{"title":"“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","authors":"Satyajeet Patil, M. Datar, J. Shetty, N. Naphade","doi":"10.4103/shb.shb_5_21","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":34783,"journal":{"name":"Asian Journal of Social Health and Behavior","volume":null,"pages":null},"PeriodicalIF":5.0000,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"29","resultStr":"{\"title\":\"“Psychological consequences and coping strategies of patients undergoing treatment for COVID-19 at a tertiary care hospital”: A qualitative study\",\"authors\":\"Satyajeet Patil, M. Datar, J. Shetty, N. Naphade\",\"doi\":\"10.4103/shb.shb_5_21\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"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.\",\"PeriodicalId\":34783,\"journal\":{\"name\":\"Asian Journal of Social Health and Behavior\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":5.0000,\"publicationDate\":\"2021-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"29\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Asian Journal of Social Health and Behavior\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/shb.shb_5_21\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Asian Journal of Social Health and Behavior","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/shb.shb_5_21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
“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.