Understanding post-hospitalised patients' experiences of long-COVID - the PELCO study.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology Pub Date : 2024-08-22 DOI:10.1177/13591053241272233

Alice Milne, David Arnold, Andrew Moore

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Abstract

Despite significant advances in long COVID research, many aspects of the condition remain unknown. There is a persisting need for further research to improve the management of long COVID symptoms. This study aimed to explore the experiences and psychological needs of patients who were previously hospitalised with COVID-19, and who subsequently developed long COVID symptoms. Twelve patients with long COVID were interviewed between October 2021 and June 2022. Transcripts were analysed thematically. An overarching theme of 'Existential Crisis' was developed, incorporating three interconnecting sub-themes: 'Facing Psychological Threat', 'Seeking Legitimisation' and 'Forging a Path Through Uncertainty'. Findings suggest that the psychological impact of emergency hospitalisation for COVID-19 can be severe, particularly for those with ongoing long COVID symptoms, and that early psychological intervention should be available. Our findings also suggest the importance of further planning for future pandemics to ensure the presence of patient advocates during hospitalisation at points of critical decision-making.

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了解入院后患者的长期 COVID 体验--PELCO 研究。

尽管长期慢性阻塞性肺气肿的研究取得了重大进展，但该病的许多方面仍不为人所知。目前仍需进一步研究，以改善对长COVID症状的管理。本研究旨在探讨曾因COVID-19住院并随后出现长COVID症状的患者的经历和心理需求。2021 年 10 月至 2022 年 6 月期间，我们对 12 名长期 COVID 患者进行了访谈。我们对访谈记录进行了专题分析。形成了 "存在危机 "这一总主题，并包含三个相互关联的分主题："面对心理威胁"、"寻求合法化 "和 "在不确定性中开辟道路"。研究结果表明，因 COVID-19 而紧急入院治疗可能会造成严重的心理影响，尤其是对那些有长期 COVID 症状的患者，因此应及早进行心理干预。我们的研究结果还表明，必须对未来的流行病进行进一步规划，以确保患者在住院期间的关键决策点有患者代言人在场。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.