Deglutition Disorders from the Perspective of Healthcare Professionals in Turkey

Year 2022, Volume: 12 Issue: 1, 75 - 81, 30.03.2022

Selen Serel Arslan , Numan Demır , Aynur Ayşe Karaduman

https://doi.org/10.33808/clinexphealthsci.812290

Abstract

Objective: Awareness of deglutition disorders is essential for prevention of deglutition-related complications and improving quality of care.
The study examined the current knowledge, attitude and practice regarding deglutition disorders among healthcare professionals in Turkey.
Methods: Healthcare professionals who worked in hospitals and special education schools were included. A survey examining knowledge,
attitudes, and practices regarding deglutition disorders, originally designed by Farpour and colleagues (2019), was adapted and administered to
healthcare professionals working in hospitals and special education schools in Turkey.
Results: A total of 270 healthcare professionals were responded (72.7% response rate). 254 participants (94.1%) were familiar with the
term deglutition disorders. 223 participants (82.6%) defined their professions as a management team member. All participants supported
a multidisciplinary approach. 216 (80%) participants met a patient with deglutition disorders. 212 participants (78.5%) used at least one
evaluation method to evaluate swallowing function, and 147 participants (54.5%) used at least one treatment method for treatment. Most
participants (73.7%) were interested in attending a workshop about deglutition disorders.
Conclusion: The present study showed that knowledge about deglutition disorders is high among healthcare professionals in Turkey, and they
believe the necessity of multidisciplinary approach in deglutition disorders. However, it is not understood if they follow an individualized and
standardized evaluation and management procedures. Therefore, more detailed questionnaires especially focus on evaluation and management
of deglutition disorders should be developed and healthcare professionals could be trained to improve management of deglutition disorders
in Turkey.

Keywords

deglutition, deglutition disorders, knowledge, attitude, dysphagia

References

• 1. Miller AJ. Overview of deglutition and digestion. In: Shaker R, Belafsky PC, Postma GN, Easterling C, editors. Principles of deglutition. Springer; 2013.
• 2. Clave P, Shaker R. Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol 2015; 12:259-270.
• 3. Schindler A, Ginocchio D, Ruoppolo G. What we don’t know about dysphagia complications?. Rev Laryngol Otol Rhinol 2008;129:75-78.
• 4. Logemann JA. Evaluation of swallowing disorders. In: Logemann JA, editor. Evaluation and treatment of swallowing disorders. 2nd ed. Austin/Texas: Pro-ed, 1998, p. 139-168.
• 5. Shune SE, Karnell LH, Karnell MP, Van Daele DJ, Funk GF. Association between severity of dysphagia and survival in patients with head and neck cancer. Head Neck 2012;34:776-784.
• 6. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: Incidence, diagnosis, and pulmonary complications. Stroke 2005;36:2756-2763.
• 7. Lindgren S, Janzon L. Prevalence of swallowing complaints and clinical findings among 50-79-year-old men and women in an urban population. Dysphagia 1991;6:187-192.
• 8. Barczi SR, Sullivan PA, Robbins J. How should dysphagia care of older adults differ? Establishing optimal practice patterns. Semin Speech Lang 2000;21:347-361.
• 9. Rommel N, Hamdy S. Oropharyngeal dysphagia: Manifestations and diagnosis. Nat Rev Gastroenterol Hepatol 2016;13:49-59.
• 10. Bhattacharyya N. The prevalence of dysphagia among adults in the United States. Otolaryngol Head Neck Surg 2014;151:765-769.
• 11. Roden DF, Altman KW. Causes of dysphagia among different age groups: A systematic review of the literature. Otolaryngol Clinic North Am 2013;46:965-987.
• 12. Baijens LW, Clavé P, Cras P, et al. European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging 2016;11:1403-1428.
• 13. Cichero JA, Altman KW. Definition, prevalence and burden of oropharyngeal dysphagia: a serious problem among older adults worldwide and the impact on prognosis and hospital resources. Nestle Nutr Inst Workshop Ser 2012;72:1-11.
• 14. Aslam M, Vaezi MF. Dysphagia in the elderly. Gastroenterol Hepatol 2013;9:784-795.
• 15. Sima Farpour S, Farpour HR, Smithard D, Kardeh B, Ghazaei F, Zafarghasempour M. Dysphagia management in Iran: Knowledge, attitude and practice of healthcare providers. Dysphagia 2019;34:105-111.
• 16. Moloney J, Walshe M. Managing and supporting quality-of-life issues in dysphagia: A survey of clinical practice patterns and perspectives in the UK, Ireland and South Africa. Int J Lang Commun Disord 2019;54(1):41-49.
• 17. Carnaby GD, Harenberg L. What is "usual care" in dysphagia rehabilitation: a survey of USA dysphagia practice patterns. Dysphagia 2013;28:567-574.
• 18. Bateman C, Leslie P, Drinnan MJ Adult dysphagia assessment in the UK and Ireland: are SLTs assessing the same factors? Dysphagia 2007;22(3):174-186.
• 19. Pettigrew CM, O'Toole C. Dysphagia evaluation practices of speech and language therapists in Ireland: clinical assessment and instrumental examination decision-making. Dysphagia 2007;22(3):235-244.
• 20. Bakhtiyari J, Ghorbani R, Salmani M, Asadi M, Irani S, Esmaeel Abadi R. Physicians' perspective on a multidisciplinary approach to dysphagia management. Iran J Otorhinolaryngol 2019;31(104):141-146.
• 21. Rumbach A, Coombes C, Doeltgen S. A survey of Australian dysphagia practice patterns. Dysphagia 2018;33(2):216-226.
• 22. Wilson FR, Pan W, Schumsky DA. Recalculation of the critical values for Lawshe’s Content Validity Ratio. Meas Eval Couns Dev 2012;45:197-210.
• 23. Gopalakrishnan S, Udayshankar PM, Rama R. Standard treatment guidelines in primary healthcare practice. J Family Med Prim Care 2014;3:424-429.
• 24. Malagelada JR, Bazzoli F, Boeckxstaens G, et al. World gastroenterology organisation global guidelines: dysphagia--global guidelines and cascades update September 2014. J Clin Gastroenterol 2015;49:370-378.
• 25. Kennedy JM, Vargus B. Challenges in survey research and their implications for philanthropic studies research. Nonprofit Volunt Sect Q 2001;30(3): 483-494.
• 26. Anderson SE, Gansneder BM. Using electronic mail surveys and computer-monitored data for studying computer-mediated communication systems. Soc Sci Comput Rev 1995;13:33-46.
• 27. Modi RM, Mikhail S, Ciombor K, et al. Outcomes of nutritional interventions to treat dysphagia in esophageal cancer: a population based study. Dis Esophagus 2017;30:1-8.
• 28. van Snippenburg W, Kröner A, Flim M, Hofhuis J, Buise M, Hemler R, Spronk P. Awareness and management of dysphagia in Dutch intensive care units: A nationwide survey. Dysphagia 2019;34:220-228.
• 29. McGinnis CM, Homan K, Solomon M, Taylor J, Staebell K, Erger D, Raut N. Dysphagia: Interprofessional management, impact, and patient-centered care. Nutr Clin Pract 2019;34:80-95.
• 30. Gross DP, Armijo-Olivo S, Shaw WS, et al. Clinical decision support tools for selecting interventions for patients with disabling musculoskeletal disorders: A scoping review. J Occup Rehabil 2016;26:286-318.
• 31. Kaizer F, Spiridigliozzi AM, Hunt MR. Promoting shared decision-making in rehabilitation: development of a framework for situations when patients with Dysphagia refuse diet modification recommended by the treating team. Dysphagia 2012;27:81-87.
• 32. Garcia JM, Chambers E. Managing dysphagia through diet modifications. Am J Nurs 2010;110(11):26-33.
• 33. Robbins J, Kays S, Gangnon RE, Hind J, Hewitt AL, Gentry LR, Taylor AJ. The effects of lingual exercise in stroke patients with dysphagia. Arch Phys Med Rehabil 2007;88(2):150-158.
• 34. Antunes EB, Lunet N. Effects of the head lift exercise on the swallow function: a systematic review. Gerodontology 2012;29(4):247-257.
• 35. Brooks M, McLaughlin E, Shields N. Expiratory muscle strength training improves swallowing and respiratory outcomes in people with dysphagia: A systematic review. Int J Speech Lang Pathol 2019;21(1):89-100.
• 36. Benfield JK, Everton LF, Bath PM, England TJ. Does therapy with biofeedback improve swallowing in adults with dysphagia? A systematic review and meta-analysis. Arch Phys Med Rehabil 2019;100(3):551-561.
• 37. Sayaca C, Serel-Arslan S, Sayaca N, Demir N, Somay G, Kaya D, Karaduman A. Is the proprioceptive neuromuscular facilitation technique superior to Shaker exercises in swallowing rehabilitation? Eur Arch Otorhinolaryngol 2020;277(2):497-504.
• 38. Dietitians Of Canada. Defining the role of the dietitian in dysphagia assessment and management. Can J Diet Pract Res 2015;76(2):100.