The Science Journal of the American Association for Respiratory Care

2009 OPEN FORUM Abstracts

EXTENT OF CARDIOPULMONARY PRACTICE AND FACTORS AFFECTING CARDIOPULMONARY PRACTICE AMONG PHYSIOTHERAPISTS IN NIGERIA

Nse A. Odunaiya1,2, Kemi Oketogun1; 1Physiotherapy, University of Ibadan, Ibadan, Nigeria; 2Physiotherapy, Stellenbosch University, Western Cape, South Africa

BACKGROUND:Increasing prevalence of cardiac and respiratory conditions in Nigeria presently makes cardiopulmonary therapy an indispensable component of medical care and Physiotherapists are involved in the management of these patients from intensive care to Community level.However, there is paucity of information on the extent of Cardiopulmonary practice among Physiotherapist and factors affecting cardiopulmonary practice in Nigeria. METHODS:Sixty five participants from seven hospitals in south western Nigeria were selected using purposive sampling technique.The research design was descriptive survey. A three – sectioned questionnaire developed by the researcher and validated (face and content validity) using panel of expert was used for data collection. The reliability of the instrument was assessed using Cronbach alpha r= 0.93. Data was analyzed using descriptive statistics of mean, standard deviation and percentages. Pie and bar charts were used to present findings. The findings of the study showed that most of the Physiotherapist are involved in the management of cardiac and respiratory patients, however few cardiac and respiratory patients were managed by physiotherapists in Nigeria (majority having managed between 1 – 5 patients in the last 12 months). Twelve ( 18.4%) of the participants rated themselves good and excellent in >10 (>50%) of the basic cardiac and respiratory therapy skills and techniques. Six (9.2%) of the participants employed >10(76.9%) of the basic cardiopulmonary assessment tools. Factors affecting management are lack of referrals of cardiopulmonary patients by Doctors, inadequate knowledge and lack of proficiency in cardiopulmonary techniques and skills among Physiotherapists in Nigeria and non availability of facilities for management of these patients in the some of the selected Hospitals. Based on the findings of the study, it was concluded that physiotherapists in Nigeria manage cardiopulmonary patients, however, majority (more than 70%) of the participants are not proficient in cardiac and respiratory skills and techniques. We recommend continuing educational program and improved academic and clinical training of cardiopulmonary therapy component to improve knowledge and proficiency of Physiotherapist in Nigeria. There should also be forum for Physiotherapist and doctors interaction for appreciation of role of Physiotherapists in management of cardiopulmonary patients. Sponsored Research - None

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