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Healing Can Be a Very Jagged Line: Reflections on Life as a COVID-19 Long Hauler

机译:治愈可能是一条非常参差不齐的线:对 COVID-19 长途运输者生活的反思

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摘要

“Long COVID” — a term referring to COVID-19-associated symptoms and conditions (ie, sequelae) that remain or emerge after resolution of a SARS-CoV-2 infection — is a multifaceted condition about which little is known. As part of formalized patient-engaged research at a large Midwestern health system, patient stakeholders with long COVID (N=5) wrote stories based on their lived experience, as this was their preferred format for detailing their experience with the condition. These patient stakeholders reviewed one another’s stories, identified relevant quotes, and provided opportunities for elaboration. Independently, a trained researcher extracted quotes from the stories, identified themes, and wove the quotes together to share the independent, yet similar, stories. Emergent themes were that of uncertainty about the symptomatology of long COVID and its effects on patients’ mental health, physical functioning, family unit, self-identity, and future outlook. Further patient-engaged research on understanding the lived experience of long COVID may serve to advance knowledge and treatment. Health care providers caring for those with long COVID can benefit from listening and validating the stories of individuals suffering from this condition.
机译:“长期 COVID”是指 SARS-CoV-2 感染消退后仍然存在或出现的 COVID-19 相关症状和病症(即后遗症)——是一种多方面的疾病,人们对此知之甚少。作为中西部大型卫生系统正式的患者参与研究的一部分,患有长期 COVID 的患者利益相关者 (N=5) 根据他们的生活经历撰写故事,因为这是他们详细描述病情经历的首选格式。这些患者利益相关者审查了彼此的故事,确定了相关的引文,并提供了阐述的机会。一名训练有素的研究人员独立地从故事中提取引文,确定主题,并将引文编织在一起,以分享独立但相似的故事。新兴主题是长期 COVID 症状及其对患者心理健康、身体机能、家庭单位、自我认同和未来前景的影响的不确定性。进一步让患者参与研究以了解长期 COVID 的生活经历可能有助于推进知识和治疗。照顾长期 COVID 患者的医疗保健提供者可以从倾听和验证患有这种疾病的人的故事中受益。

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