Perceived psychological impact of COVID-19 on patients with selected chronic diseases and their coping strategies

H. Priyadarsini, I. Jesudoss, Angeline Jeya Rani
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Abstract

Corona Virus Disease-19 (COVID-19) has caused psychological distress in patients with chronic diseases, irrespective of whether they had contracted COVID infection or not. However, coping with such serious impact is necessary and the outcome varies based on the coping strategies adapted. Hence this research was conducted to analyze the perceived psychological impact of COVID-19 on patients affected with selected chronic diseases and their coping strategies. Following proportionate stratified Sampling technique 144 Subjects, who had not contracted COVID-19 during the study period but were admitted with history of selected chronic diseases such as diabetes, hypertension, heart disease in selected acute care, adult wards of a tertiary care hospital in India, were selected for the study. After obtaining consent, data was collected through interview using researcher prepared instrument. Majority of the study Subjects (57.6%) were above 50 years of age and 56.9% were females. 13.6% of the subjects expressed moderate psychological impact due to COVID pandemic. 64% of the study subjects reported to practice less amount of avoidant coping. Majority of them (62.5%) had followed high amounts of emotion focused coping and 34% of them had followed problem focused coping. As we continue to face ongoing threats of COVID, it is our vital responsibility to teach patients and public on positive coping strategies to reduce their psychological impact and to prevent them from taking resort with maladaptive coping strategies.
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COVID-19对选定慢性病患者的心理影响及其应对策略
冠状病毒病-19 (COVID-19)对慢性疾病患者造成了心理困扰,无论他们是否感染了COVID-19。然而,应对这种严重的影响是必要的,结果因所采用的应对策略而异。因此,本研究旨在分析COVID-19对慢性疾病患者的感知心理影响及其应对策略。采用比例分层抽样技术,144名受试者在研究期间未感染COVID-19,但在印度一家三级医院的选定急性护理成人病房中有选定的慢性疾病史,如糖尿病、高血压、心脏病。在征得同意后,使用研究者准备的工具通过访谈收集数据。大多数研究对象(57.6%)年龄在50岁以上,56.9%为女性。13.6%的受试者表现出中等程度的心理影响。64%的研究对象报告说,他们练习回避应对的次数减少了。他们中的大多数(62.5%)采取了高度关注情绪的应对方式,34%的人采取了关注问题的应对方式。随着我们继续面临COVID的持续威胁,我们的重要责任是向患者和公众传授积极的应对策略,以减少他们的心理影响,并防止他们采取适应不良的应对策略。
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