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西班牙长新冠患者对医疗援助的看法:一项定性研究的见解

Perceptions of Long COVID Patients Regarding Health Assistance: Insights from a Qualitative Study in Spain.

作者信息

Moratalla-Cebrian Maria Leopolda, Marcilla-Toribio Irene, Berlanga-Macias Carlos, Perez-Moreno Ana, Garcia-Martinez Maria, Martinez-Andres Maria

机构信息

Health and Social Research Centre, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain.

Faculty of Nursing, Universidad de Castilla-La Mancha, 02071 Albacete, Spain.

出版信息

Nurs Rep. 2024 Nov 4;14(4):3361-3377. doi: 10.3390/nursrep14040243.

Abstract

OBJECTIVE

This study investigates the perceptions of Long COVID patients in Spain regarding the healthcare they receive to identify demands and areas for improvement.

METHODS

Using a qualitative descriptive phenomenological approach, the study included 27 participants selected through non-probabilistic convenience sampling. Data were collected via online semi-structured interviews and analyzed using thematic analysis.

RESULTS

The findings reveal three key themes: (i) health status and challenges in healthcare during the initial COVID-19 infection; (ii) perceptions about healthcare as Long COVID patients; and (iii) demand for and aspects of improving quality of healthcare. The participants, predominantly women (66.67%) with a median age of 51 years, experienced symptoms that they generally perceived as severe, although only 14.81% required hospitalization. The participants reported initial self-management of symptoms at home, which was influenced by familial responsibilities and hospital overcrowding, and the persistence of a wide range of Long COVID symptoms that significantly impacted their daily lives. Satisfaction with healthcare services varied, with frustrations over systemic inefficiencies and long waiting times.

CONCLUSIONS

The study highlights the need for timely access to medical care, comprehensive and empathetic healthcare services, and specialized Long COVID units. The results emphasize the importance of patient-centered approaches and multidisciplinary care to address the complex nature of Long COVID effectively. These findings provide crucial insights for improving healthcare protocols and systems to better support Long COVID patients. This study was prospectively registered with the Ethics Committee for Research on Medicines of the Albacete Integrated Health Care Management System (registry) on 22 February 2022 with registration number 2022/001.

摘要

目的

本研究调查了西班牙长期新冠患者对其所接受医疗服务的看法,以确定需求和改进领域。

方法

采用定性描述现象学方法,通过非概率便利抽样选取了27名参与者。通过在线半结构化访谈收集数据,并使用主题分析法进行分析。

结果

研究结果揭示了三个关键主题:(i)初始新冠病毒感染期间的健康状况和医疗挑战;(ii)作为长期新冠患者对医疗服务的看法;(iii)对改善医疗服务质量的需求及方面。参与者主要为女性(66.67%),中位年龄为51岁,他们经历的症状通常被认为较为严重,尽管只有14.81%的人需要住院治疗。参与者报告称最初在家中自行管理症状,这受到家庭责任和医院过度拥挤的影响,且长期新冠症状持续存在,严重影响了他们的日常生活。对医疗服务的满意度各不相同,对系统效率低下和等待时间过长感到沮丧。

结论

该研究强调了及时获得医疗护理、全面且富有同情心的医疗服务以及专门的长期新冠病房的必要性。结果强调了以患者为中心的方法和多学科护理对于有效应对长期新冠复杂性的重要性。这些发现为改进医疗协议和系统以更好地支持长期新冠患者提供了关键见解。本研究于2022年2月22日在阿尔瓦塞特综合医疗管理系统药品研究伦理委员会(登记处)进行了前瞻性注册,注册号为2022/001。

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