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Dotyk w relacji fizjoterapeuta – pacjent a granice kontaktu fizycznego / Touch in the physiotherapist patient relationship – limits of physical contact

100%

Dadura E., Wójcik A.

Advances in Rehabilitation

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2014

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vol. 28

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issue 4

5-11

EN

Introduction: Relationship between physiotherapist and patient has specific form of contact, in which latter lets the former to go through his personal distance, because some medical procedures demand close physical contact. Physical treatment can imply some kind of intimacy, because therapist and patient meet on physical, psychical and social level. It can cause attempts to violate boundary of this relation. The goal of this pilot study was exploration of physiotherapist’s boundaries in physical treatment and specification of the areas within this topic, which should be explored in the future. Material and methods: 80 therapists (39 female, 41 male) completed anonymously a questionnaire (28 questions - open, semi-open, closed). Results: Half of the respondents (56%) haven’t experienced violating boundaries of physical contact by patients, 37% have met this kind of attempts and inform mostly about: touch with sexual connotation, attempts to kiss and aggression. The most of physiotherapists (65%) think the standards of prohibiting intimate contacts between therapists and patients are appropriate, but some (26%) allow exceptions due to circumstances. The majority of respondents (86%) indicate patient’s sex no matter, 14% prefer to work with women. Conclusions: The most of physiotherapists don’t experience violating acceptable borders of physical contact by patients during treatment. Respondents accept mostly standards of prohibiting intimate contacts between therapists and patients, although some allow exceptions due to circumstances. Sex of treated person and connected within sexual boundary doesn’t seem to be a barrier in their work.

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Ocena działania masażu gastrycznego brzucha u chorych z zaparciem objętych stacjonarną opieką paliatywną – badanie pilotażowe

81%

Dadura E., Stępień P., Iwańska D., Wójcik A.

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2018

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vol. 31

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issue 4

19-34

EN

Introduction The problem of constipation in Poland concerns 13.4% of the healthy population. In the case of patients treated with opioids, this number increases to 70-90%, which constitutes a serious problem that lowers the patients' quality of life. The aim of the study was to assess the effects of abdominal massage, which successfully reduces constipation in various diseases, on palliative care patients. Material and methods The research included 18 patients of a palliative care facility (mean age 78.3 ± 10 years), 11 of whom completed the study. The study participants were randomly divided into two groups, i.e. a pilot group (abdominal massage and kinesiotherapy) and a control group (kinesiotherapy). The therapy lasted 8 weeks and blind evaluation was carried out once per week. The study involved evaluating constipation intensity (The Bowel Function Index), the frequency of defecation (medical documentation) and abdomen circumference (anthropometric tape). The collected data were analysed statistically with the use of Statistica software. Results The observed differences between the studied groups undergoing different therapies in subsequent weeks were not statistically significant. However, in the group in which abdominal massage was implemented, a decrease in the intensity of constipation, an increase in the frequency of defecation and a reduction in abdomen circumference were noted compared to the control group. The patients also indicated additional positive effects of this form of therapy, i.e. an improvement in breathing, easier urination, release of excessive gas and abdominal pain reduction. Conclusions The collected data led to the conclusion that abdominal massage may result in a decrease in disorders accompanying opioid-induced constipation. Therefore, it is worth considering the implementation of this form of therapy in the case of patients in an advanced stage of cancer. There is also a need for further research in this field which will include a larger number of patients.

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Touch In Professional Practice – View Of Physiotherapists

81%

Dadura E., Wójcik A., Gajewski J.

Advances in Rehabilitation

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2013

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vol. 27

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issue 2

9-15

EN

Background: Touch is playing an important role in human’s life. Thanks to it, people can discover the world around them, communicate emotions and create strong bonds. Touch is significant part of every human relationship and especially the relationship between physiotherapist- patient, because the touch is the basic tool of a physiotherapist’s daily life. The goal of this pilot study was to evaluate how the physiotherapists perceive the touch and if they know and follow right recommendations of touch. Material and methods: 80 therapists took part in the study (39 female, 41 male). Average age 30, 36 years (SD 6, 62) and average work experience 6, 62 years (SD 5, 05). They were asked to complete a questionnaire (28 questions) pertaining three aspects of the touch: physiotherapist’s attitude towards touch, psychological aspects of touch and circumstances assuring a comfort of touching. Results: According to the answers physiotherapists treat touch mainly as a technical tool of gathering information and treating. They are aware of influence of the touch on a patient’s psyche and body, it is working in both directions; physiotherapist <=> patient. The majority neither feels nor have any emotions while touching a patient. The respondents made sure that they follow the recommendations of right touch: respecting patients’ rights to autonomy, privacy, information and therapists cared enough about comfort and safeness of their patients. Conclusions: The respondents use the touching as a technical tool while they neglect its psychosocial side. They know and they follow the recommendations of touch in correct way.

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Dotyk w relacji fizjoterapeuta – pacjent a granice kontaktu fizycznego / Touch in the physiotherapist patient relationship – limits of physical contact

Ocena działania masażu gastrycznego brzucha u chorych z zaparciem objętych stacjonarną opieką paliatywną – badanie pilotażowe

Touch In Professional Practice – View Of Physiotherapists