Lived Experiences of Patients with COVID-19 in the Kurdistan Region, Iraq: A Qualitative Study
DOI:
https://doi.org/10.15218/ejnm.2021.04Keywords:
COVID-19 pandemic, Phenomenological study, COVID-19 patients’ lived experienceAbstract
Background and objective: COVID-19 has adverse effects on physical and mental health and threatens the quality of life significantly; therefore, it is necessary to help COVID-19 patients with their lifestyle, which is tightly bound to the quality of their lives. The present study aims to develop plans to improve the quality of life among COVID-19 patients by analyzing their lived experiences.
Methods and patients: The present qualitative study was conducted from August to September 2020 on twelve COVID-19 patients hospitalized in Erbil’s Emirates Hospital, the Kurdistan Region of Iraq. In-depth semi-structured interviews (12) were utilized to collect data. Trustworthiness was ensured by making an excellent prolonged relationship with the patients, peer-checking, member-checking, and implementing experts’ suggestion at every stage. Four main themes were extracted from the interviews, which were transcribed verbatim and analyzed using the six methodological activities proposed by Van Manen.
Results: The present study results indicated that COVID-19 patients have a difficult time dealing with the disease and getting adapted to their new situation, leading to a remarkable decrease in the quality of their lives. Analyzing the transcribed interviews led to emergence of four main themes: “disbelief in being really ill,” “fear and stress,” “changes in lifestyle,” and “seriously adhering to health guidelines.”
Conclusion: Our results showed that COVID-19 patients suffer from physical pain and undergo poor mental health due to fear and stress resulting in worsening quality of life. A deep understanding of COVID-19 patients’ states and situations is highly significant to help nurses and nursing managers plan effective strategies for caring for patients with COVID-19.
Metrics
References
[2] Coronavirus Disease (COVID-19) Situation Reports *Internet+. Who.int. *cited 2020 Aug 25+. Available from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports .
[3] Cascella M, Rajnik M, Cuomo A, Dulebohn SC, Di Napoli R. Features, Evaluation, and Treatment of Coronavirus. 2020 Oct 4. In: StatPearls *Internet+. Treasure Island (FL): StatPearls Publishing; 2020 Jan–. PMID: 32150360.
[4] Garcia R. Neurobiology of fear and specific phobias. Learning and memory. 2017;24(9):462–71.
[5] Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry and clinical neurosciences; 2020;74:281-2.
[6] Sahoo S, Mehra A, Suri V, Malhotra P, Yad-danapudi LN, Dutt Puri G, et al. Lived experiences of the corona survivors (patients admitted in COVID wards): A narrative real-life documented summaries of internalized guilt, shame, stigma, anger. Asian journal of psychiatry. 2020;53(102187):102187.
[7] Shabu S, Amen KM, Mahmood KI, Shabila NP. Risk perception and behavioral response to COVID-19 in Iraqi Kurdistan Region *Internet+. Research square. 2020. http://dx.doi.org/10.21203/rs.3.rs-22025/v1 .
[8] Ornell F, Schuch JB, Sordi AO, Kessler FHP. “Pandemic fear” and COVID-19: mental health burden and strategies. Brazilian journal of psychiatry. 2020;42(3):232–5. http://dx.doi.org/10.1590/1516-4446-2020-0008.
[9] Aziz PY, Hadi JM, Sha AM, Aziz SB, Rahman HS, Ahmed HA, et al. The strategy for con-trolling COVID-19 in Kurdistan Regional Government (KRG)/Iraq: Identification, epidemiology, transmission, treatment, and recovery. International journal of surgery open. 2020;25:41–6.
[10] Holloway I, Wheeler S. Qualitative Research in Nursing and Healthcare. 2010. Oxford: Wiley-Blackwell.
[11] Elo S, Kyngäs H. The qualitative content analysis process. Journal of advanced nursing. 2008;62(1):107–15. http://10.1111/j.1365-2648.2007.04569.x.
[12] Weible CM, Nohrstedt D, Cairney P, Carter DP, Crow DA, Durnová AP, et al. COVID-19 and the policy sciences: initial reactions and perspectives. Policy sciences. 2020;53(2):1–17. https://doi.org/10.1007/s11077-020-09381-4.
[13] Adolph C, Amano K, Bang-Jensen B, Full-man N, Wilkerson J. Pandemic politics: Timing state-level social distancing responses to COVID-19. Journal of health politics, policy and law Internet]. 2020; Available from: http://dx.doi.org/10.1215/03616878-8802162.
[14] Liu, X., Kakade, M., Fuller, C.J., Fan, B., Fang, Y., Kong, J., et al. Depression after exposure to stressful events: lessons learned from the severe acute respiratory syndrome epidemic. Comprehensive psychiatry. 2012;53(1):15–23.
[15] Uscinski JE, Enders AM, Klofstad CM, Seelig M, Funchion J, Everett C, et al. Why Do People Believe COVID-19 Conspiracy Theories? The Harvard Kennedy School Misinformation Review *Internet+. 2020; Available from: http://dx.doi.org/10.37016/mr-2020-015.
[16] Duan, L., Zhu, G. Psychological interventions for people affected by the COVID-19 epi-demic. The lancet psychiatry. 2020;7(4):300-302. http://10.1016/S2215-0366(20)30073-0
[17] World Health Organization (WHO). Home care for patients with Middle East respiratory syndrome coronavirus (MERS-CoV) infection presenting with mild symptoms and management of contacts: interim guidance. World Health Organization; 2018: 2.3.2020.
[18] Li D. Challenges and responsibilities of family doctors in the new global coronavirus outbreak. Family medicine community health. 2020;8(1):e000333. https://10.1136/fmch-2020-000333.
[19] Asgari P, Jackson AC, Bahramnezhad F. Resilient care of the patient with COVID-19 in Iran: A phenomenological Study *Internet+. Research square. 2020. Available from: http://dx.doi.org/10.21203/rs.3.rs-24733/v1.
[20] Jin YH, Cai L, Cheng ZS, Cheng H, Deng T, Fan YP, et al. A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Military medical research. 2020;7(1), 4. https://doi.org/10.1186/s40779-020-0233-6.
[21] Haleem, A., Javaid, M., Vaishy, R. and Vaishb, A. Effects of COVID-19 pandemic in the field of orthopaedics. Journal of clinical orthopaedics and trauma. 2020;11(3):498–499. https://10.1016/j.jcot.2020.03.015.
[22] Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psycho-logical impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912–20. https://doi.org/10.1016/S0140-6736(20)30460-8.
[23] Abdurahman AA, Bule M, Shab-Bidar S, Re-zaei S, Djafarian K. The association between sleep duration and risk of abnormal lipid profile: a systematic review and meta-analysis. Obesity medicine. 2020;18:100236. https://doi.org/10.1016/j.obmed.2020.100236.
[24] Haleem A, Javaid M. Effects of COVID-19 pandemic in daily life. Current medicine research and practice. 2020;10(2):78–9.doi: https://10.1016/j.cmrp.2020.03.011.
[25] Guidance for surgeons working during the COVID-19 pandemic *Internet+. Rcseng.ac.uk. *cited 2020 Aug 20+. Available from: https://www.rcseng.ac.uk/coronavirus/joint-guidance-for-surgeons-v1.
[26] OSHA Guidance on Preparing Workplaces for COVID-19. 2020. U.S. Department of Labor Occupational Safety and Health Administration, OSHA 3990-03 2020.
[27] Ahmad AR, Murad HR. The Impact of Social Media on Panic During the COVID-19 Pandemic in Iraqi Kurdistan: Online Questionnaire Study. Journal of medical internet research. 2020;22(5): e19556). https://10.2196/19556.
[28] Pappot N, Taarnhøj GA, Pappot H. Telemedicine and e-Health Solutions for COVID-19: Patients’ Perspective. Telemedicine journal and e-health. 2020;26(7):847–9. https://10.1089/tmj.2020.0099.
[29] McGowan BS, Wasko M, Vartabedian BS, Miller, RS, Freiherr, DD, Abdolrasulnia, M. Understanding the factors that influence the adoption and meaningful use of social media by physicians to share medical information. Journal of medical internet research. 2020;14(5):e117.doi: https://10.2196/jmir.2138.
[30] Dieltjens, T., Moonens, I., Van Praet, K., De Buck, E. and Vandekerckhove, P. A system-atic literature searches on psychological first aid: lack of evidence to develop guide-lines. PloS one. 2014;9(12), e114714. https://doi.org/10.1371/journal.pone.0114714.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Sarhang Qadir Ibrahim (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.