Factors associated with stroke survivors’ inconsistent uptake of physiotherapy interventions at Turton Community Health Centre, KwaZulu-Natal

South African Journal of Physiotherapy


 
 
Field Value
 
Title Factors associated with stroke survivors’ inconsistent uptake of physiotherapy interventions at Turton Community Health Centre, KwaZulu-Natal
 
Creator Mlambo, Ntombifuthi Hlongwana, Khumbulani
 
Subject health promotion; physiotherapy; patient care non-adherence; stroke survivors; physiotherapy treatment; physiotherapy interventions; inconsistent uptake
Description Background: Stroke is one of the major causes of physical disability worldwide. Whilst physiotherapy interventions are important for the recovery of stroke survivors, the uptake remains inconsistent and factors contributing to these inconsistencies are not well documented, especially in South Africa.Objectives: The overall objective was to determine the intrinsic and extrinsic factors associated with adult stroke survivors’ inconsistent uptake of physiotherapy interventions at Turton Community Health Centre, Ugu District, KwaZulu-Natal, South Africa.Methods: This was a cross-sectional study involving 50 stroke survivors who missed one or more of their physiotherapy appointments and 25 who attended all their appointments (comparison group) within a 2-year period. A researcher-administered semi-structured questionnaire was used to collect data, which was captured and analysed using SPSS v25. Results were summarised using descriptive statistics. Pearson’s chi-square test was used for bivariate analysis.Results: Only two intrinsic factors were significantly associated with the outcome variable, namely: believed in exercises recommended by physiotherapists (χ2 = 3.86, p = 0.049) and improvements noted from the start of recommended exercises (χ2 = 9.439, p = 0.007). Transportation, including hiring of private cars (74%) and being far away from the health facility (48%), were key extrinsic challenges affecting access to health facilities.Conclusion: Personal reasons and the difficulty in accessing health facilities were main factors affecting stroke survivors’ uptake of physiotherapy interventions.Clinical implications: Design of patient-tracking and family support systems may potentially improve the stroke survivors’ uptake of physiotherapy interventions.
 
Publisher AOSIS
 
Contributor Self-funded
Date 2020-10-07
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross-sectional survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v76i1.1475
 
Source South African Journal of Physiotherapy; Vol 76, No 1 (2020); 8 pages 2410-8219 0379-6175
 
Language eng
 
Relation https://sajp.co.za/index.php/sajp/article/view/1475/2155 https://sajp.co.za/index.php/sajp/article/view/1475/2154 https://sajp.co.za/index.php/sajp/article/view/1475/2156 https://sajp.co.za/index.php/sajp/article/view/1475/2153
 
Coverage South Africa Contemporary Adults; All genders; Africans
Rights Copyright (c) 2020 Ntombifuthi Mlambo, Khumbulani Hlongwana https://creativecommons.org/licenses/by/4.0