健康与社会服务提供者对治疗长期新冠的挑战、方法及建议的看法：对加拿大提供者经历的定性研究

Health and social service provider perspectives on challenges, approaches, and recommendations for treating long COVID: a qualitative study of Canadian provider experiences.

作者信息

Nguyen Anh T P, Ski Chantal F, Thompson David R, Abbey Susan E, Kloiber Stefan, Sheikhan Natasha Yasmin, Selby Peter, Shields Roslyn, Rossell Susan L, Strudwick Gillian, Castle David, Hawke Lisa D

机构信息

Centre for Addiction and Mental Health, Toronto, ON, Canada.

School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.

出版信息

BMC Health Serv Res. 2025 Apr 8;25(1):509. doi: 10.1186/s12913-025-12590-3.

DOI:10.1186/s12913-025-12590-3

PMID:40197282

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11977920/

Abstract

BACKGROUND

Many people who contract the SAR-CoV-2 virus present with multiple persistent and debilitating physical, cognitive and mental health symptoms that endure beyond the acute infection period. This new syndrome - generally referred to as long COVID - negatively affects patients' emotional wellbeing and quality of life, and presents a major challenge for treatment providers. Considering the lack of evidence-based treatment and supports, this qualitative descriptive study explores the experiences of Canadian health and social service providers working with individuals with long COVID, as well as their suggestions for intervention development.

METHODS

Twenty health and social service providers between the ages of 29 and 57 across Canada completed virtual individual interviews to discuss their care experiences and service recommendations for long COVID. Participants were from a range of service sectors, including primary care, rehabilitation, mental health, and community support. Interviews were recorded, transcribed, and analyzed using codebook thematic analysis.

RESULTS

Four themes illustrated providers' the experiences of (1) selecting personalized treatments based on patient presentation and similar conditions amidst uncertainty; and their recommendations for long COVID services, including (2) building an integrated and evidence-based model of care; (3) providing holistic support for patients and families through psychoeducation and daily living resources; and (4) caring for mental health in long COVID.

CONCLUSIONS

Canadian health and social service providers are adopting personalized treatment approaches to address the symptom persistence of long COVID in the face of a considerable knowledge gap. A comprehensive, integrated care pathway is needed to support patients' physical and psychosocial wellbeing while increasing provider preparedness to treat this complex condition.

摘要

背景

许多感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的人会出现多种持续且使人衰弱的身体、认知和心理健康症状，这些症状在急性感染期过后仍会持续。这种新综合征——通常被称为“长新冠”——会对患者的情绪健康和生活质量产生负面影响，给治疗提供者带来重大挑战。鉴于缺乏循证治疗和支持措施，这项定性描述性研究探讨了加拿大卫生和社会服务提供者与“长新冠”患者打交道的经历，以及他们对干预措施开发的建议。