Women's Experiences of Symptoms of Suspected or Confirmed COVID-19 Illness During the Pandemic.

Women's Experiences of Symptoms of Suspected or Confirmed COVID-19 Illness During the Pandemic.
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DOI:
10.1016/j.nwh.2022.09.005
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发表时间:
2022-12
影响因子:
--
通讯作者:
Dreisbach, Caitlin
Dreisbach, Caitlin
中科院分区:
其他
文献类型:
--
作者:
South, Katherine;Bakken, Suzanne;Koleck, Theresa;Barcelona, Veronica;Elhadad, Noemie;Dreisbach, Caitlin

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使用 CovidWatcher 移动公民科学应用程序探索女性中疑似或确诊的 COVID-19 疾病症状的经历。收敛并行混合方法设计。 28 名自我认同的女性在使用 CovidWatcher 后同意进行随访。参与者的年龄从18岁到83岁不等。我们通过半结构化、虚拟访谈和调查收集数据:COVID-19 暴露和家庭影响调查以及患者报告结果测量信息系统措施。我们使用定向内容分析从定性数据中开发代码、类别、主题和副主题,并通过描述性统计总结调查数据。我们得出了与症状体验相关的五个主题:(a) 身体症状、(b) 心理健康症状、(c) 症状强度、(d) 症状负担和 (e) 症状轨迹。子主题反映了疑似或确诊的 COVID-19 疾病的更细致的经历。对于那些没有感染 COVID-19 的人来说,焦虑和心理健康症状仍然存在。在那些证实患有 PROMIS 测量症状之一的人中,除一名外,所有其他人的报告症状之一都至少有轻微严重程度。这项研究证明了 COVID-19 大流行对女性个体的跨领域影响。未来的研究和临床实践指南应侧重于减轻与当前大流行相关的身心健康症状,无论 COVID-19 的诊断如何。此外,临床医生应考虑患者如何使用症状协调应用程序和跟踪系统。女性身份的个人,无论是否患有疑似或确诊的 COVID-19 疾病,在大流行期间都会出现影响其日常生活的身心健康症状。
To explore experiences of symptoms of suspected or confirmed COVID-19 illness among women using the CovidWatcher mobile citizen science app. Convergent parallel mixed-methods design. Twenty-eight self-identified women consented for follow-up after using CovidWatcher. Participants’ ages ranged from 18 to 83 years old. We collected data via semistructured, virtual interviews and surveys: the COVID-19 Exposure and Family Impact Survey and Patient-Reported Outcomes Measurement Information System measures. We used directed content analysis to develop codes, categories, themes, and subthemes from the qualitative data and summarized survey data with descriptive statistics. We derived five themes related to symptom experiences: (a) Physical Symptoms, (b) Mental Health Symptoms, (c) Symptom Intensity, (d) Symptom Burden, and (e) Symptom Trajectories. Subthemes reflected more nuanced experiences of suspected or confirmed COVID-19 disease. For those without COVID-19, anxiety and mental health symptoms were still present. Of those who attested to one of the PROMIS-measured symptoms, all but one had at least mild severity in one of their reported symptoms. This study demonstrates the cross-cutting impact of the COVID-19 pandemic on individuals who identify as women. Future research and clinical practice guidelines should focus on alleviating physical and mental health symptoms related to the ongoing pandemic, regardless of COVID-19 diagnosis. Furthermore, clinicians should consider how patients can use symptom reconciliation apps and tracking systems. Individuals who identify as women, with or without suspected or confirmed COVID-19 disease, have physical and mental health symptoms that affect their daily life during the pandemic.
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