Patient Satisfaction with a deglutition assessment procedure: cross-sectional study

Authors

DOI:

https://doi.org/10.62486/sic2025232

Keywords:

Deglutition, Dysphagia, Methods, Nursing, Patient Satisfaction

Abstract

 Introduction: oropharyngeal dysphagia has a high prevalence worldwide. Elderly people are more likely 
to develop dysphagia, especially those who have had a stroke. Dysphagia increases the risk of aspiration 
pneumonia and mortality after stroke by 4 times. At the Professor Doutor Fernando Fonseca Hospital of the 
Amadora-Sintra Local Health Unit, the Volume-Viscosity Clinical Exploration Method is used to assess swallow 
early. 
Objective: to assess the level of satisfaction among patients diagnosed with stroke, admitted to the Adult 
Emergency Department and the Neurology Service at this hospital, regarding the execution of the deglutition 
assessment procedure.
 Method: this is a cross-sectional study. A specific questionnaire was created for patients to respond to. Data 
were collected between March 5 and September 5, 2024. Quantitative data analysis was performed.
 Results: the average age of the patients was 62,52 years, with 63,46 % female. Out of 11 questions, 10 
had higher than 84 % of positive responses. 96,15 % of patients reported satisfaction with the Nurse’s care. 
Patients highlighted the importance of efficient communication from the Nurse, ensuring their privacy and 
receiving information about the benefits of deglutition assessment. These findings are present in other 
studies on patient satisfaction.
 Conclusions: patients expressed satisfaction with the execution of the procedure, as they considered it to 
contribute to their adaptation to a new life condition.

References

1. Ferreira F, Fernandes L, Oliveira I. Prevalência da disfagia em idosos institucionalizados. Rev Port Enferm

Reabil [Internet]. 2022;5(1):60–6. Available from: https://rper.aper.pt/index.php/rper/article/view/218

2. Rivelsrud MC, Hartelius L, Bergström L, Løvstad M, Speyer R. Prevalence of Oropharyngeal Dysphagia

in Adults in Different Healthcare Settings: A Systematic Review and Meta-analyses. Vol. 38, Dysphagia. 2023.

76–121 p.

3. Bosch G, Comas M, Domingo L, Guillen-Sola A, Duarte E, Castells X, et al. Dysphagia in hospitalized

patients: Prevalence, related factors and impact on aspiration pneumonia and mortality. Eur J Clin Invest

[Internet]. 2023;53(4):1–11. Available from: https://pubmed.ncbi.nlm.nih.gov/36477740/

4. Dziewas R, Beck A, CLave P, Hamdy S, Heppner H, Langmore S, et al. Recognizing the Importance

of Dysphagia: Stumbling Blocks and Stepping Stones in the Twenty-First Century. Dysphagia [Internet].

2017;32(1):78–82. Available from: https://pubmed.ncbi.nlm.nih.gov/27571768/

5. Aguiar J, Carneiro R, Carneiro I, Magalhães L, Carneiro A. Prevalência de Disfagia em Doentes Internados

no Departamento de Medicina Interna e Unidade de Cuidados Intensivos e Intermédios: Resultados de um

Estudo Piloto. Rev da Soc Port Med Interna [Internet]. 2023;30(1):16–20. Available from: https://revista.spmi.

pt/index.php/rpmi/article/view/929/1166

6. Silva M. Caracterização e análise de custos da Disfagia Orofaríngea numa Unidade de Cuidados Continuados

de Média Duração e Reabilitação [Internet]. Instituto Politécnico do Porto; 2020. Available from: https://

recipp.ipp.pt/handle/10400.22/17713

7. Banda K, Chu H, Kang X, Liu D, Pien L-C, Jen H-J, et al. Prevalence of dysphagia and risk of pneumonia

and mortality in acute stroke patients: a meta - analysis. BMC Geriatr [Internet]. 2022;22(420):1–11. Available

from: https://pubmed.ncbi.nlm.nih.gov/35562660/

8. Dziewas R, Michou E, Trapl-Grundschober M, Lal A, Arsava EM, Bath PM, et al. European Stroke Organisation

and European Society for Swallowing Disorders guideline for the diagnosis and treatment of post-stroke

dysphagia. Eur Stroke J. 2021;6(3):LXXXIX–CXV.

9. Ordem dos Enfermeiros. Divulgar: Padrões de Qualidade dos Cuidados de Enfermagem - Enquadramento

Conceptual. Enunciados Descritivos [Internet]. Portugal; 2012. Available from: https://www.ordemenfermeiros.

pt/media/8903/divulgar-padroes-de-qualidade-dos-cuidados.pdf

10. Ordem dos Enfermeiros. Instrumentos de recolha de dados para a documentação dos cuidados

especializados em Enfermagem de Reabilitação. 2016. 1–67 p.

11. Oliveira I, Couto G, Santos R, Campolargo AM, Lima Cl, Ferreira P. Best Practice Recommendations for

Dysphagia Management in Stroke Patients: A Consensus from a Portuguese Expert Panel. Port J Public Heal

[Internet]. 2021;39:145–62. Available from: https://karger.com/pjp/article/39/3/145/826457/Best-Practice

Recommendations-for-Dysphagia

https://doi.org/10.62486/sic2025232

Salud Integral y Comunitaria. 2025; 3:232 6

12. Rowe K, Toit M, Pillay S, Krüger E. Nurses’ practices in stroke-related dysphagia in. Curationis [Internet].

2024;47(1). Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11019083/pdf/CUR-47-2499.pdf

13. Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity

swallow test for clinical screening of oropharyngeal dysphagia and aspiration. Clin Nutr [Internet]. 2008;

27:806–15. Available from: https://pubmed.ncbi.nlm.nih.gov/18789561/

14. Simões C. CONTRIBUTO PARA A VALIDAÇÃO DO THE VOLUME-VISCOSITY SWALLOW TEST (V-VST) - VERSÃO

PORTUGUESA [Internet]. Universidade de Coimbra; 2018. Available from: https://eg.uc.pt/handle/10316/82676

15. Santos T, Silva H, Almeida T. A Pessoa com Alteração na Deglutição. Gaz Médica [Internet]. 2023;10(3):203

11. Available from: https://www.gazetamedica.com/index.php/gazeta/article/view/203-211

16. Teixeira F, Sentieiro A, Cunha A, Pires E, Silva M, Deus C de. Nurses ’ satisfaction with the implementation of

a deglutition assessment procedure : cross-sectional study Satisfacción de los enfermeros con la implementación

de un procedimiento de evaluación de la deglución : estudio transversal. AG Salud [Internet]. 2025;3(220).

Available from: https://agsalud.ageditor.org/index.php/agsalud/article/view/220/182

17. Ordem dos Enfermeiros. Regulamento dos Padrões de Qualidade dos Cuidados Especializados em

Enfermagem de Reabilitação [Internet]. Portugal; 2011 p. 1–16. Available from: https://www.ordemenfermeiros.

pt/arquivo/colegios/Documents/PQCEEReabilitacao.pdf

18. Goodrich GW, Lazenby JM. Elements of patient satisfaction: An integrative review. Nurs Open [Internet].

2023;10:1258–69. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/nop2.1437

19. Alharbi HF, Alzahrani NS, Almarwani AM, Asiri SA, Alhowaymel FM. Patients’ satisfaction with nursing care

quality and associated factors: A cross-section study. Nurs Open. 2023;10(5):3253–62.

20. Kannan S, Avudaiappan S, Annamalai M. Patients’ satisfaction with nursing care quality in medical wards

at selected hospital in Chennai, South India. Iran J Nurs Midwifery Res [Internet]. 2020;25(6):471–5. Available

from: https://pubmed.ncbi.nlm.nih.gov/33747835/

21. European Stroke Organisation. Plano de Ação para o AVC na Europa 2018-2030 [Internet]. Stroke Alliance

for Europe. Bruxelas; 2018. Available from: https://www.safestroke.eu/wp-content/uploads/2019/05/sap

portugal-s.pdf

22. Chen J, Chen J, Wang Y, Cui Y, Liao L, Yan M, et al. Transition experiences of patients with post stroke

dysphagia and family caregivers: A longitudinal, qualitative study. PLoS One [Internet]. 2024;19(6). Available

from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11149836/pdf/pone.0304325.pdf

23. Perez ML, Rodrigues T, Botelho MD, Silva NS, Delgado BM, de Jesus Oliveira I. Relevance of Rehabilitation

Nursing in the Emergency Department: Focus Group. Rev Port Enferm Reabil [Internet]. 2021;4(2):30–7. Available

from: https://rper.aper.pt/index.php/rper/article/view/183/428

24. Martins R, Silva L, Paredes M, Fonseca S. Early swallowing testing in patients with post-stroke dysphagia:

Assessment of benefits. Servir [Internet]. 2014;2(7). Available from: https://revistas.rcaap.pt/servir/article/

view/32662

25. Ferreira D, Vieira I, Pedro MI, Caldas P, Varela M. Patient Satisfaction with Healthcare Services and the

Techniques Used for its Assessment: A Systematic Literature Review and a Bibliometric Analysis. Healthcare

[Internet]. 2023;11(639). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10001171/pdf/

healthcare-11-00639.pdf

26. Al-Hammouri F, Hamdan KM, Haymour AM, Ibrahim MO, Malkawi A, Al-Hiary SS, et al. Quality of nursing

care: Predictors of patient satisfaction in a national sample. Nurs Open [Internet]. 2024;11(8):1–10. Available

from: https://onlinelibrary.wiley.com/doi/full/10.1002/nop2.2252

27. Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care

and nurses in England: An observational study. BMJ Open [Internet]. 2018;8. Available from: https://bmjopen.

https://doi.org/10.62486/sic2025232

7

Teixeira F, et al

bmj.com/content/bmjopen/8/1/e019189.full.pdf

28. Nasirin C, Asrina H. Quality of nursing services and inpatient satisfaction. Manag Sci Lett [Internet].

2020;10:2169–74. Available from: https://www.growingscience.com/msl/Vol10/msl_2020_70.pdf

29. Li C, Qiu C, Shi Y, Yang T, Shao X, Zheng D. Experiences and perceptions of stroke patients living with

dysphagia: A qualitative meta-synthesis. J Clin Nurs [Internet]. 2022;31(7–8):820–31. Available from: https://

pubmed.ncbi.nlm.nih.gov/34369025/

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Published

2025-10-01

How to Cite

1.
Teixeira F, Sentieiro A, Cunha A, Pires E, Silva M, Miguéis B. Patient Satisfaction with a deglutition assessment procedure: cross-sectional study. Salud Integral y Comunitaria [Internet]. 2025 Oct. 1 [cited 2025 Dec. 7];3:232. Available from: https://sic.ageditor.org/index.php/sic/article/view/232