under the care of a physical therapist, were alert, coherent, and cooperative and regularly attended PT sessions in the hospitals mentioned above. This study conducted an interview using an interview guide. Thematic analysis was used to analyze the data. The results showed that there were two (2) themes under personal beliefs namely: confidence of patient towards the PT and professionalism of the PT and other professionals. On patient expectations, there were two (2) themes namely: patient's family influences and patient's previous experiences in PT. On patient preferences, there was one (1) theme identified which was the knowledge of patient about PT treatment. On the patient cultural identification, there were two (2) themes identified namely: the "Hilot" practice and conservative quality of patients. Lastly, on patient circumstances, there were two (2) themes identified by the researchers namely: previous experience of PT and accessible medical services. The result of this study showed that under the patient beliefs, the confidence of patient towards the PT and professionalism of the PT and other healthcare professionals were among the most important factors considered by the respondents. For the patient expectations, the most important factors that influence the expectations for the outcomes were the patient's family influences and patient's previous experiences in physical therapy. For the patient preferences, the most important factor considered was the patient's knowledge about the current physical therapy treatment given. It was observed that the patients prefer to have the current management given to them because they do not have prior knowledge on the treatment and other possible treatment that may be given to them. For the cultural identification, it was found that the respondents' ethnic group does not affect their physical therapy management. Some of the important factors that affect this component were the respondents' engagement in the belief of "Hilot" practice and the conservative quality of the patient. Patient circumstances showed that previous experience in physical therapy and accessible medical services affected the said component.

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