Experiencias de las personas con sintomatología neuropsicológica de covid persistente en Cataluña: un estudio fenomenológico

IF 1.8 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Eduardo Moreno-Gabriel , Jofre Bielsa-Pascual , Maria Verdaguer , Meritxell Carmona-Cervelló , Noemí Lamonja Vicente , Brenda Biaani León Gómez , Concepción Violan , Pere Torán-Monserrat
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Abstract

The objective was to describe the experiences of people living with neuropsychological symptomatology associated with long-covid, as well as identifying the barriers they encounter in their daily lives and the strategies they develop to deal with them. This is a descriptive qualitative study following an interpretative phenomenological perspective wich was held in Primary Care cin the Northern Metropolitan Area of Barcelona and the Germans Trias i Pujol University Hospital (Badalona, Spain). A total of 34 adults with any persistent neuropsychological symptoms of covid-19 (>12 weeks since disease onset) participated. In-depth individual interviews were conducted following a script of open-ended questions to elicit their narratives around the research objective. A total of 3 clusters detailing the life impact of long-covid and its neuropsychological symptomatology were identified: long-covid as life-breaking and life-changing; coping strategies; and (ac)knowledge (of) the emerging subjectivity. From the participants’ accounts and the existing literature emerges the relevance of critically integrating lessons learned from analogous syndromes such as fibromyalgia and chronic fatigue, as well as involving patients in the design and implementation (even at the consultation level) of clinical practices that raise awareness of these neuropsychological sequelae (psychoeducation) both to other patients and to caregivers and professionals. This would facilitate a greater and better specialised psychological approach and reduce the stigma that still accompanies the condition.
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[加泰罗尼亚患者长期新冠神经心理症状的经历:现象学研究]。
目的是描述与长期covid相关的神经心理症状患者的经历,并确定他们在日常生活中遇到的障碍以及他们制定的应对策略。这是一项描述性质的研究,遵循解释现象学的观点,在巴塞罗那北部大都会区初级保健和德国Trias i Pujol大学医院(西班牙巴达洛纳)进行。共有34名患有covid-19持续性神经心理症状的成年人(自发病以来12周)参加了研究。深入的个人访谈是按照开放式问题脚本进行的,以引出他们对研究目标的叙述。共确定了3个集群,详细说明了长冠肺炎对生活的影响及其神经心理症状:长冠肺炎是打破生活和改变生活的;应对策略;以及对新兴主体性的认识。从参与者的描述和现有文献中,我们发现了从类似综合征(如纤维肌痛和慢性疲劳)中吸取的经验教训,以及让患者参与临床实践的设计和实施(甚至在咨询层面),以提高对其他患者、护理人员和专业人员对这些神经心理后遗症(心理教育)的认识。这将促进更大、更好的专门心理治疗方法,并减少仍然伴随着这种情况的耻辱。
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来源期刊
Atencion Primaria
Atencion Primaria 医学-医学:内科
CiteScore
2.90
自引率
8.00%
发文量
156
审稿时长
33 days
期刊介绍: Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.
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