Improving Oral Care in Stroke Patients: Patients' and Carers' Experiences of Oral Care in a Hospital Environment Following Acute Stroke

OBJECTIVE: This study aimed to explore the thoughts and feelings of stroke patients and their carers (family/guardians) about oral care during hospitalisation, and (in turn) inform future research and service development. BACKGROUND: Stroke is a leading cause of adult disability and associated physical and cognitive impairments can compromise oral care and oral health-related quality of life. Despite its importance, oral care is under-researched in stroke services, with limited evidence to underpin clinical guidelines, particularly from the perspective of patients and carers. MATERIALS AND METHODS: Qualitative research based on interpretive inquiry. A convenience sample of 10 patients requiring assistance with oral care and six carers of stroke patients who lacked capacity were recruited from two Stroke Units from two large teaching hospitals in the Northwest of England, UK. Semi-structured interviews explored participants' experiences of oral care during hospital admission. Interviews were transcribed verbatim and analysed using Framework analysis. RESULTS: Five main themes were identified: Attitudes to oral health; In-hospital oral care; Factors affecting in-hospital oral care; Impact on the patient; and Facilitators to oral care. Patient and carers explained that having the opportunity to address their oral care and oral comfort was important for their well-being. CONCLUSION: Oral care is an essential but often overlooked aspect of stroke recovery, with patients and carers valuing comfort and hygiene despite inconsistent provision. Embedding routine assessment, reliable resources, staff education and family involvement into stroke protocols could reduce complications and establish oral care as a standard, patient-centred practise.