描述长期 COVID 患者的生活经历和资源需求。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Practice Pub Date : 2024-11-01 Epub Date: 2024-02-15 DOI:10.1177/15248399241228823
David Von Nordheim, Mikayla Johnson, Charlene Caburnay, Sarah Alleman, Matthew Kreuter, Amy McQueen
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引用次数: 0

摘要

长期感染 COVID 的患者在初次感染后会出现持续数周或数月的各种症状,给社会心理造成严重困扰。由于这些患者的症状具有分散性,缺乏有效的治疗方案,而且一些医疗服务提供者对其持怀疑态度,因此他们在与医疗服务提供者进行互动时往往会遇到困难。为了更好地了解这些挑战,本研究试图进一步描述长期 COVID 患者的生活经历。我们在一家专科门诊对接受长程COVID评估的患者(n = 200)进行了一项调查,调查内容包括先前的病情、症状、医疗和支持服务的使用情况以及信息和资源需求等问题。参与者平均报告了 10.75 种持续性症状,其中最常见的是疲劳和注意力难以集中,对日常功能产生了广泛影响。参与者平均向 5.92 名医疗服务提供者寻求症状治疗,88.5% 的参与者认为医疗服务提供者是他们可信赖的信息来源。参与者对研究结果(60.5%)和参与机会(47.5%)的兴趣适中,并因 COVID 疫苗接种状况而异。未接种者(n = 27)也表示对政府信息来源的信任度较低、大学教育程度较低、家庭收入较低以及拥有公共保险的可能性较大。我们的研究结果表明,长期慢性阻塞性肺气肿患者会出现许多持续且复杂的症状,对日常生活造成不同程度的影响;医疗保健提供者是长期慢性阻塞性肺气肿公共卫生信息的重要来源;未接种疫苗的患者与接种疫苗的长期慢性阻塞性肺气肿患者相比,其需求和对信息的接受能力可能有所不同。
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Describing the Lived Experience and Resource Needs of Individuals With Long COVID.

Individuals with long COVID report diverse symptoms lasting weeks or months after initial infection, causing significant psychosocial distress. Navigating health care interactions are often difficult for these individuals due to the diffuse nature of their symptoms, a lack of effective treatment options, and skepticism from some providers. To better understand these challenges, this study sought to further describe the lived experience of individuals with long COVID. A survey was conducted with individuals evaluated for long COVID at a specialty clinic (n = 200), which included questions about prior conditions, symptoms, use of medical and support services, and information and resource needs. Participants reported a mean of 10.75 persistent symptoms, the most common being fatigue and difficulty concentrating, with broad effects on daily functioning. Participants saw a mean of 5.92 providers for treatment of their symptoms, and 88.5% identified health care providers as a trusted source of information. Interest in research findings (60.5%) and opportunities for participation (47.5%) were moderate and varied by COVID vaccination status. Unvaccinated individuals (n = 27) also reported less trust in government sources of information, less college education, lower household income, and greater likelihood of having public insurance. Our findings suggest that individuals with long COVID experience many ongoing and complex symptoms with diverse effects on daily living; that health care providers are an important source for public health messaging about long COVID; and that unvaccinated individuals are likely to have differing needs and receptiveness to information than vaccinated individuals with long COVID.

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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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