School of Medicine, Walailak University, Thasala, Nakhon Si Thammarat 80160, Thailand.
Family Medicine Clinic, Walailak University Hospital, Thasala, Nakhon Si Thammarat 80160, Thailand.
Int J Environ Res Public Health. 2022 Aug 7;19(15):9727. doi: 10.3390/ijerph19159727.
Individuals with chronic non-communicable diseases (NCDs) have a higher risk of morbidity and mortality. This study explores the lived experience of patients with NCDs during the COVID-19 pandemic and the impact of COVID-19 on their self-care. An interpretive phenomenological analysis approach was used that involved in-depth interviews with patients who received medical services from a family medicine clinic, along with caregivers who responded on their behalf. An inductive thematic approach was utilized to analyze the data. Interview respondents included 17 patients with NCDs and four caregivers. The patients had a mean age of 65.7 ± 11.3 years and were diagnosed with an NCD, a mean of 4.8 ± 1.1 years previously. Self-care practices used during the pandemic were classified as therapeutic or preventive. Patients responded to changes in healthcare services by seeking in-person services for their acute illnesses and accepting remote services for underlying chronic conditions. The COVID-19 pandemic influenced the self-care practices of patients with NCDs. Most patients paid more attention to self-care during this time, while some became more concerned with other aspects of their life.
患有慢性非传染性疾病(NCD)的个体有更高的发病和死亡风险。本研究探讨了 COVID-19 大流行期间 NCD 患者的生活体验,以及 COVID-19 对他们自我护理的影响。采用解释现象学分析方法,对从家庭医学诊所接受医疗服务的患者以及代表他们做出回应的护理人员进行深入访谈。采用归纳主题方法分析数据。访谈对象包括 17 名患有 NCD 的患者和 4 名护理人员。患者的平均年龄为 65.7 ± 11.3 岁,被诊断患有 NCD 的平均时间为 4.8 ± 1.1 年前。大流行期间使用的自我护理实践分为治疗性或预防性。患者通过寻求门诊服务治疗急性疾病和接受远程服务治疗潜在慢性疾病来应对医疗服务的变化。COVID-19 大流行影响了患有 NCD 患者的自我护理实践。大多数患者在此期间更加关注自我护理,而一些患者则更加关注生活的其他方面。