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从 COVID-19 中康复 - 一个充满不确定性的过程:一项定性研究。

Recovering from COVID-19 - A Process Characterised by Uncertainty: A Qualitative study.

机构信息

Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg; Department of Health Science, University West, Trollhattan.

Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg; Department of Social Work, University of Gothenburg, Gothenburg.

出版信息

J Rehabil Med. 2022 Sep 9;54:jrm00326. doi: 10.2340/jrm.v54.2739.

Abstract

OBJECTIVE

To obtain a deeper understanding of the lived experiences of patients with COVID-19, the recovery process and consequences for everyday life 6 months after hospital discharge.

DESIGN

An explorative qualitative study using individual interviews.

SUBJECTS

A purposive sampling was applied to recruit persons who had received inpatient hospital care, were discharged approximately 6 months previously, were of working age and had persistent self-reported symptoms at a 3-month follow-up appointment.

METHODS

Semi-structured interviews were conducted with 15 participants (10 men, 5 women), which were then transcribed and analysed with inductive thematic analysis.

RESULTS

Three themes were identified: "Status of recovery - two steps forward, one step back", "Remaining symptoms caused limitations in everyday life" and "Strategies for recovery". Participants indicated the recovery process through 6 months after discharge was a challenging road, often involving setbacks. A wide range of persistent, fluctuating, or new symptoms negatively impacted many areas of daily life, with fatigue and lack of energy being especially prominent. Participants used a variety of strategies to cope and recover.

CONCLUSION

This study increases our knowledge of the lived experiences of COVID-19 based individual experiences. Unexpected symptoms in the recovery process were described and not always possible to forecast.

摘要

目的

深入了解 COVID-19 患者出院后 6 个月的生活体验、康复过程和对日常生活的影响。

设计

采用个体访谈的探索性定性研究。

研究对象

采用目的抽样法招募了一些符合以下条件的人员:曾接受过住院治疗、大约在 6 个月前出院、处于工作年龄且在 3 个月随访时仍有持续的自我报告症状。

方法

对 15 名参与者(10 名男性,5 名女性)进行了半结构化访谈,然后对访谈内容进行转录和归纳主题分析。

结果

确定了三个主题:“康复状况——进两步,退一步”“持续存在的症状导致日常生活受限”和“康复策略”。参与者表示,出院后 6 个月的康复过程是一条充满挑战的道路,经常会遇到挫折。各种持续、波动或新出现的症状对日常生活的许多方面都产生了负面影响,其中疲劳和精力不足尤为突出。参与者使用了多种策略来应对和康复。

结论

本研究增加了我们对 COVID-19 个体经验的生活体验的了解。康复过程中出现了意想不到的症状,而且并非总是可以预测。

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