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长新冠对英国生活质量和医疗保健的影响:一项混合方法的在线调查。

Long COVID quality of life and healthcare experiences in the UK: a mixed method online survey.

机构信息

School of Human Sciences, University of Derby, Derby, UK.

Long COVID Physiotherapy, London, UK.

出版信息

Qual Life Res. 2024 Jan;33(1):133-143. doi: 10.1007/s11136-023-03513-y. Epub 2023 Sep 22.

Abstract

PURPOSE

The complexity of long COVID and its diverse symptom profile contributes to unprecedented challenges for patients, clinicians, and healthcare services. The threat of long COVID remains ignored by Governments, the media and public health messaging, and patients' experiences must be heard through understanding of the lived experience. This study aimed to understand the lived experience of those living with long COVID.

METHODS

An online web-based survey was designed using Patient and Public Involvement and Engagement (PPIE) to increase understanding of the lived experiences of long COVID, and was distributed through PPIE groups, social media, and word of mouth. The survey used closed and open questions relating to demographics, pre- and post-COVID-19 health quality of life, daily activities and long COVID experiences.

RESULTS

Within our sample of 132 people living with long COVID, the findings highlight that individuals are being severely impacted by their symptoms and are unable to or limited in participating in their daily activities, reducing quality of life. Long COVID places strain on relationships, the ability to live life fully and is detrimental to mental health. Varying health care experiences are described by participants, with reports of medical gaslighting and inadequate support received.

CONCLUSIONS

Long COVID has a severe impact on the ability to live life fully, and strains mental health. The appropriate mechanisms and support services are needed to support those living with long COVID and manage symptoms.

摘要

目的

长新冠的复杂性及其多样化的症状特征给患者、临床医生和医疗服务带来了前所未有的挑战。政府、媒体和公共卫生信息忽视了长新冠的威胁,必须通过了解患者的生活体验来倾听患者的意见。本研究旨在了解长新冠患者的生活体验。

方法

本研究采用患者和公众参与和参与(PPIE)设计了在线网络调查,以增加对长新冠患者生活体验的理解,并通过 PPIE 小组、社交媒体和口碑进行了调查。该调查使用了与人口统计学、新冠病毒前后健康生活质量、日常活动和长新冠体验相关的封闭和开放问题。

结果

在我们的 132 名长新冠患者样本中,研究结果强调了个体受到症状的严重影响,无法或有限地参与日常活动,降低了生活质量。长新冠给人际关系、充分享受生活的能力带来压力,对心理健康有害。参与者描述了不同的医疗保健体验,包括医疗忽视和支持不足的报告。

结论

长新冠严重影响了患者充分享受生活的能力,并对心理健康造成压力。需要适当的机制和支持服务来支持长新冠患者并管理症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36a1/10784347/2a7387001507/11136_2023_3513_Fig1_HTML.jpg

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