Adherence of Primary Caregiver To Post Stroke Dysphagia Recommendations In Pakistan
DOI:
https://doi.org/10.51253/pafmj.v74i1.5981Keywords:
Caregivers, Dysphagia, Oropharyngeal, StrokeAbstract
Objective: To find the adherence of primary caregivers to post-stroke dysphagia recommendations in Pakistan.
Study Design: Cross-sectional study
Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine, Rawalpindi Pakistan, from Jun 2019 to April 2020.
Methodology: We recruited 92 primary caregivers of either gender aged ≥ 18 years, assisting stroke patients with dysphagia in feeding and activities of daily living. Caregivers of cases with multiple disabilities, those not aware of dysphagia recommendations and those not involved in the implementation of dysphagia recommendations were excluded. Caregiver Mealtime and Dysphagia Questionnaire (CMDQ) were used for data collection.
Results: Out of 92 Caregivers 17(18.48%) were non-compliant while 75(82%) reported significant compliance to dysphagia
recommendations with mean scores of 3.11±0.48 and 1.98±0.51, respectively. In addition, the significant difference between scores of compliant and non-compliant groups was noted for the domains of Quality, Avoidance and Disagreement (p<0.001).
Conclusion: Most primary caregivers were compliant and adhered to the dysphagia recommendation of stroke in Pakistan
Downloads
Metrics
References
Donkor ES. Stroke in the 21st Century: A Snapshot of the
Burden, Epidemiology, and Quality of Life. Stroke Res Treat.
; 2018: 3238165. https://doi.org/10.1155/2018/3238165.
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA,
Connor M, Bennett DA, et al. Global and regional burden of
stroke during 1990–2010: findings from the Global Burden of
Disease Study 2010. Lancet 2014; 383(9913): 245-255.
Yi X, Luo H, Zhou J, Yu M, Chen X, Tan L, et al. Prevalence of
stroke and stroke related risk factors: a population based cross
sectional survey in southwestern China. BMC Neurol 2020;
(1): 5. https://doi.org/10.1186/s12883-019-1592-z.
Khan MI, Khan JI, Ahmed SI, Ali S. The epidemiology of stroke
in a developing country (Pakistan). Pak J Neurological Sci
(3):30-44.
Flöel A. Computerised speech and language therapy in poststroke aphasia. Lancet Neurol 2019; 18(9): 806-807.
https://doi.org/10.1016/S1474-4422(19)30199-1.
Michou E, Sasegbon A, Hamdy S. Direct and Indirect Therapy:
Neurostimulation for the Treatment of Dysphagia After Stroke.
In Dysphagia. Springer; 2018.
Arnold M, Liesirova K, Broeg-Morvay A, Meisterernst J,
Schlager M, Mono ML, et al. Dysphagia in acute stroke:
incidence, burden and impact on clinical outcome. PloS One
; 11(2): e0148424.
https://doi.org/10.1371/journal.pone.0148424.
Marin S, Serra-Prat M, Ortega O, Clavé P. Cost of oropharyngeal
dysphagia after stroke: protocol for a systematic review. BMJ
Open 2018; 8(12): e022775.
https://doi.org/10.1136/bmjopen-2018-022775.
Saqulain G, Mumtaz N. Swallowing Difficulties with
Tracheostomy: A Neuro-Rehabilitation Perspective. J Islamabad
Med Dental Coll 2020; 9(1): 57-62.
Colodny N. Validation of the Caregiver Mealtime and
Dysphagia Questionnaire (CMDQ). Dysphagia 2008; 23(1):
‐58. https://doi.org/10.1007/s00455-007-9094-3.
Naing NN. Determination of sample size. The Malaysian journal
of medical sciences: Malays J Med Sci 2003; 10(2): 84-86
González-Fernández M, Ottenstein L, Atanelov L, Christian AB.
Dysphagia after stroke: an overview. Curr Phys Med Rehabil
Rep 2013; 1(3): 187-196.
Namasivayam-MacDonald AM, Shune SE. The Burden of
Dysphagia on Family Caregivers of the Elderly: A Systematic
Review. Geriatrics 2018; 3(2): 30.
https://doi.org/10.3390/geriatrics3020030.
Krekeler BN, Broadfoot CK, Johnson S, Connor NP, Rogus-Pulia
N. Patient Adherence to Dysphagia Recommendations: A
Systematic Review. Dysphagia 2018; 33(2): 173‐184.
https://doi.org/10.1007/s00455-017-9852-9.
Shim JS, Oh BM, Han TR. Factors associated with compliance
with viscosity-modified diet among dysphagic patients. Ann
Rehabil Med 2013; 37(5): 628‐632.
https://doi.org/10.5535/arm.2013.37.5.628.
McCullough KC, McCullough GH, Estes JL, Rainey J. RN
Compliance With SLP Dysphagia Recommendations in Acute
Care. Top Geriatr Rehabil 2007; 23(4): 330-340.
https://doi.org/10.1097/01.TGR.0000299161.44869.26.
Su M , Zheng G , Chen Y , Xie H, Han W , Yang Q , et al. Clinical
Applications of IDDSI Framework for Texture Recommendation
for Dysphagia Patients. J Texture Stud 2018; 49(1): 2-10.
https://doi.org/10.1111/jtxs.12306.
Moloney J, Walshe M. I Had No Idea What a Complicated
Business Eating Is": A Qualitative Study of the Impact of
Dysphagia During Stroke Recovery . Disabil Rehabil 2018;
(13): 1524-1531.
https://doi.org/10.1080/09638288.2017.1300948.
Crary MA, Carnaby GD , Shabbir Y , Miller L , Silliman S.
Clinical Variables Associated With Hydration Status in Acute
Ischemic Stroke Patients With Dysphagia. Dysphagia. 2016;
(1): 60-65. https://doi.org/10.1007/s00455-015-9658-6.
O'Connor RC. Critical Review: What is the level of compliance
with Speech-Language Pathology swallowing recommendations
among acute and community caregivers for individuals with
dysphagia? What are the factors affecting this compliance?
Medicine 2018: 195889809.
Downloads
Published
How to Cite
Issue
Section
