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Experiences of living with persisting post-stroke dysphagia and of dysphagia management – a qualitative study
Department of Health Sciences, Lund University, Lund, Sweden & Geriatric and rehabilitation clinic, Kungälv Hospital, Kungälv, Sweden.
Department of Speech and Language Pathology, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0002-6749-9390
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI), Health and Nursing. Department of Health Sciences, Lund University, Lund, Sweden. (Framtidens vård och omsorg)ORCID iD: 0000-0002-6624-9963
2018 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 13, no sup1, article id 1522194Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Abingdon: Taylor & Francis, 2018. Vol. 13, no sup1, article id 1522194
Keywords [en]
Swallowing difficulties, speech–language pathology, life situations, patient reported outcome, qualitative research
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-38080DOI: 10.1080/17482631.2018.1522194PubMedID: 30257150OAI: oai:DiVA.org:hh-38080DiVA, id: diva2:1252090
Note

Partial funding was received by the second author (Liza Bergström), from the Research and Development Department, Västra Götaland Regional Council.

Available from: 2018-09-30 Created: 2018-09-30 Last updated: 2018-10-01Bibliographically approved

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Karlsson, Staffan

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