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居家隔离 COVID-19 成年患者的健康状况和管理措施。

Health Status and Management Practices of Home Isolated COVID-19 Adult Patients.

机构信息

Nepal Health Research Council, Ramshah Path, Kathmandu, Nepal.

出版信息

J Nepal Health Res Counc. 2023 Mar 9;20(3):593-598. doi: 10.33314/jnhrc.v20i3.4155.

DOI:10.33314/jnhrc.v20i3.4155
PMID:36974843
Abstract

BACKGROUND

The worldwide containment strategy for COVID-19 outbreak includes laboratory-confirmed cases, and their isolation and management in health care institutions or at home. The spread of the COVID-19 virus has mandated home isolation for mild cases, as recommended by the Government of Nepal. Isolation is a situation that can have a substantial influence on physical and mental health of isolated people. This study is aimed to assess physical and mental well-being of COVID-19 home isolated patients, and their home management practices.

METHODS

A descriptive cross-sectional research using quantitative methods was carried out. Purposive sampling was used to select COVID-19 patients. Total 536 COVID-19 home isolated patients were included in this study. Telephonic interview was conducted to obtain the data. Descriptive analysis was done and interpreted.

RESULTS

About 34 % of the participants were symptomatic. The most common symptoms experienced were fever (22.6%), followed by cough (19.4%) and cold (16.1%). About 20 % indicated having difficulties isolating at home due to lack of separate room. Furthermore, 4 percent of the participants didn't have anyone to take care of them at home. Also almost 2 percent of participants didn't get family support when infected. Moreover, majorities of individuals had normal stress, depression and anxiety level.

CONCLUSIONS

Most of the participants' physical and mental health was found to be normal though some of them experienced difficulties for management during home isolation. Hence, Interventions should focus resilience building by improving communication to address fears and concerns, encouraging routines and physical activities, and taking measures to reduce loneliness.

摘要

背景

COVID-19 疫情的全球防控策略包括实验室确诊病例,并将其在医疗机构或家中进行隔离和管理。由于 COVID-19 病毒的传播,尼泊尔政府建议对轻症病例进行居家隔离。隔离会对被隔离人员的身心健康产生重大影响。本研究旨在评估 COVID-19 居家隔离患者的身心健康状况及其居家管理实践。

方法

采用定量方法进行描述性横断面研究。采用目的抽样法选择 COVID-19 患者。本研究共纳入 536 名 COVID-19 居家隔离患者。通过电话访谈获取数据。进行描述性分析并进行解释。

结果

约 34%的参与者有症状。最常见的症状是发热(22.6%),其次是咳嗽(19.4%)和感冒(16.1%)。约 20%的人表示由于缺乏单独的房间,在家中隔离存在困难。此外,4%的参与者在家中无人照顾。几乎 2%的感染者没有得到家庭支持。此外,大多数人压力、抑郁和焦虑水平正常。

结论

尽管一些人在居家隔离期间存在管理困难,但大多数参与者的身心健康状况正常。因此,干预措施应侧重于通过改善沟通来解决恐惧和担忧、鼓励日常生活和体育活动以及采取措施减少孤独感来增强适应力。

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