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《COVID-19 男性患者的临床和流行病学特征及个体疾病体验:混合方法研究》

Clinical and epidemiological characteristics and individual experiences of illness in men with COVID-19: mixed method study.

机构信息

Nurse, Municipal Health Department of Quixabeira, Bahia, Brazil.

PhD. Professor, Postgraduate Program in Collective Health, Universidade Estadual de Feira de Santana (UEFS), Feira de Santana (BA), Brazil.

出版信息

Sao Paulo Med J. 2022 Nov-Dec;140(6):798-805. doi: 10.1590/1516-3180.2021.0747.R1.22022022.

Abstract

BACKGROUND

Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, studies have shown that this disease has affected the male population on a significant scale in various parts of the world, making men one of the main risk groups.

OBJECTIVE

To analyze the clinical and epidemiological characteristics and experiences of illness in men with COVID-19.

DESIGN AND SETTING

A mixed sequential-explanatory study with cross-sectional and exploratory-descriptive approaches.

METHOD

Data was collected from a small municipality located in the central-north region of the state of Bahia, Brazil. Primary quantitative data was extracted from compulsory notification forms from 598 men. Qualitative data from individual interviews of 30 men was analyzed by the Discourse of the Collective Subject method.

RESULTS

The findings identified the characterization of reports of suspected and confirmed cases of COVID-19 in men, the organization of the healthcare system, and strategies for the control and combat of COVID-19 directed towards the men of the investigated municipality. They revealed the clinical characteristics based on the collective discourse of men with COVID-19.

CONCLUSION

In men, the individual experience of disease explicitly explains the clinical markers of COVID-19 expressed by the self-reported syndromic approach. Additionally, this understanding also explains the behaviors observed in their search for health care, as well as the adoption of prevention and control measures and therapies recommended by health professionals.

摘要

背景

自 2019 年冠状病毒病(COVID-19)大流行开始以来,研究表明,这种疾病在世界不同地区对男性人口产生了重大影响,使男性成为主要风险群体之一。

目的

分析 COVID-19 男性患者的临床和流行病学特征及患病经历。

设计和设置

一项混合的顺序解释性研究,采用了横断面和探索性描述方法。

方法

数据来自巴西巴伊亚州中北部一个小镇。从 598 名男性的强制性报告表中提取主要定量数据。对 30 名男性的个体访谈的定性数据采用集体主体话语方法进行分析。

结果

研究结果确定了报告疑似和确诊 COVID-19 男性病例的特征、医疗保健系统的组织以及针对调查市镇男性的 COVID-19 控制和防治策略。研究揭示了基于 COVID-19 男性的集体话语的临床特征。

结论

在男性中,疾病的个体经历明确解释了通过自我报告的综合方法表达的 COVID-19 的临床标志物。此外,这一理解还解释了他们在寻求医疗保健时观察到的行为,以及对卫生专业人员推荐的预防和控制措施及疗法的采纳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ad9/9671566/93a07c68bd70/1806-9460-spmj-1516-3180-2021-0747-r1-22022022-gf1.jpg

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