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与 COVID-19 共存:对家庭聚集性传播中住院患者的现象学研究。

Living with COVID-19: a phenomenological study of hospitalised patients involved in family cluster transmission.

机构信息

Adelphi University College of Nursing and Public Health, Garden City, New York, USA

The Third Xiangya Hospital, Central South University, Changsha, Hunan, China

出版信息

BMJ Open. 2021 Feb 26;11(2):e046128. doi: 10.1136/bmjopen-2020-046128.

Abstract

OBJECTIVES

To describe experiences of hospitalised patients with COVID-19 following family cluster transmission of the infection and the meaning of these experiences for them.

DESIGN

A descriptive phenomenological design was used to construct themes depicting patients' experiences of living with COVID-19.

SETTING

This study was conducted in a major teaching hospital in Wuhan, China, in March 2020.

PARTICIPANTS

Fourteen patients involved in family cluster transmission of COVID-19 were recruited into the study. The participants consisted of seven males and seven females. Data were collected through semistructured, in-depth, face-to-face interviews. Interviews were transcribed verbatim and analysed using Colaizzi's approach.

RESULTS

Six themes emerged from data analysis during two distinct phases of patients going through COVID-19: the early outbreak phase and the later hospitalisation phase. Early in the outbreak, patients experienced life imbalances between individual well-being and family responsibilities. While facing widespread prejudice and rejection, patients dealt with the heavy toll that the illness had left on their body and mind. After being hospitalised, patients described feelings of living with uncertainty, sadness, fear of death and concerns about family, while simultaneously hoping for a better life after recovery.

CONCLUSIONS

Our findings suggest that living with COVID-19 is an emotionally and physically challenging experience for patient participants in the study. Psychological evaluations need to be routinely carried out with patients in a public health crisis. Interprofessional and interorganisational collaborative efforts should be made to examine the physical and psychological sequelae of COVID-19, as well as investigate outcomes of existing intervention programmes.

摘要

目的

描述在 COVID-19 家庭聚集性传播后住院患者的经历,以及这些经历对他们的意义。

设计

本研究采用描述性现象学设计,构建主题以描绘患者感染 COVID-19 后的生活体验。

地点

本研究于 2020 年 3 月在中国武汉的一家大型教学医院进行。

参与者

共招募了 14 名涉及 COVID-19 家庭聚集性传播的患者参与研究。参与者由 7 名男性和 7 名女性组成。通过半结构式深入的面对面访谈收集数据。访谈逐字转录,并使用 Colaizzi 的方法进行分析。

结果

数据分析中出现了六个主题,分为 COVID-19 患者经历的两个不同阶段:早期爆发阶段和后来的住院阶段。在疫情早期,患者经历了个人福祉与家庭责任之间的生活失衡。在面临广泛的偏见和排斥的同时,患者应对疾病对身心造成的沉重负担。住院后,患者描述了对不确定、悲伤、对死亡的恐惧和对家庭的担忧的感受,同时希望在康复后过上更好的生活。

结论

我们的研究结果表明,感染 COVID-19 对研究中的患者参与者来说是一种身心挑战的体验。在公共卫生危机中,需要定期对患者进行心理评估。应进行跨专业和跨组织的合作努力,以检查 COVID-19 的身体和心理后遗症,并研究现有干预方案的结果。

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