Lived Experiences of Recovered COVID 19 Patients after Hospitalization: A Phenomenological Research

Mojtaba Fattahi Ardakani, Tahmineh Farajkhoda, Akram Mehrabbeik

Abstract


Background: The deadly novel Coronavirus Disease 19 (COVID‑19) epidemic has sickened and killed millions of people around the world. Accordingly, Iran has had the second highest incidence rate of COVID‑19 deaths in the world. Because this disease affects all individual, familial, and social aspects, there is not enough information about experiences of COVID‑19 patients. However, these experiences could be a missing link in explaining their attitudes, beliefs, and concerns for improving care and treatment processes during and after the disease.

Materials and Methods: Descriptive phenomenological research was conducted in 2020 to explain experiences of 21 COVID‑19 patients after post‑hospitalization recovery. Semi‑structured interviews were used as the data collection tool via purposeful sampling, which were continued until data saturation and analyzed using Colaizzi’s seven‑step method.

Results: The main theme of “value of health” and the seven categories of (1) inefficient self‑care, (2) overcoming the catastrophic crisis, (3) the shadow of death, (4) coping behaviors and resilience, (5) the need for support and accountability, (6) sympathy, and (7) new insights as well as 38 main codes were extracted. The patients’ general explanation in the early stages of the disease, recovery, and subsequent periods included transition from the crisis to new insights into physical, mental, sexual, familial, and economic dimensions that finally led to the review value and concept of their life.

Conclusions: The findings of this study can be used to fulfil care and treatment needs of the patients, their families as well as caregivers, psychologists, counselors, health planners, and managers presently and in the future for similar diseases.


Keywords


COVID 19, Iran, patients, qualitative research

Full Text:

PDF

References


Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID 19 in Wuhan, China: A retrospective cohort study. Lancet 2020;395:1054 62.

Zaki Y, Esmaeilpoor H, Baraty A. Study of Citizen’s Satisfaction about the Performance of Municipality Services Using Kano Model [Case Study: Minoodasht Municipality]. 2017.

WHO. World Health Organization, Coronavirus disease [COVID 19]. 2020.

Huang Y, Zhao N. Mental health burden for the public affected by the COVID 19 outbreak in China: Who will be the high risk group? Psychol Health Med 2021;26:23 34.

Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe coronavirus infections: A systematic review and meta analysis with comparison to the COVID 19 pandemic. Lancet Psychiat 2020;7:611 27.

Lee AM, Wong JG, McAlonan GM, Cheung V, Cheung C, Sham PC, et al. Stress and psychological distress among SARS survivors 1 year after the outbreak. Can J Psychiatry 2007;52:233 40.

Lee SM, Kang WS, Cho A R, Kim T, Park JK. Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Compr Psychiatry 2018;87:123 7.

Wu Y, Xu X, Chen Z, Duan J, Hashimoto K, Yang L, et al. Nervous system involvement after infection with COVID 19 and other coronaviruses. Brain Behav Immun 2020;87:18 22.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020;395:912 20.

Carvalho P, Moreira M, de Oliveira M, Landim JM, Neto MLR. The psychiatric impact of the novel coronavirus outbreak. Psychiatry Res 2020;286:112902.

Mowbray H. In Beijing, coronavirus 2019 nCoV has created a siege mentality. BMJ 2020;368:m516.

Okoloba MM, Ogueji IA, Darroch SJ, Ogueji AM. A multinational pilot study on the lived experiences and mental health impacts from the COVID 19 pandemic. Global Psychiatry Arch 2020;3:211 26.

Ministry of Health and MedicaL Education, Health guidelines

for controlling the Covid-19 epidemic. Tehran2020.

Chen D, Song F, Tang L, Zhang H, Shao J, Qiu R, et al. Quarantine experience of close contacts of COVID 19 patients in China: A qualitative descriptive study. Gen Hosp Psychiatry 2020;66:81 8.

Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health care providers during the COVID 19 crisis in China: A qualitative study. Lancet Glob Health 2020;8:e790 8.

Rich M, Ginsburg KR. The reason and rhyme of qualitative research: Why, when, and how to use qualitative methods in the study of adolescent health. J Adolesc Health 1999;25:371 8.

Khodabakhshi koolaee A. Living in home quarantine: Analyzing psychological experiences of college students during COVID 19 pandemic. J Mil Med 2020;22:130 8.

Rahmatinejad P, Yazdi M, Khosravi Z, Shahisadrabadi F. Lived experience of patients with coronavirus [Covid 19]: A phenomenological study. J Health Psychol Res 2020;14:71 86.

Zhang J, Lu H, Zeng H, Zhang S, Du Q, Jiang T, et al. The differential psychological distress of populations affected by the COVID 19 pandemic. Brain Behav Immun 2020;87:49–50.

Todres L. Clarifying the life-world: Descriptive phenomenology. Qualitative research in health care. New York, Open University Press, 2005:104-24.

Moftakhar L, Seif M. The exponentially increasing rate of patients infected with COVID 19 in Iran. Arch Iran Med 2020;23:235 8.

Ministry of Health and MedicaL Education, Prevention and control of Covid- 19[Corona virus] in the environment Work[General guide]. Tehran; 2020.

Morrow R, Rodriguez A, King N. Colaizzi’s descriptive phenomenological method. Psychologist 2015;28:643 4.

Guba EG, Lincoln YS. Fourth Generation Evaluation. Sage; 1989.

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research [COREQ]: A 32 item checklist for interviews and focus groups. Int J Qual Health Care 2007;19:349 57.

Faulkner SL, Trotter SP. Theoretical saturation. The International encyclopedia of communication research methods 2017:1-2.

Jesmi A a, Mohammadzade Tabrizi Z, Rad M, Hosseinzadeh Younesi E, Pourhabib A. Lived experiences of patients with COVID 19 infection: A phenomenology study. Med Glas (Zenica) 2020;18:18 26.

Labrague LJ, De los Santos JAA. COVID-19 anxiety among front-line nurses: Predictive role of organisational support, personal resilience and social support. J Nurs Manag 2020;28:1653 61.

Cahapay MB. Stranded college students amid Corona virus disease 2019 pandemic: An existential phenomenology. J Loss Trauma 2020;25:598 604.

Collins S. Statutory social workers: Stress, job satisfaction, coping, social support and individual differences. Br J Soc Work 2008;38:1173 93.

Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 [COVID 19] in January and February 2020 in China. Med Sci Monit 2020;26:e923549.

Davidson PM, Daly J, Hancock K, Moser D, Chang E, Cockburn J. Perceptions and experiences of heart disease: A literature review and identification of a research agenda in older women. Eur J Cardiovasc Nurs 2003;2:255 64.

Clarke DM, Cook KE, Coleman KJ, Smith GC. A qualitative examination of the experience of ‘depression’ in hospitalized medically ill patients. Psychopathology 2006;39:303 12.

Mak WW, Law RW, Woo J, Cheung FM, Lee D. Social support and psychological adjustment to SARS: The mediating role of self care self efficacy. Psychol Health 2009;24:161 74.

Pourahmadi M, Delavari S, Delavari S. The role of empathy in full scale battle of medical and paramedical learners against COVID 19. Iran J Med Sci 2020;45:491 2.

O'Keefe DJ. Elaboration Likelihood Model. In The International Encyclopedia of Communication, W. Donsbach (Ed.).2013.

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727 33.


Refbacks

  • There are currently no refbacks.