Living with "long COVID": A systematic review and meta-synthesis of qualitative evidence.

Living with "long COVID": A systematic review and meta-synthesis of qualitative evidence.
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DOI:
10.1371/journal.pone.0281884
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
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--
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冠状病毒病(COVID-19)的长期健康后果,也被称为“长期COVID”,已成为全球健康问题。在这项系统性综述中,我们的目的是综合长期COVID患者生活经历的定性证据,这些证据可能会为卫生政策制定和实践提供信息。我们检索了六个主要数据库和其他来源,系统地检索了相关的定性研究,并使用乔安娜布里格斯研究所(JBI)指南和系统性综述和荟萃分析首选报告项目(PRISMA)清单的报告标准对关键结果进行了荟萃综合。我们发现15篇文章代表12项研究的619引文来自不同的来源。这些研究提供了133项发现,分为55类。所有类别都汇总为以下综合结果:患有复杂的身体健康问题的生活,长期COVID的心理社会危机,缓慢的恢复和康复,数字资源和信息管理,社会支持的变化,以及与医疗保健提供者,服务和系统的经验。10项研究来自英国,其他研究来自丹麦和意大利,这凸显了其他国家证据的严重缺乏。需要进行更具代表性的研究,以了解不同社区和人群的长期COVID相关经验。现有证据表明,长期COVID患者面临着生物心理社会挑战的沉重负担,需要多层次的干预措施,例如加强卫生和社会政策与服务,让患者和护理人员参与决策和开发资源,并通过循证实践解决与长期COVID相关的健康和社会经济差异。
Long-term health consequences of coronavirus disease (COVID-19), also known as “long COVID,” has become a global health concern. In this systematic review, we aimed to synthesize the qualitative evidence on lived experiences of people living with long COVID that may inform health policymaking and practice. We searched six major databases and additional sources and systematically retrieved relevant qualitative studies and conducted a meta-synthesis of key findings using the Joanna Briggs Institute (JBI) guidelines and reporting standards of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. We found 15 articles representing 12 studies out of 619 citations from different sources. These studies provided 133 findings that were categorized into 55 categories. All categories were aggregated to the following synthesized findings: living with complex physical health problems, psychosocial crises of long COVID, slow recovery and rehabilitation, digital resources and information management, changes in social support, and experiences with healthcare providers, services, and systems. Ten studies were from the UK, and others were from Denmark and Italy, which highlights a critical lack of evidence from other countries. More representative research is needed to understand long COVID-related experiences from diverse communities and populations. The available evidence informs a high burden of biopsychosocial challenges among people with long COVID that would require multilevel interventions such as strengthening health and social policies and services, engaging patients and caregivers in making decisions and developing resources, and addressing health and socioeconomic disparities associated with long COVID through evidence-based practice.
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