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在生死之间——新冠肺炎幸存者在重症监护治疗 12 至 18 个月后的体验。

Being between life and death-experiences of COVID-19 survivors 12 to 18 months after being treated in intensive care.

机构信息

Medical Unit: Clinical Social Work, Karolinska University Hospital, Stockholm, Sweden.

Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2024 Dec;19(1):2398223. doi: 10.1080/17482631.2024.2398223. Epub 2024 Sep 5.

DOI:10.1080/17482631.2024.2398223
PMID:39238148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11382733/
Abstract

PURPOSE

This study aims to explore the experiences of care, psychosocial support, and psychosocial wellbeing among patients treated for COVID-19 in intensive care 12 to 18 months after discharge.

METHODS

This study used a qualitative approach with a descriptive design. Semi-structured interviews were performed with 20 adult patients treated for COVID-19 12 to 18 months after being discharged from a university hospital in Sweden. Data were analysed using qualitative content analysis.

FINDINGS

The participants were severely affected by COVID-19 both during the hospital stay and afterwards. They experienced overwhelming fears and uncertainties related to their wellbeing and possibility to recover. The care was described chaotic with staff that were stressed; however, the efforts of the staff during this strenuous circumstance were still positively acknowledged. Difficulties to stay in touch with family and friends due to visiting restrictions affected the patient's psychosocial wellbeing.

CONCLUSION

Contracting COVID-19 in the beginning of the pandemic was a stressful event. Being seen and heard is of importance as it has the possibility to create a feeling of security and being cared for despite unclarities about treatment and illness trajectory. Accordingly, healthcare staff play an important role for the psychosocial wellbeing of patients treated for COVID-19.

摘要

目的

本研究旨在探讨 COVID-19 重症患者出院 12 至 18 个月后在重症监护病房接受治疗的护理、社会心理支持和社会心理健康体验。

方法

本研究采用定性方法和描述性设计。对 20 名在瑞典一所大学医院接受 COVID-19 治疗 12 至 18 个月后出院的成年患者进行了半结构化访谈。使用定性内容分析法对数据进行分析。

结果

参与者在住院期间和之后都受到了严重影响。他们对自己的健康状况和康复可能性感到恐惧和不确定。护理工作被描述为混乱的,工作人员压力很大;然而,在这种艰难的情况下,工作人员的努力仍然得到了积极的认可。由于探视限制,患者难以与家人和朋友保持联系,这影响了他们的社会心理健康。

结论

在大流行初期感染 COVID-19 是一个压力事件。被看到和听到很重要,因为这有可能在治疗和疾病轨迹不明确的情况下产生安全感和被照顾的感觉。因此,医护人员在 COVID-19 患者的社会心理健康方面发挥着重要作用。

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本文引用的文献

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Surviving COVID-19: patients' experiences of care and path to recovery.新冠幸存者:患者的护理体验和康复之路。
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2301953. doi: 10.1080/17482631.2024.2301953. Epub 2024 Jan 7.
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The distorted memories of patients treated in the intensive care unit during the COVID-19 pandemic: A qualitative study.新冠疫情期间重症监护病房患者的记忆扭曲:一项定性研究。
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Post-Traumatic Growth and Resilience among Hospitalized COVID-19 Survivors: A Gendered Analysis.COVID-19 住院幸存者的创伤后成长和韧性:基于性别的分析。
Int J Environ Res Public Health. 2022 Aug 14;19(16):10014. doi: 10.3390/ijerph191610014.
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The psychological impact of quarantine due to COVID-19: A systematic review of risk, protective factors and interventions using socio-ecological model framework.2019冠状病毒病疫情下隔离措施造成的心理影响:基于社会生态模型框架对风险、保护因素及干预措施的系统综述
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Differences Between Posttraumatic Growth and Resiliency: Their Distinctive Relationships With Empathy and Emotion Recognition Ability.创伤后成长与心理韧性之间的差异:它们与同理心和情绪识别能力的独特关系。
Front Psychol. 2022 Mar 28;13:825161. doi: 10.3389/fpsyg.2022.825161. eCollection 2022.
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Psychological experience of COVID-19 patients: A systematic review and qualitative meta-synthesis.新型冠状病毒肺炎患者的心理体验:系统评价和定性荟萃分析。
Am J Infect Control. 2022 Jul;50(7):809-819. doi: 10.1016/j.ajic.2022.01.023. Epub 2022 Feb 2.
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Intensive care-treated COVID-19 patients' perception of their illness and remaining symptoms.重症监护治疗的 COVID-19 患者对其疾病和遗留症状的感知。
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Death Anxiety Associated With Coronavirus (COVID-19) Disease: A Systematic Review and Meta-Analysis.与冠状病毒(COVID-19)疾病相关的死亡焦虑:系统评价和荟萃分析。
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