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Table 5 Coping strategies reported by study participants

From: Symptoms and coping of patients with dysphagia after anterior cervical spine surgery: a qualitative study

Sub-categories

Symptom

Coping

Quote

Positive coping strategies

Food getting stuck

Humor,

Identification,

compensate

“I always get stuck in my throat when I eat. So when I get up and move, I’ll feel much better.” (P13)

“Eating food with less oil, such as green vegetable leaves, rice and biscuits, is easy to get stuck in the throat. I need to drink water slowly to wash it down.” (P18)

“For example, if I eat eggs, I will eat steamed egg soup. Compared with boiled eggs, it will not get stuck in my throat.” (P20)

Difficulty with solids

“I choose soft food, chew it slowly, and take smaller bites.” (P8)

Throat burning sensation

“With a plum in my mouth, I will feel much better, or the “throat lozenge” can make me feel comfortable…And yogurt, which makes me feel good” (P17)

“I learned Chinese medicine. I made some “black wheat and orange drinks”, and the burning feeling disappeared.” (P17)

The feeling of suffocation

“When I feel difficult to breathe, I will sit up for a while or turn over and feel much better.” (P6)

Swallowing pain

“If it is too hot or too cold, it will irritate my throat. I will hold it in my mouth for a while. It will be more comfortable to swallow the water when the temperature is close to my body temperature.” (P5)

Negative coping strategies

 

Vent one’s emotions,

shrink back

“I wonder if the operation failed, which completely failed to meet my expectations. I think I may have been worried recently.” (P20)

“I can’t eat the nutritious food recommended by experts. Because it’s too much trouble, I don’t want to eat.” (P15)

“I want to stay in the hospital for a few more days, and then leave the hospital after this symptom is completely cured.” (P9)

Compromised coping strategies

 

Rationalization,

Depression

“I think it’s normal that I can’t swallow anything after neck surgery. If you don’t ask me, I don’t want to reflect this problem. En… I don’t think it’s a problem.” (P11)

Wrong coping knowledge

 

Stereotype

“I think I have a cold. Once I catch a cold, I will have a lot of phlegm and sore throat, so I take a lot of antibiotics.” (P8)

“I think I have difficulty breathing because the air in the ward is bad. Last night I went to the corridor to sleep.” (P14)

“I should not eat too oily, too cold food, or hot and dry food like chili and mutton. I dare not eat many things I like, so I don’t want to eat any more.” (P9)