Department of Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Centre for Human and Applied Physiological Sciences, King's College London, Faculty of Life Sciences & Medicine, London, UK.
Health Expect. 2024 Jun;27(3):e14108. doi: 10.1111/hex.14108.
Many people experience persistent symptoms for more than 12 weeks following SARS-CoV-2 infection, which is known as post-COVID-19 condition (PCS) or Long COVID (LC). PCS can impair people's quality of life and daily functioning. However, there is a lack of in-depth research exploring the PCS patient journey, as well as gendered aspects of patients' experiences.
Nineteen semi-structured qualitative interviews were conducted with people living with PCS in the United Kingdom (13 women, 6 men). Interviews were transcribed verbatim and analysed inductively using reflexive thematic analysis.
Five main themes were identified: 'Symptom dismissal', 'Lack of information and support', 'Life before and after Long COVID', 'Psychological impact' and 'Acceptance'. A shift overtime to self-management of symptoms was evident. These themes represent different stages of patients' PCS journey. Narratives indicated that women highlighted dismissal by healthcare professionals (HCPs), which was not as prominent in men's narratives. In addition, women went into more detail about the psychological impact of PCS compared to men.
Women with PCS reported symptom dismissal by HCPs, which may have delayed their diagnosis and negatively affected their well-being. We were not able to explore the experiences of people from non-conforming gender groups. Raising awareness of these issues among HCPs, particularly general practitioners, could improve patient care in PCS.
Patient and public involvement consisted of people who took part in the interviews and commented on the themes' interpretation and study conclusions.
许多人在感染 SARS-CoV-2 后超过 12 周仍持续出现症状,这被称为新冠后状况(PCS)或长新冠(LC)。PCS 会降低人们的生活质量和日常功能。然而,目前缺乏深入研究来探索 PCS 患者的就医历程,以及患者体验的性别差异。
在英国,对 19 名患有 PCS 的患者进行了 19 次半结构化定性访谈(13 名女性,6 名男性)。访谈内容逐字转录,并使用反思性主题分析进行了归纳分析。
确定了五个主要主题:“症状被忽视”“缺乏信息和支持”“长新冠之前和之后的生活”“心理影响”和“接受”。症状自我管理的转变在患者就医历程中是明显的。这些主题代表了患者 PCS 之旅的不同阶段。叙述表明,女性更关注医疗保健专业人员(HCPs)的忽视,而男性的叙述中则不那么突出。此外,女性比男性更详细地描述了 PCS 的心理影响。
患有 PCS 的女性报告称 HCPs 忽视了她们的症状,这可能导致她们的诊断延迟,并对她们的健康产生负面影响。我们无法探索非传统性别群体的人的经历。提高 HCP,特别是全科医生对这些问题的认识,可以改善 PCS 的患者护理。
患者和公众参与包括参与访谈的人员,并对主题的解释和研究结论发表意见。