整合患者报告的身体,精神和社会影响,以分类长期COVID经历
Keri Vartanian1, Daniel Fish1, Natalie Kenton1
1Center for Outcomes Research and Education (CORE), Providence St. Joseph Health, 5251 NE Glisan Street, Portland, OR, USA.
Scientific reports
|September 28, 2023
概括
长期COVID患者的体验揭示了四种不同的健康状况,包括身体,精神和社会影响. 了解这些分类有助于更好地识别和照顾患者.
科学领域:
- 医学研究 医学研究
- 患者报告的结果
- 纵向研究 纵向研究
背景情况:
- 长期COVID最初是通过患者体验来识别的,但目前的研究往往依赖于医疗记录,缺少整体的患者观点.
- 现有的研究缺乏对长期后COVID状况的身体,精神和社会维度的全面评估.
- 我的COVID日记 (MCD) 研究旨在收集详细的,以患者为中心的关于长期COVID症状和影响的数据.
研究的目的:
- 描述和分类长期COVID患者的不同经验.
- 根据感染后六个月的身体,精神和社会健康影响,识别出不同的患者个人资料.
- 为改善临床护理提供对长期COVID呈现的更细致的理解.
主要方法:
- 使用PROMIS-10调查收集患者报告的前性和纵向性结果.
- 包括自由文本叙事提交来补充定量数据.
- 隐性类分析 (LCA) 应用于634名参与者在6个月后报告健康状况不佳的PROMIS-10评分.
- 分析叙事数据以验证和丰富已识别的患者分类.
主要成果:
- 使用LCA确定了长期COVID经历的四个不同的分类:少数持久问题 (n=107),显著的身体症状 (n=113),正在进行的心理和认知斗争 (n=235),以及众多复合挑战 (n=179).
- 每个分类都呈现出身体,精神和社会健康障碍的独特组合.
- 患者叙述证实并为定量分类提供了更深入的背景,突出了长期COVID的异质性.
结论:
- 长期的COVID以各种方式表现,影响个人身体,精神和社会福祉.
- 已识别的分类为了解长期COVID体验的频谱提供了一个框架.
- 这种以患者为中心的方法可以改善长期COVID患者的识别,评估和管理.
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