基于“适时”框架的 COVID-19 患者心理体验的纵向定性研究。

Longitudinal qualitative study on the psychological experiences of COVID-19 patients based on timing it right framework.

机构信息

Hemtology Department, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.

Intensive Care Unit, Ningbo No. 2 Hospital, Ningbo, Zhejiang, China.

出版信息

Sci Rep. 2024 May 30;14(1):12409. doi: 10.1038/s41598-024-63215-4.

Abstract

Timing it right framework was used as a framework to explore the illness experiences of patients infected with COVID-19 and to analyze the patients' perceptions of the disease and their true inner feelings to provide a reference for the control of infectious diseases. This research adopted a phenomenological research approach to develop a longitudinal qualitative study. A purposive sampling method was used to select participants and 37 patients were recruited. Depending on the principle that participants should have maximum variation and sampling should cease when interviews content saturation is achieved, 16 COVID-19 patients in an isolation ward in Ningbo City, Zhejiang Province were finally included. Data were collected using semi-structured interviews, and the content of the interviews was analyzed by Colaizzi's 7-step method. The themes of COVID-19 patients' experiences at various phase were presented as follows: multiple emotions intertwined at the time of diagnosis (anxiety, stressful panic, facing the diagnosis calmly), multiple pressures during the hospitalization period (concerns about the disease, unable to adapt to the ward environment, worrying about future hardship), growth of positive illness experience during the isolation and observation period (sublimated outlook on life, affirmation of the government's anti-epidemic policy, more concerned about their own health), adjustment after returning to society (stigma, loss of previous living environment, problems caused by nucleic acid testing), and adaptation to social life (return to normal life, avoidance of illness experience, post-covid-19 syndrome). The illness experience of COVID-19 patients changed dynamically with time, but a sense of shame and uncertainty about recovery was present throughout the process. Interventions should be developed according to the needs of the patients at different times to inform subsequent optimization of care and management of infectious diseases.

摘要

采用“适时框架”作为框架,探索感染 COVID-19 患者的患病经历,并分析患者对疾病的认知和真实感受,为传染病的控制提供参考。本研究采用现象学研究方法进行纵向定性研究。采用目的抽样法选择参与者,招募了 37 名参与者。根据参与者应具有最大变异性的原则,并且当访谈内容达到饱和时应停止采样,最终纳入了浙江省宁波市隔离病房的 16 名 COVID-19 患者。使用半结构式访谈收集数据,并采用 Colaizzi 的 7 步方法分析访谈内容。COVID-19 患者在各个阶段的经历主题如下:诊断时的多种情绪交织(焦虑、紧张恐慌、冷静面对诊断)、住院期间的多种压力(对疾病的担忧、无法适应病房环境、担心未来的困难)、隔离观察期间积极的疾病体验增长(人生观升华、对政府防疫政策的肯定、更加关注自己的健康)、返回社会后的调整(污名化、失去以前的生活环境、核酸检测引起的问题)和适应社会生活(回归正常生活、避免疾病经历、新冠后综合征)。COVID-19 患者的患病经历随时间动态变化,但整个过程中都存在羞耻感和对康复的不确定性。应根据患者在不同时间的需求制定干预措施,以便为后续优化传染病护理和管理提供信息。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索