A qualitative exploration of oral health care among stroke survivors living in the community
Autor: | Sharon Hulme, Craig J. Smith, Wendy Westoby, Rachael Powell, Lucy O'Malley, Matthew Lievesley, Jess Zadik, Audrey Bowen, Paul Brocklehurst |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Activities of daily living B300 Oral hygiene toothbrushing 03 medical and health sciences 0302 clinical medicine Dental Staff Activities of Daily Living medicine Humans Survivors 030212 general & internal medicine Stroke Qualitative Research behavior business.industry dentist 030503 health policy & services Stroke Rehabilitation Public Health Environmental and Occupational Health Attendance oral hygiene medicine.disease stroke Focus group humanities behaviour Original Research Paper B900 stomatognathic diseases Family medicine oral health Thematic analysis 0305 other medical science business Original Research Papers Delivery of Health Care qualitative research Qualitative research |
Zdroj: | O'Malley, L, Powell, R, Hulme, S, Lievesley, M, Westoby, W, Zadik, J, Bowen, A, Brocklehurst, P & Smith, C 2020, ' A qualitative exploration of oral health care among stroke survivors living in the community. ', Health expectations : an international journal of public participation in health care and health policy, vol. 23, no. 5, pp. 1086-1095 . https://doi.org/10.1111/hex.13074 Health Expectations : An International Journal of Public Participation in Health Care and Health Policy |
ISSN: | 1369-7625 1369-6513 |
Popis: | Background: Dental disease is highly prevalent in people with stroke. Stroke survivors regard oral hygiene as an important, yet neglected, area. The aim was to explore experiences of and barriers to oral care, particularly in relation to oral hygiene practice and dental attendance, among stroke survivors in the community. Methods: This was a qualitative study incorporating a critical realist approach. Interviews were conducted with community-dwelling stroke survivors requiring assistance with activities of daily living, and focus groups were held with health and care professionals. Interviews and focus groups were recorded and transcribed verbatim. Thematic analysis was conducted. Results: Twenty-three stroke survivors were interviewed, and 19 professionals took part in 3 focus groups. Professionals included nurses, speech and language therapists, occupational therapists, dieticians, professional carers and dental staff. Interviews revealed difficulties in carrying out oral hygiene self-care due to fatigue, forgetfulness and limb function and dexterity problems. Routine was considered important for oral hygiene self-care and was disrupted by hospitalization resulting from stroke. Professionals highlighted gaps in staff training and confidence in supporting patients with oral care. Access to dental services appeared particularly problematic for those who were not registered with a dentist pre-stroke. Conclusion: Oral hygiene routines may be disrupted by stroke, and resulting disabilities may make regular oral self-care more difficult. This study has identified specific barriers to oral hygiene self-care and dental service access. Findings from this study are feeding into the development of an intervention to support stroke survivors with oral care. |
Databáze: | OpenAIRE |
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