Browsing by Author "Shakya, NR"
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Publication Impairment and Functional Status of People with Disabilities Following Nepal Earthquake 2015(Kathmandu University, 2018) Bimali, I; Adhikari, SP; Baidya, S; Shakya, NRABSTRACT Background An earthquake of 7.8 magnitude with an epicenter at Gorkha on 25th April 2015 and a second earthquake of 6.5 magnitude with an epicenter at Sindhupalchwok on 12th May 2015 struck Nepal, killing more than 8,500 people and injuring over 18,500 individuals, and leading to various forms of disabilities. Objective To investigate the impairments and functional status of the earthquake victims through a survey. Method A survey was carried out in the catchment area of Bahunepati and Manekharka outreach centers of Sindhupalchowk district and Gaurishankar outreach center of Dolakha district of Dhulikhel Hospital. These were some of the most earthquake affected areas. Physical disability was identified using a disability survey form given by the Ministry of Women, Children and Social Welfare, Government of Nepal. World health organization disability assessment schedule (WHODAS 2.0) was used to identify the level of disability. Result Twenty-nine persons with disability (PWD) at Bahunepati, four PWD at Manekharkha and two PWD at Gaurishankar and their catchment areas were identified. Level of disability was an average of 56%, with the majority of survivors having upper extremities fractures (27.6%), followed by lower extremities fractures (17.2%) and miscellaneous injury (17.2%). A few spinal cord injuries and head injuries were also identified. Conclusion The level of disability among the injured people was high. Therefore, an urgent need of physiotherapy rehabilitation is warranted to improve the quality of life of the earthquake victims. KEY WORDS Community, Disability, Nepal earthquake, RehabilitationPublication Patient Satisfaction with Outpatient Physiotherapy Services in Dhulikhel Hospital, Kathmandu University Hospital, Nepal(Kathmandu University, 2019) Shakya, NR; Shakya, BABSTRACT Background The quality of care provided to recipients of health services is measured by the satisfaction of patient. Patient satisfaction is the extent to which patient feels that their needs and expectations have been met on behalf of their expenses made to get quality health services. Satisfied patients adhere to the treatment plan, seek for further services and provide feedback. Therefore, such study in Nepal would be important and first of its kind to assess the quality of physiotherapy services. Objective To evaluate the level of satisfaction of patient receiving outpatient Physiotherapy services and the relationship between the items within the questionnaire. Method The MedRisk Instrument for Measuring Patient Satisfaction (MRPS) with Physical Therapy Care was administered to 256 patients to identify the level of patient satisfaction. Result There was a high level of satisfaction of patient receiving Outpatient physiotherapy services using MRPS (Mean = 4.18; SD = 0.39). The relationships between individual item scores and Global satisfaction (Item 11) were explored with bivariate correlation analysis. The Internal factors correlated most strongly with the global satisfaction whereas the external factors had the lowest correlation with the global satisfaction. Conclusion Patient satisfaction is an important aspect of the measurement of quality of care. Thus, it must be evaluated timely to provide quality services to the patients. There was high level of satisfaction reported by patient receiving outpatient physiotherapy services in the Dhulikhel Hospital. KEY WORDS Outpatient physiotherapy services, Patient satisfaction, Quality care, The MedRisk Instrument