The Emotional and Personal Experiences of the COVID-19 Illness During the Early Pandemic: A Qualitative Study.
The Emotional and Personal Experiences of the COVID-19 Illness During the Early Pandemic: A Qualitative Study.
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DOI：
10.1016/j.jaclp.2022.11.003
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发表时间：
2023-03
影响因子：
2.3
通讯作者：
Chung, Joyce Y.
中科院分区：
文献类型：
--
作者：
Raza, Haniya;Guinee, Emily P.;Okeke, Onyi;Shaw, Jacob S.;Gibbons, Alison;Mooneyham, GenaLynne C.;Sneller, Michael;Chung, Joyce Y.
几项研究报告了从2019冠状病毒病（COVID-19）中康复的患者中精神症状和障碍的发生率;然而，关于急性COVID-19疾病和康复对这些幸存者的情绪影响知之甚少。定性方法是理解新疾病的心理影响的理想方法。描述在大流行的最初几个月感染病毒的患者在急性COVID-19疾病和康复过程中的情感体验。由咨询联络（C-L）精神科医生进行的半结构化访谈被用来征求参与者对COVID-19疾病急性和恢复阶段的情绪影响的反应。从马里兰州、哥伦比亚特区和弗吉尼亚州招募的参与者接受了采访，并于2020年6月至2020年12月期间进行了录音。研究小组使用主题分析的原则从录音中提取定性主题。101名COVID-19幸存者（54名女性;平均[SD]年龄为50 [14.7]岁）在急性患病后平均5.16个月接受了采访，并对他们的回答进行了音频记录。大多数参与者是白色（77%），非西班牙裔/拉丁裔（86.1%），未因COVID-19住院（87.1%）。编码员从参与者的回答中确定了26个主题。最常见的编码主题包括焦虑/担心（49），不确定性（37），来自他人的支持（35），孤独/孤立（32）和积极的重构/积极的情绪（32）。在大流行的最初几个月感染了严重急性呼吸系统综合征冠状病毒2的幸存者描述了消极和积极的情绪。他们经历了与急性疾病和康复相关的情绪困扰和心理压力，但也利用个人弹性来科普。这份报告强调了定性研究方法在识别对一种新疾病的情绪反应方面的实用性，否则这种反应可能会被忽视。咨询-联络精神科医生可能处于独特的地位，与医学同事合作，开发一种多层面的方法来评估一种新出现的疾病。
Several studies report the incidence of psychiatric symptoms and disorders among patients who recovered from coronavirus disease 2019 (COVID-19); however, little is known about the emotional impact of acute COVID-19 illness and recovery on these survivors. Qualitative methods are ideal for understanding the psychological impact of a novel illness. To describe the emotional experience of the acute COVID-19 illness and recovery in patients who contracted the virus during the early months of the pandemic. Semi-structured interviews conducted by consultation-liaison (C-L) psychiatrists were used to elicit participant responses about the emotional impact of the acute and recovery phases of the COVID-19 illness. Participants recruited from the Maryland, District of Columbia, and Virginia area were interviewed which was audio recorded between June 2020 and December 2020. The research team extracted qualitative themes from the recordings using the principles of thematic analysis. One hundred and one COVID-19 survivors (54 women; mean [SD] age, 50 [14.7] years) were interviewed at a mean of 5.16 months after their acute illness, and their responses were audio-recorded. Most participants were White (77%), non-Hispanic/Latino (86.1%), and not hospitalized for COVID-19 (87.1%). Coders identified 26 themes from participant responses. The most frequently coded themes included anxiety/worry (49), uncertainty (37), supportfrom others (35), alone/isolation (32), and positive reframe/positive emotions (32). Survivors who contracted severe acute respiratory syndrome coronavirus 2 during the early months of the pandemic described both negative and positive valence emotions. They experienced emotional distress and psychosocial stressors associated with the acute illness and recovery but also drew upon personal resiliency to cope. This report highlights the utility of qualitative research methods in identifying emotional responses to a novel illness that may otherwise go unnoted. Consultation-liaison psychiatrists may be uniquely positioned to work in collaboration with medical colleagues in developing a multidimensional approach to evaluating an emerging illness.
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DOI：
10.1016/j.nurpra.2021.04.013
发表时间：
2021-07
期刊：
The journal for nurse practitioners : JNP
影响因子：
--
作者：
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通讯作者：
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影响因子：
3.2
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影响因子：
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