Experiences of Dysphagia after Stroke: An Interview Study of Stroke Survivors and Their Informal Caregivers

被引:14
作者
Eltringham, Sabrina A. [1 ,2 ]
Pownall, Sue [1 ]
Bray, Ben [3 ]
Smith, Craig J. [4 ]
Piercy, Laura [5 ]
Sage, Karen [2 ]
机构
[1] Sheffield Teaching Hosp NHS Fdn Trust, Speech & Language Therapy Dept, Sheffield S10 2JF, S Yorkshire, England
[2] Sheffield Hallam Univ, Fac Hlth & Wellbeing, Sheffield S10 2BP, S Yorkshire, England
[3] Kings Coll London, Sch Populat Hlth & Environm Sci, London SE1 1UL, England
[4] Univ Manchester, Manchester Acad Hlth Sci Ctr, Manchester Ctr Clin Neurosci, Salford Royal NHS Fdn Trust,Div Cardiovasc Sci, Salford M6 8HD, Lancs, England
[5] Stroke Assoc, London EC1V 2PR, England
关键词
acute stroke; dysphagia; patient and public involvement; thematic analysis; PNEUMONIA; RISK; CARE; BURDEN;
D O I
10.3390/geriatrics4040067
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
(1) Background: Swallowing difficulties (dysphagia) after stroke are not uncommon and is a consistent risk factor for stroke-associated pneumonia. This interview study explores the perspectives of stroke survivors, who had their swallowing assessed in the first few days of admission to hospital, and their informal caregivers. (2) Methods: A participatory approach was used involving people affected by stroke in the interpretation and analysis of the interview data. Data was thematically analysed and six themes were identified. (3) Results: These themes included how past-future experiences may influence a person's emotional response to events; understanding what is happening and adjustment; the impact of dysphagia; attitudes to care; communication to patients and procedural issues. (4) Conclusion: The findings highlight the importance of effective public health messages to improve people's responsiveness to the signs of stroke, standardisation of assessment and management procedures, effective communication to patients about the consequences of dysphagia, and the impact of dysphagia on the person who had the stroke and their informal caregiver.
引用
收藏
页数:13
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