新冠肺炎大流行期间精神分裂症住院患者对衰老与健康的担忧:一项定性研究

Su‐Chen Lo, J. Rong
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引用次数: 0

摘要

目的:精神分裂症患者更容易受到传染病和健康问题的影响,这是由于与慢性疾病的共病、精神症状以及是否可能使用精神药物治疗等因素的影响。因此,在新冠肺炎大流行期间,关注精神分裂症患者的健康问题和应对经验尤为重要。方法:采用目的抽样的方法,对20例住院精神分裂症患者进行定性研究。数据收集时间为2022年6月至8月,通过专题分析对数据进行分析。结果:参与者的回答中出现了四个主要主题:1)关注COVID-19并采取健康管理行为;2)关注重大健康问题,但未采取预防措施;3)经历过健康管理障碍;4)老年患者所需的医疗资源。结论:我们发现这些精神分裂症患者在COVID-19大流行期间接受了健康管理教育并实施了感染预防措施。尽管他们表达了对严重影响其日常生活的健康问题的担忧,包括老年人对医疗资源的需求,但他们缺乏对与衰老相关的合并症的认识。因此,医疗保健专业人员应该使他们提供的护理与患者的需求保持一致,不断向他们提供与健康有关的信息,观察他们的日常行为,并帮助他们发展与改变和实施健康行为相关的技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Concerns to Aging and Health of Schizophrenia Inpatients During COVID-19 Pandemic: A Qualitative Study
Aims: Patients with schizophrenia are more likely to be affected by contagious diseases and health problems because of the influence of factors such as comorbidity with chronic diseases, psychiatric symptoms, and whether treatment with psychotropic drugs is possible. Accordingly, during the COVID-19 pandemic, it was particularly important to pay attention to the health problems and coping experiences of patients with schizophrenia.Methods: Twenty inpatients with schizophrenia were recruited via purposive sampling to participate in this qualitative study. Data collection was conducted from June to August 2022 and the data were analyzed via thematic analysis.Results: Four dominant themes emerged from the responses of the participants, who: 1) were concerned about COVID-19 and performed health-management behaviors; 2) were concerned about significant health problems but did not take preventive actions; 3) experienced barriers to health management; and 4) required healthcare resources for elderly patients.Conclusions: We found that these patients with schizophrenia had received health management education and implemented infection-prevention measures during the COVID-19 pandemic. Although they expressed concerns about health problems that interfered significantly with their daily lives, including the need for healthcare resources for the elderly, they lacked awareness of aging-related comorbidities. Healthcare professionals should thus align the care they provide with their patients’ needs, continuously provide them with health-related information, observe their daily behaviors, and help them to develop their skills related to changing and implementing health behaviors.
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