Development of Self-management Support for Self-management Behaviors in the Post- COVID -19 Patients on Residual Symptoms in Covid 19 Patients Healed

Abstract

Background: Post COVID-19 infection has long-term health impacts on patients’ mental health and lifestyle, and self-management support can help patients better manage their residual COVID symptoms. Objectives: To develop and evaluate a model of self-management support for residual symptoms among COVID-19 patients. Methods: Data were analyzed for descriptive statistics and repeated measure MANOVA. 62 COVID-19 patients who met the criteria were recruited from Chonburi Hospital and they completed the measures of self-management behaviors and clinical outcomes at baseline (one-week after discharge), 4 weeks and 8 weeks after discharge with Cronbach's alpha coefficients of 0.88 and 0.82, respectively. Results: Self-management model including 1. Identifying the problem and evaluate residual symptoms 2. Problem solving and self-management support 3. Self-management assessment 4. Follow up. Behavior outcome showed more self-management support and better quality of life. Clinical outcomes showed lower mean scores on dyspnea, fatigue depression, and insomnia with greater SpO₂ and lung efficiency. Conclusion: Self-management model support facilitates patients with post-COVID-19 symptoms to perform self-management behaviors and mitigate symptoms of post COVID-19 symptoms. Therefore, patients with post COVID-19 should receive a great deal of self-management support for better self-care after discharge from the hospital.