患者与SARS-CoV-2的经验:患者患病经验和应对情况之间的关联
Kathryn W Hendrickson1, Ramona O Hopkins2,3, Danielle L Groat3,4
1The Oregon Clinic, Department of Pulmonary, Critical Care, and Sleep Medicine East, Portland, Oregon, United States of America.
PloS one
|November 20, 2023
概括
疲劳和咳等COVID-19症状很常见,而后急性COVID-19综合征 (PACS) 患者患上更严重的疾病. 应对方式影响了疾病的结果,动态的应对者更有可能报告PACS.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 由SARS-CoV-2引起的COVID-19大流行导致了广泛的急性疾病和急性后COVID-19综合征 (PACS) 的出现.
- 个人因素,包括应对方式,显著影响COVID-19患者的疾病体验和生活质量.
- 了解COVID-19症状,疾病严重程度和应对机制之间的相互作用对于患者的护理和康复至关重要.
研究的目的:
- 调查报告的COVID-19症状,急性疾病的严重程度和不同的应对情况之间的关系.
- 确定患有急性COVID-19和PACS的患者的常见症状和特征.
- 探索不同应对策略如何与疾病严重程度和结果相关.
主要方法:
- 在全国范围内对大量患者进行了在线调查,以收集有关症状,疾病过程和功能状态的数据.
- 经过验证的工具,包括简要COPE和适应的社会关系清单,用于评估应对方式和社会支持.
- 使用描述性统计和集群分析来识别和描述参与者之间不同的应对情况.
主要成果:
- 总共有976名患者被分析,疲劳 (72%),咳 (71%),身体疼痛/关节疼痛 (66%) 是最常见的症状.
- 284名参与者报告了与PACS一致的症状. 这些患者通常患上更严重的疾病和更高的住院率.
- 确定了三个主要的应对配置文件:向外,向内和动态的copers. 外向的copers表现出更健康的策略和更高的住院率,而动态的copers,往往更年轻,使用了一系列策略,更有可能报告PACS.
结论:
- 疲劳,咳和身体疼痛/关节疼痛是急性COVID-19的关键症状,而呼吸短促是PACS的决定性症状.
- 患有PACS的患者报告了更严重的疾病,并更频繁地住院治疗.
- 动态的应对者,以应对策略的混合为特征,更年轻,更容易发展PACS,强调需要进一步研究应对机制和COVID-19经验.
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