The Experiences of COVID-19 Patients in Intensive Care Units: A Qualitative Study

Kürtüncü, Meltem; Kurt, Aylin; Arslan, Nurten

doi:10.1177/00302228211024120

Cited by 17 publications

(31 citation statements)

References 29 publications

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“…Patients Eight (11.6%) of the included studies addressed loss and grief among the general patient population, highlighting patients' loss of physical health and the attendant emotional responses. [2][3][4][5][6][7][8][9] Initial symptoms such as fever, cough, anosmia and dysgeusia gave rise to anxiety and fear while social isolation resulted in boredom and loneliness. [2][3][4][5][6][7][8][9] Anxiety revolved around the family's well-being and the risk of transmitting the infection to them.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4][5][6][7][8][9] Initial symptoms such as fever, cough, anosmia and dysgeusia gave rise to anxiety and fear while social isolation resulted in boredom and loneliness. [2][3][4][5][6][7][8][9] Anxiety revolved around the family's well-being and the risk of transmitting the infection to them. 2,3 This was compounded by the inability to communicate with medical staff.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 This was compounded by the inability to communicate with medical staff. 4,7,8 Communication barriers with the latter included language issues, use of medical jargon, lack of updates on the patient's health status and perceived inaccessibility of staff. 4,7,8 Inadequate communication translated to a sense of lack of autonomy in medical decision-making.…”

Section: Discussionmentioning

confidence: 99%

“…4,7,8 Communication barriers with the latter included language issues, use of medical jargon, lack of updates on the patient's health status and perceived inaccessibility of staff. 4,7,8 Inadequate communication translated to a sense of lack of autonomy in medical decision-making. 4,7 Patients felt that their opinions did not matter and were left out of the decision-making process.…”

Section: Discussionmentioning

confidence: 99%

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Exploring loss and grief during the COVID-19 pandemic: A scoping review of qualitative studies

Tao

Low

2022

Ann Acad Med Singap

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Introduction: The COVID-19 pandemic has brought about multiple losses to various groups, namely patients, families and healthcare professionals. Grief, which is the reaction to these losses, could cause strain on these individuals’ physical and mental health if not identified and managed early. This scoping review analysed loss, grief and how they were managed among these groups during the pandemic. Method: This scoping review utilised the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement extension for Scoping Reviews (PRISMA-ScR) and the Joanna Briggs Institute framework for scoping reviews. Only qualitative studies relating to loss and grief and their management were included. Of 166 studies screened, 69 were included in the study. Qualitative analysis and data coding of each record were conducted through qualitative data analysis software. Results: Losses included the death of family members, patients, colleagues and others. They also included the loss of usual routines, lifestyles and physical health. The grief experienced was multidimensional, affecting mainly the emotional, physical, social and existential realms. Anger, guilt and fear resulted from unsatisfactory farewells, issues with funerals, social isolation, financial strain and stigmatisation. Management strategies could be categorised into 5 themes: communication, finance, counselling, education and spiritual care. Conclusion: Loss and grief identification and management among patients, family members and healthcare professionals are critically important during this COVID-19 pandemic. Current operating guidelines have proven insufficient in managing loss and grief. Innovative strategies are essential to tackle the many dimensions of loss and grief. Nevertheless, further research is necessary to better understand the effectiveness of implemented policies. Keywords: Bereavement, death, mourning, outbreak, palliative care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Exploring loss and grief during the COVID-19 pandemic: A scoping review of qualitative studies

Tao

Low

2022

Ann Acad Med Singap

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“…Previous research on COVID-19 patients’ hospitalisation experiences has been skewed towards severe COVID-19 cases14 15 and those treated in traditional hospitals 16–19. Psychological distress caused by disease factors and social disconnection was highlighted in these inpatients’ experiences 14 16–19.…”

Section: Introductionmentioning

confidence: 99%

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

et al. 2022

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ObjectivesThis study aimed to examine COVID-19 patients’ experiences in a Fangcang shelter hospital in China, to provide insights into the effectiveness of this centralised isolation strategy as a novel solution to patient management during emerging infectious disease outbreaks.DesignThis study adopted a qualitative descriptive design. Data were collected by individual semistructured interviews and analysed using thematic analysis.SettingThis study was undertaken in 1 of the 16 Fangcang shelter hospitals in Wuhan, China between 28 February 2020 and 7 March 2020. Fangcang shelter hospitals were temporary healthcare facilities intended for large-scale centralised isolation, treatment and disease monitoring of mild-to-moderate COVID-19 cases. These hospitals were an essential component of China’s response to the first wave of the COVID-19 pandemic.ParticipantsA total of 27 COVID-19 patients were recruited by purposive sampling. Eligible participants were (1) COVID-19 patients; (2) above 18 years of age and (3) able to communicate effectively. Exclusion criteria were (1) being clinically or emotionally unstable and (2) experiencing communication difficulties.ResultsThree themes and nine subthemes were identified. First, COVID-19 patients experienced a range of psychological reactions during hospitalisation, including fear, uncertainty, helplessness and concerns. Second, there were positive and negative experiences associated with communal living. While COVID-19 patients’ evaluation of essential services in the hospital was overall positive, privacy and hygiene issues were highlighted as stressors during their hospital stay. Third, positive peer support and a trusting patient–healthcare professional relationship served as a birthplace for resilience, trust and gratitude in COVID-19 patients.ConclusionsOur findings suggest that, while sacrificing privacy, centralised isolation has the potential to mitigate negative psychological impacts of social isolation in COVID-19 patients by promoting meaningful peer connections, companionship and support within the shared living space. To our knowledge, this is the first study bringing patients’ perspectives into healthcare service appraisal in emergency shelter hospitals.

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Psychological experience of COVID-19 patients: A systematic review and qualitative meta-synthesis

Zhang

Xie

Yang

et al. 2022

American Journal of Infection Control

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Background Coronavirus disease 2019 (COVID-19) has not only placed an unprecedented strain on healthcare systems worldwide, but has also caused irreparable physical and psychological damage to those infected. It is essential to understand the disease process and psychological experience of patients with COVID-19, to provide them with efficacious psychological guidance and interventions. This qualitative systematic review sought to explore the experience of COVID-19 patients. Methods The meta-analysis methodology developed by the Joanna Briggs Institute guided this systematic review and qualitative meta-analysis. Seven databases were searched, with no language restrictions. This study was registered with PROSPERO under accession number CRD42021279266. Results A total of 3107 potentially eligible articles were identified through database and reference list searches, among which 23 studies (from 10 countries) were ultimately included in our analysis. Five interrelated themes emerged: the complex psychological course of COVID-19 patients; the impact of the disease on the body; the expectation of support and guidance from multiple sources; coping strategies; and post-traumatic growth. Conclusions Psychological distress among patients with COVID-19 was found to be widespread. Healthcare providers should pay attention to the psychological changes in patients, ensure continuity of care and provide professional support from hospital to home, and build patients’ confidence so that they can return to their families and society. Long-term follow-up studies may provide deeper insight into the psychological needs of survivors.

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The Experiences of COVID-19 Patients in Intensive Care Units: A Qualitative Study

Cited by 17 publications

References 29 publications

Exploring loss and grief during the COVID-19 pandemic: A scoping review of qualitative studies

Exploring loss and grief during the COVID-19 pandemic: A scoping review of qualitative studies

Experiences of COVID-19 patients in a Fangcang shelter hospital in China during the first wave of the COVID-19 pandemic: a qualitative descriptive study

Psychological experience of COVID-19 patients: A systematic review and qualitative meta-synthesis

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