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新型冠状病毒肺炎(COVID-19)患者住院期间和出院后的心理体验:一项描述性现象学研究。

Psychological Experiences of Patients with Coronavirus Disease 2019 (COVID-19) during and after Hospitalization: A Descriptive Phenomenological Study.

机构信息

Caritas Institute of Higher Education, School of Health Sciences, 2 Chui Ling Lane, Tseung Kwan O, New Territories, Hong Kong, China.

出版信息

Int J Environ Res Public Health. 2022 Jul 18;19(14):8742. doi: 10.3390/ijerph19148742.

Abstract

During an infectious disease pandemic, patients may experience various psychological issues. Few studies have focused on survivors' experiences in Hong Kong. This study aimed to assess the psychological impacts of coronavirus disease 2019 (COVID-19) on survivors during admission to and discharge from COVID-19 wards using a descriptive phenomenological design. Purposive sampling was used to recruit 20 participants aged 30-77 years recently discharged from an isolation ward at an acute care facility and transferred to a community center specializing in pulmonary rehabilitation. Sampling was performed from 1 March 2022 to 3 April 2022. Semi-structured in-person interviews were conducted and transcribed verbatim; data analysis was performed using Colaizzi's approach. The patients experienced two exclusive psychological phases during and after admission. The analysis of the patients' experiences revealed three themes: (i) navigating uncertainties with mixed feelings and emotions during admission, (ii) adjusting to normal daily life after discharge, and (iii) self-growth after discharge. Our findings may provide empirical evidence for formulating pre-emptive strategies to mitigate the long-term psychological impacts of COVID-19. This investigation is timely and internationally relevant, and policymakers can use these findings to make informed decisions when developing guidelines for structuring the care of patients with COVID-19 during and after hospitalization. Based on our findings, we recommended that psychological support, particularly the provision of time to address patients' concerns, may be integrated into the care of patients with COVID-19. Additionally, the structure of care may extend beyond the biomedical aspects of the illness to encompass the emotional and social dimension of the patients. To reduce stigmatization, we advise that public health authorities release clear information timely to clarify the misconceptions of the local community.

摘要

在传染病大流行期间,患者可能会经历各种心理问题。很少有研究关注香港幸存者的经历。本研究旨在使用描述性现象学设计评估 2019 年冠状病毒病(COVID-19)对 COVID-19 病房住院和出院期间幸存者的心理影响。采用目的抽样法招募了 20 名年龄在 30-77 岁之间的参与者,他们最近从急性护理机构的隔离病房转到专门从事肺部康复的社区中心。抽样于 2022 年 3 月 1 日至 2022 年 4 月 3 日进行。进行了半结构化的面对面访谈,并逐字转录;使用 Colaizzi 的方法进行数据分析。患者在住院期间和出院后经历了两个独特的心理阶段。对患者经历的分析揭示了三个主题:(i)在住院期间和出院后带着复杂的情绪和情感应对不确定性,(ii)出院后调整到正常的日常生活,以及(iii)出院后的自我成长。我们的研究结果可能为制定先发制人的策略以减轻 COVID-19 的长期心理影响提供经验证据。这项调查具有及时性和国际性相关性,决策者可以在制定 COVID-19 患者住院期间和出院后的护理指南时利用这些发现做出明智的决策。基于我们的研究结果,我们建议提供心理支持,特别是提供时间来解决患者的问题,可能会被纳入 COVID-19 患者的护理中。此外,护理结构可能不仅涵盖疾病的生物医学方面,还可能涵盖患者的情感和社会方面。为了减少污名化,我们建议公共卫生当局及时发布明确的信息,以澄清当地社区的误解。

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