1
|
Hao F, Tam W, Hu X, Tan W, Jiang L, Jiang X, Zhang L, Zhao X, Zou Y, Hu Y, Luo X, McIntyre RS, Quek T, Tran BX, Zhang Z, Pham HQ, Ho CSH, Ho RC. A quantitative and qualitative study on the neuropsychiatric sequelae of acutely ill COVID-19 inpatients in isolation facilities. Transl Psychiatry 2020; 10:355. [PMID: 33077738 PMCID: PMC7570419 DOI: 10.1038/s41398-020-01039-2] [Citation(s) in RCA: 112] [Impact Index Per Article: 28.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Revised: 09/12/2020] [Accepted: 10/01/2020] [Indexed: 12/18/2022] Open
Abstract
This study examined the neuropsychiatric sequelae of acutely ill patients with coronavirus disease 2019 (COVID-19) infection who received treatment in hospital isolation wards during the COVID-19 pandemic. Ten COVID-19 patients who received treatment in various hospitals in Chongqing, China; 10 age- and gender-matched psychiatric patients; and 10 healthy control participants residing in the same city were recruited. All participants completed a survey that collected information on demographic data, physical symptoms in the past 14 days and psychological parameters. Face-to-face interviews with COVID-19 patients were also performed using semi-structured questions. Among the COVID-19 patients, 40% had abnormal findings on the chest computed topography scan, 20% had dysosmia, 10% had dysgeusia, and 80% had repeated positivity on COVID-19 reverse-transcription polymerase chain reaction testing. COVID-19 and psychiatric patients were significantly more worried about their health than healthy controls (p = 0.019). A greater proportion of COVID-19 patients experienced impulsivity (p = 0.016) and insomnia (p = 0.039) than psychiatric patients and healthy controls. COVID-19 patients reported a higher psychological impact of the outbreak than psychiatric patients and healthy controls, with half of them having clinically significant symptoms of posttraumatic stress disorder. COVID-19 and psychiatric patients had higher levels of depression, anxiety and stress than healthy controls. Three themes emerged from the interviews with COVID-19 patients: (i) The emotions experienced by patients after COVID-19 infection (i.e., shock, fear, despair, hope, and boredom); (ii) the external factors that affected patients' mood (i.e., discrimination, medical expenses, care by healthcare workers); and (iii) coping and self-help behavior (i.e., distraction, problem-solving and online support). The future direction in COVID-19 management involves the development of a holistic inpatient service to promote immune and psychological resilience.
Collapse
Affiliation(s)
- Fengyi Hao
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Wilson Tam
- grid.4280.e0000 0001 2180 6431Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
| | - Xiaoyu Hu
- grid.452206.7First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Wanqiu Tan
- National University of Singapore (Chongqing) Research Institute, Chongqing, China
| | - Li Jiang
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Xiaojiang Jiang
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Ling Zhang
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Xinling Zhao
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Yiran Zou
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Yirong Hu
- grid.440187.eThe First People’s Hospital of Chongqing Liang Jiang New Area, Chongqing, China
| | - Xi Luo
- grid.414048.d0000 0004 1799 2720Department of Neurology, Daping Hospital, Army Medical University, Chongqing, 400042 China
| | - Roger S. McIntyre
- grid.17063.330000 0001 2157 2938Mood Disorders Psychopharmacology Unit, University Health Network, University of Toronto, Toronto, Canada
| | - Travis Quek
- grid.4280.e0000 0001 2180 6431Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119077 Singapore
| | - Bach Xuan Tran
- grid.56046.310000 0004 0642 8489Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, 100000 Vietnam ,grid.21107.350000 0001 2171 9311Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205 USA
| | - Zhisong Zhang
- grid.440755.70000 0004 1793 4061Faculty of Education, Huaibei Normal University, Huaibei, 235000 China
| | - Hai Quang Pham
- grid.444918.40000 0004 1794 7022Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam ,grid.444918.40000 0004 1794 7022Faculty of Medicine, Duy Tan University, Da Nang, Vietnam
| | - Cyrus S. H. Ho
- grid.4280.e0000 0001 2180 6431Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119077 Singapore ,grid.410759.e0000 0004 0451 6143Department of Psychological Medicine, National University Health System, Singapore, Singapore
| | - Roger C.M. Ho
- grid.4280.e0000 0001 2180 6431Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119077 Singapore ,grid.4280.e0000 0001 2180 6431Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, 119077 Singapore
| |
Collapse
|
2
|
Farsi Z, Azarmi S. Effect of Roy's Adaptation Model-Guided Education on Coping Strategies of the Veterans with Lower Extremities Amputation: A Double-Blind Randomized Controlled Clinical Trial. INTERNATIONAL JOURNAL OF COMMUNITY BASED NURSING AND MIDWIFERY 2016; 4:127-36. [PMID: 27218110 PMCID: PMC4876781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
BACKGROUND Any defect in the extremities of the body can affect different life aspects. The purpose of this study was to investigate the effect of Roy's adaptation model-guided education on coping strategies of the veterans with lower extremities amputation. METHODS In a double-blind randomized controlled clinical trial, 60 veterans with lower extremities amputation referring to Kowsar Orthotics and Prosthetics Center of Veterans Clinic in Tehran, Iran were recruited using convenience method and randomly assigned to intervention and control groups in 2013-2014. Lazarus and Folkman coping strategies questionnaire was used to collect the data. After completing the questionnaires in both groups, maladaptive behaviours were determined in the intervention group and an education program based on Roy's adaptation model was implemented. After 2 months, both groups completed the questionnaires again. Data were analyzed using SPSS software. RESULTS Independent T-test showed that the score of the dimensions of coping strategies did not have a statistically significant difference between the intervention and control groups in the pre-intervention stage (P>0.05). This test showed a statistically significant difference between the two groups in the post-intervention stage in terms of the scores of different dimensions of coping strategies (P>0.05), except in dimensions of social support seeking and positive appraisal (P>0.05). CONCLUSION The findings of this research indicated that the Roy's adaptation model-guided education improved the majority of coping strategies in veterans with lower extremities amputation. It is recommended that further interventions based on Roy's adaptation model should be performed to improve the coping of the veterans with lower extremities amputation. TRIAL REGISTRATION NUMBER IRCT2014081118763N1.
Collapse
Affiliation(s)
- Zahra Farsi
- Department of Community Health, AJA University of Medical Sciences, Tehran, Iran,Corresponding author: Zahra Farsi, PhD; Department of Community Health, AJA University of Medical Sciences, Kaj St, Shariati St, Tehran, Iran Tel: +98 21 77500404; Fax: +98 21 77500929;
| | - Somayeh Azarmi
- Department of Military Nursing, AJA University of Medical Sciences, Tehran, Iran
| |
Collapse
|