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新冠长期症状患者对其工作和个人生活中社会支持的认知:一项定性研究

Long COVID Patients' Perceptions of Social Support in Their Work and Personal Lives: A Qualitative Study.

作者信息

Tarver Willi L, Hu Xiaodan, MacEwan Sarah R, Gaughan Alice A, McAlearney Ann Scheck

机构信息

Department of Internal Medicine, Division of Cancer Prevention and Control, The Ohio State University Wexner Medical Center, Columbus, OH 43202, USA.

Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus, OH 43202, USA.

出版信息

Healthcare (Basel). 2025 Jun 30;13(13):1568. doi: 10.3390/healthcare13131568.

DOI:10.3390/healthcare13131568
PMID:40648596
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12249271/
Abstract

The onset and persistence of Long COVID can lead to cognitive and functional impairment, contributing to illness-induced employment and work disparities. Understanding how social support influences these issues can inform care strategies and support continued workforce participation. : This study explored perceptions of social support among patients with Long COVID. : Semi-structured interviews were conducted with 21 patients receiving care at a post-COVID recovery clinic. Patient perspectives on social support in their work and personal lives were analyzed using both inductive and deductive thematic analysis. Findings were organized under the following five dimensions of social support theory: tangible support, emotional support, informational support, appraisal support, and belonging support. : Patients received positive tangible, emotional, and informational support from family, friends, and credible sources. However, patients also described receiving negative appraisal support from their personal lives and workplaces when others misunderstood the scope and duration of their limitations due to Long COVID. This negative appraisal support often labeled them as lazy or underperforming, leading to both personal and professional challenges to their self-esteem. Regarding companionship support, participants reported challenges keeping in touch with others and being less social. : Social support impacts Long COVID patients' abilities to cope with the trauma of their experiences. Understanding the sources of and barriers to social support for Long COVID patients may inform strategies to enhance their care and well-being. Future interventions should offer opportunities for family, friends, and employers of Long COVID patients to learn about what it means to live with the illness.

摘要

长期新冠的发作和持续存在会导致认知和功能障碍,加剧疾病引发的就业和工作差异。了解社会支持如何影响这些问题可为护理策略提供依据,并支持持续的劳动力参与。本研究探讨了长期新冠患者对社会支持的看法。对在新冠康复诊所接受治疗的2名患者进行了半结构化访谈。使用归纳和演绎主题分析法分析了患者在工作和个人生活中对社会支持的看法。研究结果按照社会支持理论的以下五个维度进行组织:实际支持、情感支持、信息支持、评价支持和归属感支持。患者从家人、朋友和可靠来源获得了积极的实际、情感和信息支持。然而,患者也描述说,当其他人误解他们因长期新冠导致的局限性的范围和持续时间时,他们在个人生活和工作场所得到了负面的评价支持。这种负面的评价支持常常将他们贴上懒惰或表现不佳的标签,给他们的自尊带来个人和职业方面的挑战。关于陪伴支持,参与者报告了在与他人保持联系和社交方面存在困难。社会支持影响长期新冠患者应对自身经历创伤的能力。了解长期新冠患者社会支持的来源和障碍可为改善他们的护理和福祉的策略提供依据。未来的干预措施应为长期新冠患者的家人、朋友和雇主提供机会,让他们了解与这种疾病共存意味着什么。

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本文引用的文献

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Int J Rheum Dis. 2025 May;28(5):e70234. doi: 10.1111/1756-185X.70234.
2
The Impact of Long COVID on Employment and Well-Being: A Qualitative Study of Patient Perspectives.长期新冠对就业和幸福感的影响:一项关于患者观点的定性研究
J Gen Intern Med. 2025 Apr;40(5):1070-1077. doi: 10.1007/s11606-024-09062-5. Epub 2024 Oct 8.
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Long COVID: a clinical update.长新冠:临床更新。
Lancet. 2024 Aug 17;404(10453):707-724. doi: 10.1016/S0140-6736(24)01136-X. Epub 2024 Jul 31.
4
Definitions and symptoms of the post-COVID syndrome: an updated systematic umbrella review.新冠后综合征的定义与症状:一项最新的系统性综合综述
Eur Arch Psychiatry Clin Neurosci. 2025 Feb;275(1):129-140. doi: 10.1007/s00406-024-01868-y. Epub 2024 Jul 25.
5
Impacts of Long COVID on workers: A longitudinal study of employment exit, work hours and mental health in the UK.长新冠对劳动者的影响:英国对就业离职、工作时间和心理健康的纵向研究。
PLoS One. 2024 Jun 26;19(6):e0306122. doi: 10.1371/journal.pone.0306122. eCollection 2024.
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The long COVID and its mental health manifestations - the review of literature.长新冠及其心理健康表现——文献综述。
Int J Occup Med Environ Health. 2024 Sep 10;37(3):360-380. doi: 10.13075/ijomeh.1896.02373. Epub 2024 Jun 21.
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The chronically ill in the labour market - are they hierarchically sorted by education?劳动力市场中的慢性病患者——他们是否按照教育程度进行等级排序?
Int J Equity Health. 2024 Mar 25;23(1):66. doi: 10.1186/s12939-024-02148-w.
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Cognitive Symptoms of Post-COVID-19 Condition and Daily Functioning.新冠后症状与日常功能认知。
JAMA Netw Open. 2024 Feb 5;7(2):e2356098. doi: 10.1001/jamanetworkopen.2023.56098.
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