The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.

<h4>Introduction</h4>Besides affecting physical health, Oropharyngeal Dysphagia (OD) entails limitations in daily activities and social participation for both patients and their informal caregivers. The identification of OD-related needs is crucial for designing appropriate person-center...

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Autores principales:	Aurora Ninfa, Valeria Crispiatico, Nicole Pizzorni, Marta Bassi, Giovanni Casazza, Antonio Schindler, Antonella Delle Fave
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8191de1dd7d346cab67685ad28577303
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spelling	oai:doaj.org-article:8191de1dd7d346cab67685ad285773032021-12-02T20:14:15ZThe care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.1932-620310.1371/journal.pone.0257683https://doaj.org/article/8191de1dd7d346cab67685ad285773032021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0257683https://doaj.org/toc/1932-6203<h4>Introduction</h4>Besides affecting physical health, Oropharyngeal Dysphagia (OD) entails limitations in daily activities and social participation for both patients and their informal caregivers. The identification of OD-related needs is crucial for designing appropriate person-centered interventions.<h4>Aims</h4>To explore and map the literature investigating the care needs related to OD management of adult persons with OD and their informal caregivers during the last 20 years.<h4>Methods</h4>A scoping review was conducted and reported following PRISMA guidelines. Five electronic databases and reference lists of eligible publications were searched for original works in English or Italian, published between January 2000 and February 2021. Two independent raters assessed studies' eligibility and extracted data; a third rater resolved disagreements. Extracted care needs were analyzed using a Best fit framework synthesis approach.<h4>Results</h4>Out of 2,534 records preliminarily identified, 15 studies were included in the review and 266 care needs were extracted. All studies were conducted in Western countries. Research methods primarily consisted of qualitative interviews and focus groups (14 studies, 93.3%); head and neck cancer was the most frequent cause of patients' dysphagia (8 studies, 53.3%); caregivers' perspective was seldom investigated (5 studies, 33.3%). Both patients and caregivers primarily reported social (N = 77; 28.9%) and practical (N = 67; 25.2%) needs, followed by informational (N = 55; 20.7%) and psychological (N = 54; 20.3%) ones. Only patients reported physical needs (N = 13; 4.9%), while spiritual needs were not cited.<h4>Conclusions</h4>The recurrence of personal and social needs besides physical ones highlighted the manifold impact of OD on patients' and caregivers' lives. Larger and more focused studies are required in order to design tools and interventions tailored to patients' and caregivers' needs.Aurora NinfaValeria CrispiaticoNicole PizzorniMarta BassiGiovanni CasazzaAntonio SchindlerAntonella Delle FavePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0257683 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Aurora Ninfa Valeria Crispiatico Nicole Pizzorni Marta Bassi Giovanni Casazza Antonio Schindler Antonella Delle Fave The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.
description	<h4>Introduction</h4>Besides affecting physical health, Oropharyngeal Dysphagia (OD) entails limitations in daily activities and social participation for both patients and their informal caregivers. The identification of OD-related needs is crucial for designing appropriate person-centered interventions.<h4>Aims</h4>To explore and map the literature investigating the care needs related to OD management of adult persons with OD and their informal caregivers during the last 20 years.<h4>Methods</h4>A scoping review was conducted and reported following PRISMA guidelines. Five electronic databases and reference lists of eligible publications were searched for original works in English or Italian, published between January 2000 and February 2021. Two independent raters assessed studies' eligibility and extracted data; a third rater resolved disagreements. Extracted care needs were analyzed using a Best fit framework synthesis approach.<h4>Results</h4>Out of 2,534 records preliminarily identified, 15 studies were included in the review and 266 care needs were extracted. All studies were conducted in Western countries. Research methods primarily consisted of qualitative interviews and focus groups (14 studies, 93.3%); head and neck cancer was the most frequent cause of patients' dysphagia (8 studies, 53.3%); caregivers' perspective was seldom investigated (5 studies, 33.3%). Both patients and caregivers primarily reported social (N = 77; 28.9%) and practical (N = 67; 25.2%) needs, followed by informational (N = 55; 20.7%) and psychological (N = 54; 20.3%) ones. Only patients reported physical needs (N = 13; 4.9%), while spiritual needs were not cited.<h4>Conclusions</h4>The recurrence of personal and social needs besides physical ones highlighted the manifold impact of OD on patients' and caregivers' lives. Larger and more focused studies are required in order to design tools and interventions tailored to patients' and caregivers' needs.
format	article
author	Aurora Ninfa Valeria Crispiatico Nicole Pizzorni Marta Bassi Giovanni Casazza Antonio Schindler Antonella Delle Fave
author_facet	Aurora Ninfa Valeria Crispiatico Nicole Pizzorni Marta Bassi Giovanni Casazza Antonio Schindler Antonella Delle Fave
author_sort	Aurora Ninfa
title	The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.
title_short	The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.
title_full	The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.
title_fullStr	The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.
title_full_unstemmed	The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.
title_sort	care needs of persons with oropharyngeal dysphagia and their informal caregivers: a scoping review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/8191de1dd7d346cab67685ad28577303
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The care needs of persons with oropharyngeal dysphagia and their informal caregivers: A scoping review.

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