Amedewonu Esinam Aku, Aryeetey Genevieve Cecilia, Godi Anthony, Sackeyfio Josephine, Dai-Kosi Alfred Dickson, Ndanu Thomas Akuetteh
Department of Anaesthesia, Korle Bu Teaching Hospital, Accra, Ghana.
Department of Health Policy, Planning and Management, School of Public Health, Colleges of Health Sciences, University of Ghana, Legon, Accra, Ghana.
PLoS One. 2025 Jan 8;20(1):e0310921. doi: 10.1371/journal.pone.0310921. eCollection 2025.
The Coronavirus Disease (COVID-19) is a disease with diverse effects on multiple organ systems, leading to varying presentations and severe complications. As the pandemic progresses, the challenges faced by those who recovered from the disease evolved as various coping strategies were adopted post recovery.
This study investigated the coping strategies used by individuals recovering from COVID-19 to manage the physical, psychological, and social impacts of the disease. It further explored the factors influencing these strategies and their correlation with post-recovery quality of life.
This cross-sectional quantitative study involved 150 participants who attended the Ghana Infectious Disease Centre's post-COVID-19 review clinic between January and June 2021. Coping mechanisms were evaluated using the Brief-COPE questionnaire, which covers 28 strategies across three styles: Problem-focused coping, emotional-focused coping, and avoidant coping. Participants rated their coping strategies on a 4-point Likert scale. Analysis of variance was used to determine differences in use of coping strategies. Quality of life was assessed with the EuroQol Group Association five-domain, five-level questionnaire (EQ-5D-5L) and the EQ-VAS scale. Spearman correlation analyzed the relationship between coping strategies and quality of life.
Majority of the study participants used problem-focused (2.71 ± 0.64 SD) type of coping strategy, followed by emotional-focused coping (2.32 ± 0.43 SD). The least strategy used was avoidant coping (1.57 ± 0.39 SD). Older participants, non-healthcare workers, and those with complications or persistent symptoms exhibited higher scores in avoidant and problem-focused coping. Those with persistent symptoms had higher emotional-focused coping scores. Better quality of life was associated with less reliance on all types of coping strategies.
Patients recovering from COVID-19 at the Ghana Infectious Disease Centre used positive coping mechanisms effectively. Key predictors of coping strategies included age, persistent symptoms, and complications. Improved quality of life is correlated with reduced use of coping strategies.
冠状病毒病（COVID-19）是一种对多个器官系统有多种影响的疾病，会导致不同的症状表现和严重并发症。随着疫情的发展，康复者面临的挑战也在演变，因为康复后他们采取了各种应对策略。
本研究调查了COVID-19康复者用于应对该疾病对身体、心理和社会影响的应对策略。进一步探讨了影响这些策略的因素及其与康复后生活质量的相关性。
这项横断面定量研究涉及150名参与者，他们于2021年1月至6月期间前往加纳传染病中心的COVID-19康复复查诊所。使用简易应对方式问卷（Brief-COPE）评估应对机制，该问卷涵盖三种方式的28种策略：问题聚焦应对、情绪聚焦应对和回避应对。参与者根据4点李克特量表对其应对策略进行评分。采用方差分析确定应对策略使用情况的差异。使用欧洲生活质量五维度五水平问卷（EQ-5D-5L）和EQ视觉模拟量表（EQ-VAS）评估生活质量。采用Spearman相关性分析应对策略与生活质量之间的关系。
大多数研究参与者使用问题聚焦型（2.71±0.64标准差）应对策略，其次是情绪聚焦应对（2.32±0.43标准差）。使用最少的策略是回避应对（1.57±0.39标准差）。年龄较大的参与者、非医护人员以及有并发症或持续症状的参与者在回避应对和问题聚焦应对方面得分较高。有持续症状的参与者情绪聚焦应对得分较高。更好的生活质量与较少依赖所有类型的应对策略相关。
在加纳传染病中心康复的COVID-19患者有效使用了积极的应对机制。应对策略的关键预测因素包括年龄、持续症状和并发症。生活质量的改善与应对策略使用的减少相关。
