Redlof Saskia, Götz Madlen, Niederberger Marlen
Pädagogische Hochschule Schwäbisch Gmünd, Forschungsmethoden in der Gesundheitsförderung und Prävention, Oberbettringer Straße 200, 73525 Schwäbisch Gmünd, Deutschland.
Pravent Gesundh. 2023;18(1):10-21. doi: 10.1007/s11553-021-00912-2. Epub 2021 Nov 8.
People who belong to the high-risk group are exposed to develop a more severe course of the coronavirus disease and have an increased risk of death if they are infected by COVID-19. To limit the spread of COVID-19 among the population, situationally appropriate regulations are enforced that change the way people live their daily lives.
How does the high-risk group deal with the impact of the coronavirus pandemic, the participatory research of their everyday organization, concerns and own health resources, are the focus of this study.
The photovoice method was used in an online format to analyze the living environment of the high-risk group. In this context three online workshops were conducted. Seven high-risk patients affected by different chronic diseases describe with pictures and stories what COVID-19 means to them and what they are grateful for in this exceptional situation. The recruitment was done by personal contact of the research team with potential participants.
The co-researchers have formulated nine stories expressing their feelings of gratitude towards the healthcare system and their social environment. The question of a social stigmatization of persons with underlying diseases is critically reflected.The high-risk patients act in a health-competent way, consciously apply personal health resources, such as social contacts or health-promoting daily routines, to avoid negative consequences on their health and to increase their well-being.
The co-researchers show a health-competent lifestyle and are able to influence their well-being in a positive way; however, there are indications that the long-term approach to vulnerable communities needs to be discussed, especially concerning discrimination processes and a needs-based health care.
属于高危群体的人如果感染了新冠病毒，感染新冠病毒疾病的病程可能更严重，死亡风险也会增加。为了限制新冠病毒在人群中的传播，实施了因地制宜的规定，改变了人们的日常生活方式。
高危群体如何应对新冠疫情的影响、对他们日常活动、担忧和自身健康资源的参与式研究，是本研究的重点。
采用照片发声法的在线形式分析高危群体的生活环境。在此背景下举办了三场在线研讨会。七名受不同慢性病影响的高危患者用图片和故事描述了新冠病毒对他们意味着什么，以及在这种特殊情况下他们感激的事情。招募工作是通过研究团队与潜在参与者的个人联系完成的。
共同研究者们撰写了九个故事，表达了他们对医疗系统和社会环境的感激之情。对患有基础疾病的人是否会受到社会污名化的问题进行了批判性反思。高危患者以健康的方式行事，有意识地运用个人健康资源，如社交联系或促进健康的日常习惯，以避免对自身健康产生负面影响并提高幸福感。
共同研究者们展现出了健康的生活方式，并且能够以积极的方式影响自身幸福感；然而，有迹象表明，需要讨论针对弱势群体的长期措施，尤其是关于歧视过程和基于需求的医疗保健。
