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巴勒斯坦 COVID-19 患者的生活体验:一项关于康复之旅的多中心描述性现象学研究。

Lived experiences of Palestinian patients with COVID-19: a multi-center descriptive phenomenological study of recovery journey.

机构信息

Nursing and Midwifery Department, Faculty of Medicine & Health Sciences- An-Najah National University, Nablus, Palestine.

出版信息

BMC Public Health. 2022 Mar 9;22(1):470. doi: 10.1186/s12889-022-12868-9.

Abstract

BACKGROUND

Exploring lived experiences of recovered COVID-19 patients might have scientific, social, and policy relevance that can apply to the healthcare infrastructure. This multi-center descriptive phenomenological study was conducted to explore lived experiences of Palestinian patients who recovered from COVID-19.  METHODS: This was a descriptive phenomenological study. A purposive sampling technique was used to recruit the study participants. Semi-structured qualitative interviews were conducted with patients who recovered from COVID-19 (n = 20). The interviews were transcribed verbatim. The transcripts were analyzed using Colaizzi's phenomenological approach which consisted of the following steps: 1) familiarization, 2) identification of significant statements, 3) formulation of the meanings, 4) clustering the themes, 5) development of an exhaustive description of the phenomenon, 6) production of the fundamental structure, and 7) verification of the fundamental structure.

RESULTS

Semi-structured interviews were conducted with 14 male and 6 female patients who recovered from COVID-19. The total duration of the interview time was 998 min (16.6 h). The qualitative data collected during the interviews were categorized into 5 major themes and 16 subthemes that exhaustively described the phenomenon. The major themes were relevant to: 1) emotions after learning about the infection, 2) experiencing social exclusion and stigma, 3) the experienced symptoms, 4) supportive treatments, herbs, rituals, and social support, 5) and life after recovery.

CONCLUSION

The interviewees recounted experiencing negative emotions, social exclusion, and stigma because of their infection. It may be important for mental health promotion to be an integral part of the care plan for patients with COVID-19. More studies are still needed to investigate if introducing mental healthcare providers to the care team of patients with COVID-19 can improve the experiences of the patients.

摘要

背景

探索 COVID-19 康复患者的生活体验可能具有科学、社会和政策意义,可适用于医疗保健基础设施。本多中心描述性现象学研究旨在探索从 COVID-19 中康复的巴勒斯坦患者的生活体验。

方法

这是一项描述性现象学研究。采用目的抽样技术招募研究参与者。对从 COVID-19 中康复的患者(n=20)进行半结构式定性访谈。访谈逐字记录。使用 Colaizzi 的现象学方法对转录本进行分析,该方法包括以下步骤:1)熟悉,2)识别重要陈述,3)制定意义,4)聚类主题,5)全面描述现象,6)开发基本结构,7)验证基本结构。

结果

对 14 名从 COVID-19 中康复的男性患者和 6 名女性患者进行了半结构式访谈。访谈总时长为 998 分钟(16.6 小时)。访谈中收集的定性数据分为 5 个主要主题和 16 个亚主题,全面描述了这一现象。主要主题包括:1)得知感染后的情绪,2)经历社会排斥和耻辱,3)所经历的症状,4)支持性治疗、草药、仪式和社会支持,5)康复后的生活。

结论

受访者讲述了因感染而经历负面情绪、社会排斥和耻辱的经历。将心理健康促进作为 COVID-19 患者护理计划的一个组成部分可能很重要。仍需要更多研究来调查在 COVID-19 患者的护理团队中引入心理健康服务提供者是否可以改善患者的体验。

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