Lived Experiences of Critically Ill COVID-19 Patients About Death and Dying: A Descriptive Phenomenology

Firouzkouhi, Mohammadreza; Abdollahimohammad, Abdolghani; Alimohammadi, Nasrollah; Naderifar, Mahin; Akbarizadeh, Majid Reza

doi:10.1177/00302228211073269

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…The second major theme was death anxiety refers to a great fear of dying. It is a phenomenon related to unknown prognosis of disease, environmental stressors in the ICU, lack of communication of health care providers [18]. Previous study found that hospitalizing in ICU and intubation were sources of death anxiety in COVID-19 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Previous study found that hospitalizing in ICU and intubation were sources of death anxiety in COVID-19 patients. The results of studies show that the rate of death anxiety in patients with COVID-19 is very high, and the patient suffers from a high level of death anxiety [18]. Some study suggested that death anxiety was relatively high during the COVID-19 pandemic process.…”

Section: Discussionmentioning

confidence: 99%

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Physical as well as psychological distress and coping with situational dilemmas experienced by people infected with COVID-19: a mixed method study

Hengyotmark

Kusoom

2022

Preprint

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Background: The COVID-19 pandemic caused serious health problems that affected people physically, and psychologically around the globe. This study aimed to (1) understand physical distress (PhD), psychological distress (PsD), and coping experiences among people infected with COVID-19 (2) develop a grounded theory (3) examine PhD, PsD, and coping among people infected with COVID-19. Methods: A sequential exploratory mixed methods strategy was employed. A qualitative procedure was based on a grounded theory, data collection included observation and in-depth interviews with 25 participants, aged 18 years and above. The quantitative one included 180 participants, from Bangkok Metropolitan, and Northeastern region of Thailand from February to May 2022. A snowball sampling technique was used. Quantitative instrument: was built based on grounded data from a qualitative approach. Physical, psychological distress, and coping were assessed. Content analysis was applied using the Strauss and Corbin method, and software ATLAS.ti. Descriptive statistic, Pearson’s correlation, and independent t-test were used. Results: Six major themes included 10 sub-themes. The six major themes appeared (1) severity of COVID-19 symptoms (2) death anxiety (3) uncertainty (4) barrier to healthcare access (5) compliance, and self-regulation coping (6) post-COVID-19 effects. PhD, PsD, and coping were at a moderate level. All PhD, PsD, and coping were in positive relations. Comparison of PsD, and coping between the non-severe group and severe group was significantly different (p<0.001, p<0.05). Post COVID-19 effects were fatigue, dyspnea, high blood sugar level, impairment of lungs, liver, and kidney. Conclusions: The findings of the study supported 6 major themes including 10 sub-themes. All PhD, PsD, and coping were in positive relations. The PsD, and coping of the severe group was higher than non-severe group. Suggestions, healthcare providers should be concerned with sufficient healthcare services, physical and psychological supports. The interventions are needed for their recovery from physical and psychological effects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physical as well as psychological distress and coping with situational dilemmas experienced by people infected with COVID-19: a mixed method study

Hengyotmark

Kusoom

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…The second major theme was death anxiety, referring to a great fear of dying. It is a phenomenon related to unknown prognosis of disease, environmental stressors in the ICU, and lack of communication with healthcare providers [ 26 ]. Previous studies found that hospitalization in an ICU and intubation were sources of death anxiety in COVID-19 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies found that hospitalization in an ICU and intubation were sources of death anxiety in COVID-19 patients. The results of studies show that the rate of death anxiety in patients with COVID-19 is very high, and the patient suffers from a high level of death anxiety [ 26 ]. Previous studies suggested that death anxiety was relatively high during the COVID-19 pandemic process [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Physical as Well as Psychological Distress and Coping with Situational Dilemmas Experienced by People Infected with COVID-19: A Mixed Method Study

Hengyotmark

Kusoom

2022

IJERPH

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The COVID-19 pandemic caused serious health problems that affected people around the globe. This study aims to understand the physical distress (PhyD), psychological distress (PsyD), and coping experiences among people infected with COVID-19, develop a grounded theory, and examine PhyD, PsyD, and coping among people infected with COVID-19. A sequential exploratory mixed methods strategy is employed. A qualitative procedure is based on a grounded theory; data collection includes observation and in-depth interviews with 25 participants, aged 18 years and above. The quantitative one included 180 participants. Content analysis was applied using the Strauss and Corbin method, and ATLAS.ti software. Descriptive statistics, Pearson’s correlation, and the independent t-test were used. Results: The six major themes, including (1) severity of COVID-19 symptoms, (2) death anxiety, (3) uncertainty, (4) barrier to healthcare access, (5) compliance and self-regulation coping (6) post-COVID-19 effects. PhyD, PsyD, and coping were all at a moderate level. The relationship between PhyD, PsyD, and coping was positive. The prevalence in post-COVID-19 effects was 70% (95% CI 63.3-76.4%). There were higher amounts in women than men. The most frequent residual symptoms were decreased activity tolerance (40%), fatigue (33.3%), anxiety and fear of abnormal lungs (33.3%), dyspnea (27.8%), allergy (24.4%), and lung impairment (22.2%). Moreover, the prevalence of more than two symptoms was 54% (95% CI 47.2–61.7%). This study considers that the healthcare providers should be concerned with sufficient healthcare services. Interventions are needed for supporting their recovery from COVID-19 effects.

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Nobody Likes the Forgotten Guardians of the Departed: A Critical Ethnographic Study on Social Isolation of Ghassals

Salimi,

Ruhani

2023

Omega (Westport)

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In Islam, the ritual of burial including washing, shrouding and burying the dead body (Ghusl/Kafan/Dafan) has always been problematic. Burial in Iran has always been a well-ordered custom and there have always been specific people for this ritual (Ghassals). Due to dealing with the dead, their lives are always the focus of social discussions. Drawn on Carspecken’s (1996) five-stage approach, this research examined the social isolation of Ghassals in Yazd province, Iran. The data were obtained through participant observation (first covert then overt) and in-depth interviews with six Ghassals in Yazd. The main themes extracted included stigma and isolation, the experience of hegemonic violence, problematic companionship/not companionship, forced choice, job dissatisfaction, and social discouragement. Our findings indicate an undesirable social status for the Ghassals who are often unwelcomed by the society and in some cases even by the family. These behaviors ultimately lead to social isolation and depression among Ghassals.

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Lived Experiences of Critically Ill COVID-19 Patients About Death and Dying: A Descriptive Phenomenology

Cited by 7 publications

References 30 publications

Physical as well as psychological distress and coping with situational dilemmas experienced by people infected with COVID-19: a mixed method study

Physical as well as psychological distress and coping with situational dilemmas experienced by people infected with COVID-19: a mixed method study

Physical as Well as Psychological Distress and Coping with Situational Dilemmas Experienced by People Infected with COVID-19: A Mixed Method Study

Nobody Likes the Forgotten Guardians of the Departed: A Critical Ethnographic Study on Social Isolation of Ghassals

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