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“这是双重打击”:在 COVID-19 背景下对帕金森病患者的疾病不确定性的定性研究。

'It's a double whammy': A qualitative study of illness uncertainty in individuals with Parkinson's disease in the context of COVID-19.

机构信息

83563Division of Health Research, 151268Faculty of Health and Medicine, Lancaster University, UK.

出版信息

Chronic Illn. 2022 Dec;18(4):860-873. doi: 10.1177/17423953211043101. Epub 2021 Sep 15.

Abstract

OBJECTIVES

The purpose of this study was to explore the experiences of individuals with Parkinson's through the theoretical lens of illness uncertainty during the first UK full lockdown period (March-June 2020) put in place due outbreak of the COVID-19 pandemic.

METHODS

Individual semi-structured interviews were carried out via telephone in May 2020 with 10 individuals with Parkinson's (six men and four women) recruited from Parkinson's UK. Interviews were recorded and transcribed verbatim, and thematic analysis was adopted to analyse the resulting data.

RESULTS

Four overarching themes emerged from the interview data: (1) COVID-19 amplifying existing fears and difficulties around the uncertainty of Parkinson's; (2) practical and psychological efforts to manage uncertainty; (3) benefit-finding as a way of acknowledging the positives of lockdown; (4) risk and future management in the context of uncertainty.

DISCUSSION

Participants reported a range of implicit and explicit strategies to cope with the 'double whammy' of uncertainty caused by having Parkinson's during a global pandemic. While these were generally successful in maintaining well-being, it is important that such successful accounts are used to help inform novel strategies and interventions targeting individuals who might need additional support.

摘要

目的

本研究旨在通过 COVID-19 大流行期间英国首次全面封锁期间(2020 年 3 月至 6 月)疾病不确定性的理论视角,探索帕金森病患者的经历。

方法

2020 年 5 月,通过电话对 10 名来自帕金森氏症英国的帕金森病患者(6 名男性和 4 名女性)进行了个人半结构化访谈。采访进行了录音并逐字记录,并采用主题分析来分析由此产生的数据。

结果

访谈数据中出现了四个总体主题:(1)COVID-19 加剧了帕金森病不确定性的现有恐惧和困难;(2)管理不确定性的实际和心理努力;(3)在封锁背景下发现收益,以承认封锁的积极影响;(4)在不确定性的情况下进行风险和未来管理。

讨论

参与者报告了一系列应对帕金森病患者在全球大流行期间面临的不确定性“双重打击”的隐性和显性策略。虽然这些策略通常在保持幸福感方面非常成功,但重要的是,这些成功的案例被用来帮助为可能需要额外支持的人提供针对个人的新策略和干预措施。

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