探索与后COVID综合征生活的经验:一种定性研究
Michail Kalfas1, Caroline Jolley2,3, Nicholas Hart2,4
1Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
概括
患有COVID-19后病情 (PCS) 的女性经历了医疗保健专业人员的症状驳回,影响了他们的福祉和诊断. 需要进一步的研究来了解长期COVID (LC) 中不同患者的旅程.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 后COVID-19状态 (PCS) 或长期COVID (LC) 影响了许多患有超过SARS-CoV-2感染后12周持续症状的个人.
- PCS显著影响生活质量和日常功能,但对患者旅程和性别体验的深入研究是有限的.
- 了解PCS患者的多面体验对于开发有效的支持和医疗保健策略至关重要.
研究的目的:
- 探索患有COVID-19后疾病 (PCS) 的个体的患者旅程.
- 调查PCS患者经历的性别差异.
- 确定PCS患者在康复和自我管理过程中所面临的关键主题和挑战.
主要方法:
- 进行了19个半结构化的定性访谈,对在英国被诊断患有PCS的个体进行了采访 (13名女性,6名男性).
- 采访文字转录,并采用感应反射主题分析来识别反复出现的模式和主题.
- 纳入患者和公众参与解释主题和研究结论.
主要成果:
- 确定了五个核心主题:"症状驳回"",缺乏信息和支持"",长期COVID前后的生活"",心理影响"和"接受".
- 随着时间的推移,观察到患者逐渐向症状自我管理的转变.
- 与男性相比,女性报告了医疗保健专业人员 (HCP) 更频繁地驳回症状的经历,更重视PCS的心理影响.
结论:
- 医务人员忽视症状,特别是在患有PCS的女性中,可能会推迟诊断,并对患者的福祉产生负面影响.
- 提高卫生保健工作者,特别是全科医生的认识,对于改善患者护理和支持PCS至关重要.
- 需要进一步的研究,以涵盖PCS患者群体中不同性别群体的经验.
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