- University of Manchester
- Salford Royal NHS FoundationTrust
- Bangor University
Research output: Contribution to journal › Article
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 hospitalisation 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 services access. Findings from this study will now feed into the development of an intervention to support stroke survivors with oral care.