Department of Occupational Therapy, Gyeonggi Provincial Medical Center, South Korea.
Department of Local Public Health Care Headquarters, Gyeonggi Provincial Medical Center, South Korea.
Infect Dis Health. 2022 Nov;27(4):184-190. doi: 10.1016/j.idh.2022.04.003. Epub 2022 May 6.
The COVID-19 pandemic has a substantial impact on the physical and mental health status of patients with COVID-19. This study's objective was to evaluate the factors associated with mental health in patients isolated with COVID-19.
It is a retrospective, cross-sectional study. One hundred and two patients discharged from COVID-19 hospitalization in Korea were analyzed. The primary outcome was the correlation between psychological problems such as anxiety, depression, and fear of stigma and physical symptoms such as respiratory symptoms, gastrointestinal symptoms, headache, and fever. Mental and physical symptoms were ascertained using closed and multiple-choice questions. The secondary outcome was the correlation between mental issues, demographic factors, and disease severity. Hypoxia and the need for oxygen therapy, a need for remdesivir antiviral treatment, and indications of pneumonia progression on chest x-ray were confirmed through a review of medical records and used to measure disease severity.
Patients with COVID-19 indicated feelings of depression (48.1%), anxiety (49.1%), and fear of stigma (60.45%), and some continued to experience physical symptoms even after discharge. Logistic regression revealed that gastrointestinal symptoms positively correlated with depression (p < .05) and headache positively correlated with fear of stigma (p < .05), while the other factors were not statistically significant (p > .05).
This study showed that psychological symptoms persisted even after discharge. Gastrointestinal symptoms and headache were influential factors in predicting depression and fear of stigma. Based on this, dedicated COVID-19 hospitals should provide mental health support and preventive management.
COVID-19 大流行对 COVID-19 患者的身心健康状况产生了重大影响。本研究的目的是评估与 COVID-19 隔离患者心理健康相关的因素。
这是一项回顾性、横断面研究。对韩国 102 名从 COVID-19 住院中出院的患者进行了分析。主要结局是评估焦虑、抑郁和对污名化的恐惧等心理问题与呼吸症状、胃肠道症状、头痛和发热等躯体症状之间的相关性。使用封闭和多项选择题来确定精神和躯体症状。次要结局是评估心理问题、人口统计学因素和疾病严重程度之间的相关性。通过回顾病历来确认缺氧和需要氧疗、需要瑞德西韦抗病毒治疗以及胸部 X 光显示肺炎进展的指征，以衡量疾病严重程度。
COVID-19 患者表现出抑郁（48.1%）、焦虑（49.1%）和对污名化的恐惧（60.45%），一些患者即使出院后仍持续存在躯体症状。逻辑回归显示，胃肠道症状与抑郁呈正相关（p < 0.05），头痛与对污名化的恐惧呈正相关（p < 0.05），而其他因素无统计学意义（p > 0.05）。
本研究表明，即使出院后仍存在心理症状。胃肠道症状和头痛是预测抑郁和对污名化恐惧的影响因素。基于此，专门的 COVID-19 医院应提供心理健康支持和预防管理。
