Lived Experiences of the Patients Hospitalized with COVID-19: A Phenomenological Study in a Province of Northwest Iran

Authors

  • Mahnaz Moradi M.Sc. student of intensive care nursing, student research committee, School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
  • Peyman Namdar Associate Professor, Emergency medicine specialist, Department of Emergency Medicine, Metabolic Disease Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.
  • Fatemeh GHapanvari M.Sc. student of intensive care nursing, student research committee,School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
  • Leili Yekefallah PhD of Nursing, Associate Professor, Metabolic Disease Research Center, and School of Nursing & Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.

Keywords:

COVID-19, Iran, Lived experiences, Nursing, Pandemic, Phenomenology, Qualitative

Abstract

                COVID-19 is a serious infectious disease whose rapid and widespread spread urged the World Health Organization to declare it a global public health emergency. Understanding the experience of people infected and quarantined with COVID-19 is very important in maximizing disease control and minimizing the negative effects on patients, their families, and social networks. This study explored the experiences of patients with COVID-19 during care and quarantine in northwest Iran. A purposive sample of 11 patients with COVID-19 was recruited. Data were collected from the beginning of March to the beginning of June 2020, using semi‐structured interviews and these were analyzed according to van Manen's phenomenological method. Interviews were audiotaped, transcribed verbatim and analyzed using thematic analysis. 

             Ultimately, four themes, Characteristics of the experience, Response to traumatic experience, Deprivation, and Confusion, and containing 19 sub-themes, emerged. After understanding the findings of this research, nurses working in the wards of patients with COVID-19 can better consider the importance of assessing and analyzing the challenges and experiences of patients during periods of illness and quarantine. Findings also enhance the identification and organization of training needs during such a pandemic and the design of nursing programs to respond to them.

References

Rothan HA, Byrareddy SN. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak. J Autoimmun. 2020;109:102433. doi: 10.1016/j.jaut.2020.102433.

Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020; 395(10226):809-15. doi: 10.1016/S0140-6736 (20)30360-3.

Raoofi A, Takian A, Akbari Sari A, Olyaeemanesh A, Haghighi H, Aarabi M. COVID-19 pandemic and comparative health policy learning in Iran. Arch Iran Med. 2020 Apr 1; 23(4):220-34. doi: 10.34172/aim.2020.02.

Zu ZY, Jiang MD, Xu PP, Chen W, Ni QQ. Coronavirus disease 2019 (COVID-19): a perspective from China. J Radiology. 2020;296(2):E15-E25. doi: 10.1148/ radiol.2020200490.

Jiang F, Deng L, Zhang L, Cai Y, Cheung CW, Xia Z. Review of the clinical characteristics of coronavirus disease 2019 (COVID-19). J Gen Intern Med. 2020;35(5): 1545-9. doi: 10.1007/s11606-020-05762-w.

Wang W, Tang J, Wei F. Updated understanding of the outbreak of 2019 novel coronavirus (2019-nCoV) in Wuhan, China. J Medical Virology. 2020;92(4):441-7. doi: 10.1002/jmv.25689. doi: 10.1002/jmv.25689.

Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi:10.1016/s0140-6736(20)30183-5.

Adhikari SP, Meng S, Wu YJ, Mao YP, Ye RX, Wang QZ, et al. Epidemiology, causes, clinical manifestation and diagnosis, prevention and control of coronavirus disease (COVID-19) during the early outbreak period: a scoping review. Infect Dis Poverty. 2020;9(1):29. doi: 10.1186/s40249-020-00646-x.

Wang Y, Wang Y, Chen Y, Qin Q. Unique epidemiological and clinical features of the emerging 2019 novel coronavirus pneumonia (COVID-19) implicate special control measures. J Med Virol. 2020;92(6):568-76. doi: 10.1002/jmv.25748.

Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. doi: 10.1001/ jama.2020.1585.

Carvalho PMM, Moreira MM, de Oliveira MNA, Landim JMM, Neto MLR. The psychiatric impact of the novel coronavirus outbreak. Psychiatry Res. 2020;286:112902. doi 10.1016/j.psychres.2020.112902.

Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020; 7(3):228-9. doi: 10.1016/s2215-0366(20)30046-8.

Roser M, Ritchie H, Ortiz-Ospina E, Hasell J. Coronavirus disease (COVID-19)–statistics and research. Our world in data. [Internet] 2020 Jan 21 [cited 2020 March 14]. Available from: https://ourworldindata.org/coronavirus

Moghanibashi-Mansourieh A. Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian J Psychiatr. 2020;51:102076. doi: 10.1016/j. ajp.2020.102076.

Zhang XY, Huang HJ, Zhuang DL, Nasser MI, Yang MH, Zhu P, et al. Biological, clinical and epidemiological features of COVID-19, SARS and MERS and AutoDock simulation of ACE2. Infect Dis Poverty. 2020;9(1):99. doi: 10.1186/s40249-020-00691-6.

Nussbaumer-Streit B, Mayr V, Dobrescu AI, Chapman A, Persad E, Klerings I, et al. Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review. Cochrane Database Syst Rev. 2020;4(4): Cd013574. doi: 10.1002/14651858.cd013574.

Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020;395(10227):912-20. doi: 10.1016/s0140- 6736(20)30460-8.

Sood S. Psychological effects of the coronavirus disease-2019 pandemic. Indian J Anaesth. 2020;7:23-6. doi: 10.4103/ija.IJA_697_20.

Takian A, Raoofi A, Kazempour-Ardebili S. COVID-19 battle during the toughest sanctions against iran. Lancet. 2020;395(10229):1035-6. doi: 10.1016/s0140-6736 (20)30668-1.

Kokabisaghi F. Assessment of the effects of economic sanctions on Iranians' right to health by using human rights impact assessment tool: a systematic review. IJHPM. 2018;7(5):374-93.doi: 10.15171/IJHPM.2017.147.

Desclaux A, Badji D, Ndione AG, Sow K. Accepted monitoring or endured quarantine? Ebola contacts' perceptions in senegal. Soc Sci Med. (1982).2017; 178:38-45. doi: 10.1016/j.socscimed. 2017.02.009.

Pellecchia U, Crestani R, Decroo T, Van den Bergh R, Al-Kourdi Y. Social consequences of ebola containment measures in Liberia. PLoS One. 2015;10(12):e0143036. doi: 10.1371/journal.pone.0143036.

Rabelo I, Lee V, Fallah MP, Massaquoi M, Evlampidou I, Crestani R, et al. Psychological distress among ebola survivors discharged from an ebola treatment unit in monrovia, liberia - a qualitative study. Frontiers In Public Health. 2016;4:142. doi: 10.3389/fpubh.2016.00142.

Schwerdtle PM, De Clerck V, Plummer V. Experiences of ebola survivors: causes of distress and sources of resilience. Prehosp Disaster Med. 2017;32(3):234-9. doi: 10.1017/s1049023x17000073.

Robinson K, O'Neill A, Conneely M, Morrissey A, Leahy S, Meskell P, et al. Exploring the beliefs and experiences of older Irish adults and family carers during the novel coronavirus (COVID-19) pandemic: a qualitative study protocol [version 1; peer review: awaiting peer review]. HRB Open Research. 2020;3(16). doi: 10.12688/ hrbopenres.13031.1.

Speziale HS, Streubert HJ, Carpenter DR. Qualitative research in nursing: advancing the humanistic imperative: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2011. https://books.google.com/books?id= xNByh3B1 Wt0C

van Manen M. Researching lived experience: human science for an action sensitive pedagogy: Taylor & Francis; 2016. https://books.google.com/books?id=1LZm DAAAQBAJ

Fawaz M, Samaha A. The psychosocial effects of being quarantined following exposure to COVID-19: a qualitative study of Lebanese health care workers. Inter J of Social Psychi. 2020;66(6):560-5. doi: 10.1177/0020764020932202.

Xin M, Luo S. Negative cognitive and psychological correlates of mandatory quarantine during the initial COVID-19 outbreak in China. Am Psychol. 2020;75(5):607-17. doi: 10.1037/amp0000692.

Dsouza DD, Quadros S, Hyderabadwala ZJ, Mamun MA. Aggregated COVID-19 suicide incidences in india: fear of COVID-19 infection is the prominent causative factor. Psychiatry Res. 2020;290:113145.doi: 10.1016/j. psychres.2020.113145.

Wilken JA, Pordell P, Goode B, Jarteh R, Miller Z, Saygar BG, et al. Knowledge, attitudes, and practices among members of households actively monitored or quarantined to prevent transmission of ebola virus disease - Margibi County, Liberia: February-March 2015. Prehosp Disaster Med. 2017;32(6): 673-8. doi: 10.1017/s1049023x1 7006720.

Shaban RZ, Nahidi S, Sotomayor-Castillo C, Li C, Gilroy N, O'Sullivan MVN, et al. SARS-CoV-2 infection and COVID-19: the lived experience and perceptions of patients in isolation and care in an Australian healthcare setting. Am J Infect Control. 2020;48(12):1445-50. doi: 10.1016/j.ajic.2020.08.032.

Delamou A, Camara BS, Kolie JP, Guemou AD, Haba NY, Marquez S, et al. Profile and reintegration experience of ebola survivors in Guinea: a cross-sectional study. Tropical Med & Internat Health : TM & IH. 2017;22(3): 254-60. doi: 10.1111/tmi.12825.

Jeong H, Yim HW, Song YJ, Ki M, Min JA, Cho J, et al. Mental health status of people isolated due to middle east respiratory syndrome. Epidemiol Health. 2016;38:e2016 048. doi: 10.4178/epih.e2016048.

Braunack-Mayer A, Tooher R, Collins JE, Street JM, Marshall H. Understanding the school community's response to school closures during the H1N1 2009 influenza pandemic. BMC Public Health. 2013;13:344. doi: 10.1186/1471-2458-13-344.

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Published

2021-03-27

How to Cite

1.
Moradi M, Namdar P, GHapanvari F, Yekefallah L. Lived Experiences of the Patients Hospitalized with COVID-19: A Phenomenological Study in a Province of Northwest Iran. PRIJNR [Internet]. 2021 Mar. 27 [cited 2024 Nov. 22];25(2):327-40. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/248372

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Original paper