Your browser doesn't support javascript.
Patients' perspectives of recovery after COVID-19 critical illness: An interview study.
Bench, Suzanne; Cherry, Helen; Hodson, Matthew; James, Alison; McGuinness, Nicola; Parker, Gaby; Thomas, Nicola.
  • Bench S; Director of Nursing and Professor of critical care nursing, London South Bank University, London, UK.
  • Cherry H; Guys and St thomas NHS Foundation Trust, London, UK.
  • Hodson M; Patient representative.
  • James A; North Central Division, Central London Community Healthcare NHS Trust, London, UK.
  • McGuinness N; Director of Nursing and Professor of critical care nursing, London South Bank University, London, UK.
  • Parker G; Institute of Health and Social Care, London South Bank University, London, UK.
  • Thomas N; Central London Community Healthcare- Hertfordshire Division, Harpenden Memorial Hospital, Harpenden, UK.
Nurs Crit Care ; 28(4): 585-595, 2023 Jul.
Article in English | MEDLINE | ID: covidwho-2193055
ABSTRACT

BACKGROUND:

Critical illness is a traumatic experience, often resulting in post-intensive care syndrome, affecting people's physical, psychological, emotional, and social well-being. The early recovery period is associated with increased risk, negatively impacting longer-term outcomes.

AIMS:

The aims of this study were to understand the recovery and rehabilitation needs of people who survive a COVID-19 critical illness. STUDY

DESIGN:

An exploratory descriptive qualitative interview study with 20 survivors of COVID-19 critical illness from two community-based healthcare settings in London, England. Data collection took place September 2020-April 2021, at least 1 month after hospital discharge by telephone or virtual platform. Data were subjected to inductive thematic analysis and mapped deductively to the three core concepts of self-determination theory autonomy, competence and relatedness.

RESULTS:

Three key themes emerged traumatic experience, human connection and navigating a complex system. Participants described how societal restrictions, fear and communication problems caused by the pandemic added to their trauma and the challenge of recovery. The importance of positive human connections, timely information and support to navigate the system was emphasized.

CONCLUSIONS:

Whilst findings to some extent mirror those of other qualitative pre-pandemic studies, our findings highlight how the uncertainty and instability caused by the pandemic add to the challenge of recovery affecting all core concepts of self-determination (autonomy, competence, relatedness). RELEVANCE TO CLINICAL PRACTICE Understanding survivors' perspectives of rehabilitation needs following COVID-19 critical illness is vital to delivery of safe, high-quality care. To optimize chances of effective recovery, survivors desire a specialist, co-ordinated and personalized recovery pathway, which reflects humanized care. This should be considered when planning future service provisions.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Intensive Care Units Type of study: Prognostic study / Qualitative research Topics: Long Covid Limits: Humans Language: English Journal: Nurs Crit Care Journal subject: Nursing / Critical Care Year: 2023 Document Type: Article Affiliation country: Nicc.12867

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 / Intensive Care Units Type of study: Prognostic study / Qualitative research Topics: Long Covid Limits: Humans Language: English Journal: Nurs Crit Care Journal subject: Nursing / Critical Care Year: 2023 Document Type: Article Affiliation country: Nicc.12867