The Psychosocial Impact of the COVID-19 Pandemic on Chronic Care Patients

被引:2
作者
Gruiskens, Jeroen R. J. H. [1 ,3 ,4 ]
van Hoef, Liesbeth [2 ]
Theunissen, Maurice [2 ]
Courtens, Annemie M. [2 ]
van Everdingen, Marieke H. J. van den Beuken [2 ]
Gidding-Slok, Annerika H. M. [1 ]
van Schayck, Onno C. P. [1 ]
机构
[1] Maastricht Univ, Care & Publ Hlth Res Inst CAPHRI, Dept Family Med, Maastricht, Netherlands
[2] Maastricht Univ Med Ctr, Expertise Ctr Palliat Care, Maastricht, Netherlands
[3] Maastricht Univ, Dept Family Med, Peter Debyeplein 1, NL-6229 Maastricht, Netherlands
[4] Maastricht Univ, Dept Family Med, Peter Debyeplein 1, NL-6229 HA Maastricht, Netherlands
关键词
COVID-19; psychosocial well-being; chronic care; patient experience; OBSTRUCTIVE PULMONARY-DISEASE; MENTAL-HEALTH; TELEMEDICINE; OUTCOMES; ANXIETY;
D O I
10.1016/j.jamda.2023.01.003
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objectives: The COVID-19 pandemic has had a profound and pervasive impact on psychosocial health and disrupted care systems world-wide. Our research aims to assess the psychosocial impact of the pandemic and related changes in chronic care provision on patients with chronic obstructive pulmonary disease (COPD) and heart failure.Design: A qualitative survey using semi-structured interviews was held among patients with COPD and heart failure.Setting and Participants: Using randomized sampling, 23 patients with COPD, heart failure, or both were recruited to participate in semi-structured interviews. Interviews were held by phone or videocall. The survey was held during the summer of 2021, when strict national containment strategies were widely implemented but gradually loosened and vaccination was ongoing.Methods: Inductive coding using Gioia's approach was used to analyze the data in Atlas.Ti 9.1 software. Using an iterative approach, the data were synthesized in a data structure and data table, which was analyzed using an interpretative approach.Results: We found 3 aggregate dimensions in which the COVID-19 pandemic has a negative impact on psychosocial health of patients with chronic disease: (1) perceived vulnerability to disease, (2) influence of health policy, and (3) a mismatch of supply and demand of health care. In these dimensions, the impact of the COVID-19 crisis was found to have a negative impact on psychosocial well-being, compounded by national strategies to contain the pandemic and a disruption of chronic care for patients.Conclusions and Implications: Health care providers should be aware of a multidimensional nature of psychosocial distress for chronic disease patients due to the COVID-19 crisis. Future practice and health policy could be improved by increasing awareness among health care providers, promote regular attention for psychosocial well-being of patients, provision of clear information related to the pandemic, and strategies to secure continuity of care. Results of this study might be further explored in larger studies.(c) 2023 The Authors. Published by Elsevier Inc. on behalf of AMDA - The Society for Post-Acute and Long-Term Care Medicine. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/).
引用
收藏
页码:426 / 433.e2
页数:10
相关论文
共 52 条
[1]   Psychological impact of COVID-19 pandemic on chronic disease patients in Dessie town government and private hospitals, Northeast Ethiopia [J].
Addis, Sisay Gedamu ;
Nega, Abebe Dires ;
Miretu, Debrnesh Goshiye .
DIABETES & METABOLIC SYNDROME-CLINICAL RESEARCH & REVIEWS, 2021, 15 (01) :129-135
[2]  
[Anonymous], 2020, PREVALENTIE NIEUWE G
[3]  
[Anonymous], 2016, Integrated care models: an overview
[4]  
Aten JD, 2019, PSYCHOL TRAUMA-US, V11, P597, DOI [10.1037/tra0000431, 10.1037/tra000431]
[5]   Psychological Impact of COVID-19 on People with Pre-Existing Chronic Disease [J].
Budu, Michael Owusu ;
Rugel, Emily J. ;
Nocos, Rochelle ;
Teo, Koon ;
Rangarajan, Sumathy ;
Lear, Scott A. .
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (11)
[6]   The health benefits of network growth: New evidence from a national survey of older adults [J].
Cornwell, Benjamin ;
Laumann, Edward O. .
SOCIAL SCIENCE & MEDICINE, 2015, 125 :94-106
[7]  
Coupet Sidney, 2021, Soc Sci Humanit Open, V4, P100150, DOI 10.1016/j.ssaho.2021.100150
[8]   Psychological and Spiritual Outcomes During the COVID-19 Pandemic: A Prospective Longitudinal Study of Adults With Chronic Disease [J].
Davis, Edward B. ;
McElroy-Heltzel, Stacey E. ;
Lemke, Austin W. ;
Cowden, Richard G. ;
VanderWeele, Tyler J. ;
Worthington, Everett L., Jr. ;
Glowiak, Kevin J. ;
Shannonhouse, Laura R. ;
Davis, Don E. ;
Hook, Joshua N. ;
Van Tongeren, Daryl R. ;
Aten, Jamie D. .
HEALTH PSYCHOLOGY, 2021, 40 (06) :347-356
[9]   Influence of anxiety on health outcomes in COPD [J].
Eisner, Mark D. ;
Blanc, Paul D. ;
Yelin, Edward H. ;
Katz, Patricia P. ;
Sanchez, Gabriela ;
Iribarren, Carlos ;
Omachi, Theodore A. .
THORAX, 2010, 65 (03) :229-234
[10]   Psychological and Emotional Impact of COVID-19 Pandemic on People Living with Chronic Disease: HIV and Cancer [J].
Foca, Emanuele ;
Fornari, Chiara ;
Arsuffi, Stefania ;
Vetrano, Maria Chiara ;
Calza, Stefano ;
Renzetti, Stefano ;
Copeta, Silvia ;
Berruti, Alfredo ;
Castelli, Francesco ;
Compostella, Silvia ;
Quiros-Roldan, Eugenia .
AIDS AND BEHAVIOR, 2022, 26 (09) :2920-2930