“在三级护理医院接受新冠肺炎治疗的患者的心理后果和应对策略”:一项定性研究

Satyajeet Patil, M. Datar, J. Shetty, N. Naphade
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引用次数: 29

摘要

导言:冠状病毒病-2019 (COVID-19)大流行是一种全球性威胁,对身心健康产生了不利影响。从2020年5月到10月,印度的COVID-19病例呈指数级增长。隔离、住院和污名化是COVID-19危机中的重要问题。关于COVID-19住院患者心理健康影响的文献很少。本研究旨在描述三级医院新冠肺炎住院患者的心理后果和应对策略。目的:(1)评估入院的新冠肺炎患者的心理后果,(2)评估这些患者的应对策略,(3)发现这些患者的社会人口学特征、心理后果和应对策略之间的相关性。方法:采用横断面定性研究方法,对100例COVID-19感染住院患者进行研究。采用半结构化问卷进行深度访谈。叙事被编码成主题,产生的变量的相关性使用卡方检验。结果:患者心理状态最常见的主题是孤独和孤立(56%)、医院适应问题(54%)和对家庭成员的担忧(32%)。家庭成员同时患有新冠肺炎的患者(24%)更担心自己的健康(卡方25.209,P = 0.00),更担心自己的未来(卡方7.023,P = 0.008)。女性更担心家人(16.295,P = 0.00),更担心自己的健康(5.71,P = 0.01)。患者最常用的应对策略是与家人进行数字沟通(82%)、分散注意力(58%)和与其他共同患者沟通(30%),以应对他们的心理困扰。结论:新型冠状病毒感染导致心理困扰是多种因素共同作用的结果。及时干预并支持有效的应对机制有助于减轻痛苦。
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“Psychological consequences and coping strategies of patients undergoing treatment for COVID-19 at a tertiary care hospital”: A qualitative study
Introduction: Coronavirus disease-2019 (COVID-19) pandemic is a global threat and has affected physical as well as mental health adversely. There had been an exponential rise in COVID-19 cases in India from May to October 2020. Isolation, hospitalization, and stigmatization were significant issues in COVID-19 crisis. The literature is sparse on the mental health effects on hospitalized COVID-19 patients. This study aimed to describe the psychological consequences and coping strategies of COVID-19 patients admitted to tertiary health-care hospital. The objectives were (1) to assess the psychological consequences in COVID-19 patients admitted to our hospital, (2) to assess the coping strategies in these COVID-19 patients, and (3) to find correlations of sociodemographic characteristics, psychological consequences, and coping strategies of these COVID-19 patients. Methods: In this cross-sectional qualitative study, 100 patients hospitalized for COVID-19 infection participated. In-depth interviews were conducted using semi-structured questionnaire. The narratives were coded into themes and correlations of variables generated were done using Chi-square test. Results: The most common themes about the psychological state of patients were loneliness and isolation (56%), adjustment issues in the hospital (54%), and concerns about family members (32%). Patients who had family members also suffering from COVID-19 illness (24%) had more concerns about their health (Chi-square 25.209, P = 0.00) and had worries of their future (Chi-square 7.023, P = 0.008). Females had more worries about family members (Chi-square 16.295, P = 0.00) and had more concerns about their own health (Chi-square 5.71, P = 0.01). The most common coping strategies used by patients were digital communication with family members (82%), distraction (58%), and communicating with other co-patients (30%) to deal with their psychological distress. Conclusion: COVID-19 infection leads to psychological distress due to multiple factors. Timely interventions with support for effective coping mechanisms can help in alleviating the distress.
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来源期刊
Asian Journal of Social Health and Behavior
Asian Journal of Social Health and Behavior Social Sciences-Health (social science)
CiteScore
8.50
自引率
0.00%
发文量
18
审稿时长
17 weeks
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