Survivor’s Experiences of Psychological Challenges in COVID-19 Patients: An Internet-based Phenomenological Study

Milad Jalilian, R. Jalali, L. Menati
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Abstract

Background: Confirmed and suspected patients with SARS-CoV-2 may fear contagion to others and the severe consequences of the disease. Therefore, they may feel loneliness, denial, anxiety, depression, insomnia, and hopelessness, reducing treatment adherence. Objectives: This study aimed to discuss the psychological challenges of survivors’ experiences in SARS-CoV-2 infection. Methods: This descriptive phenomenological study explored survivors’ experiences of COVID-19 infection. Validated websites’ stories and notes were used to collect data. The stories were transcribed and analyzed by Colaizzi’s phenomenological analysis method. The authors screened the transcribed texts, extracted and summarized meaningful statements, and reported the themes independently. In addition, six criteria of authority, accuracy, objectivity, currency, coverage, and appearance were considered for evaluating web page quality. The data were analyzed using MAXQDA 10 software. Results: A total of 45 patients’ stories with COVID-19 were analyzed. Four general themes and 11 sub-themes were extracted via reading stories and extracting themes, including stigma (the sub-themes of embarrassment, defame, and Hopelessness), horror (sub-themes of denial, not professional experience, and toward death), different lifestyles (the sub-themes of change, unfriended, and sleeplessness), and freedom (two sub-themes of calmness and Rescue). Conclusions: Based on the studies, the participants reported high rates of symptoms of fear, change, insomnia, and horror. Supporting COVID-19 patients in these critical conditions is one of the essential components of acute care measures. Specific interventions to promote mental health in exposed patients should be applied immediately and require special attention.
COVID-19患者心理挑战的幸存者经历:基于互联网的现象学研究
背景:确诊和疑似SARS-CoV-2患者可能担心传染给他人和疾病的严重后果。因此,他们可能会感到孤独、否认、焦虑、抑郁、失眠和绝望,从而降低治疗依从性。目的:本研究旨在探讨SARS-CoV-2感染幸存者经历的心理挑战。方法:本描述性现象学研究探讨了COVID-19感染幸存者的经历。使用经过验证的网站的故事和笔记来收集数据。用Colaizzi的现象学分析方法对这些故事进行转录和分析。作者筛选转录文本,提取和总结有意义的语句,并独立报道主题。此外,评估网页质量还考虑了权威性、准确性、客观性、时效性、覆盖面和外观六个标准。采用MAXQDA 10软件对数据进行分析。结果:共分析了45例COVID-19患者的故事。通过阅读故事和提取主题,提取出4个总主题和11个子主题,包括耻辱(尴尬、诽谤、绝望的子主题)、恐怖(否认、非专业经验、走向死亡的子主题)、不同的生活方式(改变、无友、失眠的子主题)、自由(平静和拯救的两个子主题)。结论:根据这些研究,参与者报告了恐惧、变化、失眠和恐惧症状的高发率。在这些危急情况下支持COVID-19患者是急性护理措施的重要组成部分之一。应立即采取具体干预措施,促进暴露患者的精神健康,并需要特别注意。
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