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Experiences of living with persisting post-stroke dysphagia and of dysphagia management–a qualitative study

Journal article
Authors J. Helldén
Liza Bergström
S. Karlsson
Published in International Journal of Qualitative Studies on Health and Well-being
Volume 13
Issue sup1
ISSN 1748-2623
Publication year 2018
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Language en
Links dx.doi.org/10.1080/17482631.2018.15...
Keywords Swallowing difficulties, speech–language pathology, life situations, patient reported outcome, qualitative research
Subject categories Otorhinolaryngology

Abstract

Purpose: The aim of this study was to investigate people’s experiences of living with dysphagia after stroke, and their experiences of dysphagia management. Methods: The study design was qualitative, and an open-ended approach to data collection was used, with follow-up probing questions to gain more information as needed. Personal interviews were conducted with five persons who had persisting moderate to severe dysphagia after stroke, living in the south-west part of Sweden. The data were analysed with qualitative content analysis. Results: When analysing the data, the following theme emerged; “Dysphagia impacts life situations negatively and requires individually adapted, long term support from skilled health care professionals”. The theme consists of three categories: “Learning to manage dysphagia and its complications”, “Professional support with dysphagia varies” and “Finding small moments of joy despite large restrictions in life situations”. Conclusions: Findings indicated that people with dysphagia experienced a lack of support from health care professionals. Better health care support following discharge from hospital is required to ensure an optimal quality of life. Actions to achieve this may include developing national guidelines for adequate dysphagia follow-up and establishing multidisciplinary dysphagia teams in hospitals and long-term care facilities.

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