长期COVID患者的特征性残疾 - - 性别是否重要? 一个分析的横截面研究
Cecilia Hee Laursen1,2,3, Trine Brøns Nielsen4,5, Steffen Leth6,7
1Department of Social Medicine and Rehabilitation, Gødstrup Hospital, Herning, Denmark. cecilaur@rm.dk.
BMC public health
|November 4, 2025
概括
长期COVID显著影响日常生活,女性报告精神疲劳较高. 虽然男性和女性的活动限制类似,但了解这些挑战是康复的关键.
科学领域:
- 职业治疗是一种职业疗法.
- 公共卫生 公共卫生
- 康复医学是康复的医学.
背景情况:
- 长期COVID对日常运作和参与活动提出了重大挑战.
- 长期COVID影响的性别特异性差异研究不足,尽管已知性别对健康的影响.
- 这项研究调查了长期COVID患者在社会人口结构,就业,病假,精神疲劳和日常生活活动 (ADL) 中的性别差异.
研究的目的:
- 检查长期COVID患者中社会人口因素,就业,病假和精神疲劳方面的性别差异.
- 探索和比较长期COVID的女性和男性之间自我报告和优先考虑的日常生活活动 (ADL) 问题.
- 测试传统性别角色影响长期COVID女性和男性面临的具体挑战的假设.
主要方法:
- 分析了780名被诊断患有长期COVID的个人 (567名女性,213名男性) 的队列,并转介给职业治疗.
- 关于社会人口统计,就业和病假的数据是自我报告的. 用心理疲劳量表来评估精神疲劳.
- 用加拿大职业绩效指标评估日常生活活动 (ADL) 问题,并对优先考虑的ADL问题进行定性内容分析.
主要成果:
- 在女性中,高等教育的流行率更高 (55%对37%). 病假患病率没有显著的性别差异 (57%对50%).
- 78%的女性和68%的男性报告中度至严重的精神疲劳,女性的疲劳明显更高 (p < 0.001).
- 在ADL问题上注意到了较小的性别差异,女性在家庭管理,安静的娱乐和社交互动方面报告了更多的困难. 两种性别都优先考虑类似的ADL问题,如有偿工作,体育活动,社交互动和照顾.
结论:
- 长期COVID患者的日常生活活动 (ADL) 挑战在两性之间基本相似,显著影响日常生活.
- 确定特定的活动限制对于制定针对性和有效的康复策略对于长期COVID患者至关重要.
- 对性别角色及其对长期COVID恢复途径的具体影响进行进一步的研究是有必要的.
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