Effect of Mental Health Care for Post-Discharge COVID-19 Patients, Paknam Chumphon Hospital
Keywords:
mental health care, COVID-19 patientAbstract
Background and Objective: Symptoms of COVID-19 patients often found after treatment, the occurrence of symptoms was diverse and may vary from person to person, who had to suffer from the disease during the illness, thus affecting the quality of life continuously for a long time. This study aimed to study the effect of mental health care for post-discharge COVID-19 patients, Paknam Chumphon Hospital.
Methods: This research and development. The studied subjects consisted of 250 people with a history of infection with coronavirus 2019 (Covid-19) more than 3 months, using a stratified sampling. Data were collected during June-August 2022, divided into 3 phases: (1) situation analysis and input, (2) the development process, a mental care project for post-discharge COVID-19 patients and (3) the evaluation of the questionnaire including the dyspnea, fatigue, stress, depression and quality of life. Data were analyzed with descriptive statistics.
Results: post-discharge COVID-19 patients with the most symtoms were dyspnea when walking quickly, 50.0%, strenuous exercise 32.0% and walking slower than others 13.6% respectively. Overall fatigue had a moderate level (mean±SD) (3.32±1.61). The most was fatigued. (3.90± 1.84), fatigue interferes with work (3.51±1.88) and exercise causes fatigue (3.44±1.76) respectively. Overall of stress had a low level (1.32±0.88) the most stress 44.4%, moderate stress 40.8% and high stress 13.2%, respectively. Overall of depression had a moderate level (1.82±1.45). The most was anorexia (1.24±0.93), tiredness (1.19±0.88) and insomnia (1.08±0.98) respectively. Overall quality of life had a good level (3.35±0.64). The most was social (3.67±0.85), environment (3.49±0.77), mental (3.32±0.69) respectively.
Conclusion: Effect of mental health care for post-discharge COVID-19 patients after caring at Paknam Chumphon Hospital was found that overall of dyspnea and fatigue had a moderate level and quality of life had a good level.
References
Department of Medical Services. Caring for COVID-19 patients after treatment, (Post COVID syndrome) or Long COVID for doctors and health workers. Ministry of Public Health; 2021. [Cited May 30, 2022]. Available from: https://covid19.dms.go.th
Wijitraphan T. Prevalence and factors associated with stress and depression in COVID-19 pandemic among residents of Tung Seaw primacy care clinic, Sanpathong District, Chiang Mai Province. J Mental Health Thai 2021;29(1):12-21.
Holtzman CS, Bhatia S, Cotler J, Jason LA. Assessment of post-exertional Malaise (PEM) in patients with myalgic encephalomyelitis (ME) and chronic fatigue syndrome (CFS): A patient-driven survey. Diagnostics (Basel) 2019;9(1):26.
May M, Milrad SF, Perdomo DM, Czaja SJ, Fletcher MA, Jutagir DR, et al. Post-Exertional Malaise is Associated with Greater Symptom Burden and Psychological Distress in Patients Diagnosed with Chronic Fatigue Syndrome. J Psychosom Res 2020;129:109893-113.
Hall J, Myall K, Lam JL, Mason T, Mukherjee B, West A. Identifying patients at risk of post-discharge complications related to COVID-19 infection. Thorax 2021;76(4):408–11.
Boondiskulchok S, Weerametachai S, Leesri T. Prevalence and associated factors of Stress and Depression among SARS-Cov-2 patient in field hospital, Saraburi hospital. Regional Health Promotion Center 9 J 2022;16(2):367-79.
Department of Mental Health. Guidebook of Depressive Disorders Surveillance and Care: Provincial Level. Ministry of Public Health; 2014:7–8. [Cited May 30, 2022]. Available from: https://www.thaidepression.com/www/58/guidebookdepress.pdf
Pratheepawanit Johns N. Quality of life in health: assessment and application. 1st printing Khon Kaen: Khon Kaen University Printing House; 2009.
Pancumyard S, Danaidutsadeekul S, Thosingha O, Muangman P, Tanvatanagul A. Factors related to burn patients’ post-discharge quality of life. J Thai Nurs Midwifery Council 2020;35(2):99-115.
Yasud P, Kittipanya-ngam P. Quality of life and utility in cardiac surgical patients at Queen Sirikit Heart Center of the Northeast. Srinagarind Med J 2021;36(3):253-9.
Namyotha L, anaidutsadeekul S, Wongkongka K, Wongwanit C. Factors Related to Quality of Life among Patients after Revascularization of Peripheral Artery Disease within 6 Months. Increase peripheral arterial blood flow. NURS SCI J THAIL 2021;39(2):64-76.
Qu G, Zhen Q, Wang W, Fan S, Wu Q, Zhang C, et al. Health-related quality of life of COVID-19 patients after discharge: A multicenter follow-up study. J Clin Nurs 2021;30(11-12):1742–50.
Arab-Zozani M, Hashemi F, Safari H, Yousefi M, Ameri H. Health-related quality of life and its associated factors in COVID-19 patients. Osong Public Health Res Perspect 2020;11(5):296-302.
Sayed SE, Gomaa S, Shokry D, Kabil A, Eissa A. Sleep in post‑COVID‑19 recovery period and its impact on different domains of quality of life. Egypt J Neurol Psychiatry Neurosurg 2021;57(1):172.
Chumphon Provincial Public Health Office. Meeting to monitor the operation of surveillance, prevention and control of coronavirus disease 2019 (Covid-19) in Pak Nam Chumphon sub-district; 2021. [Cited May 30, 2022]. Available from: http://www.cmpo. moph.go.th/cmpo/index.php/2021
Jirawatkul A. Statistics in research. Choose how to use it appropriately. Bangkok: Wittayapat; 2014.
Wongsawat S, Editor. Knowledge of mental health care in the situation of the Covid-19 epidemic. "Mind is ready, never get sick". Nonthaburi: Department of Mental Health, Ministry of Public Health; 2020.
Rochanavipart C. Outcomes of Management Program in Complex COPD Patients in Tha Wang Pha Hospital, Nan Province. Lampang Med J 2016;37(2):33-45.
Wangchalabovorn M, Weerametachai S, Leesri T. Prevalence of Post COVID-19 Conditions in SARS-CoV-2 Infected Patients at 3-month telephone follow-up. Regional Health Promotion Center 9 J 2022;16(1):265-84.
Department of Mental Health, Ministry of Public Health. Guidelines for using mental health tools for public health personnel in community hospitals (chronic disease clinic). Nonthaburi: The Agricultural Co-operative Federation of Thailand, Ltd. (ACFT) 2015. [Cited May 30, 2022]. Available from: http://envocc.ddc.moph.go.th/uploads/ประชุม/20-21_11_61/C_1.pdf
Department of Mental Health, Ministry of Public Health. WHO Quality of Life Measuring Instruments, abbreviated set, Thai version (whoqol–bref–thai); 2015. [Cited May 30, 2022]. Available from: https://dmh.go.th/test/whoqol/
Department of Mental Health, Ministry of Public Health. Psychotic and Mental Health Problem Screening Assessment Guide. Nursing mission group, Suansaranrom Hospital; 2564. [Cited May 30, 2022]. Available from: http://1.179.139.229/upload/2021-02-17-1010.pdf
Sukhonthachit P, Wattanakitkrileart D, Pongthavornkamol K, Chuchottaworn C. Insomnia Experience, Insomnia Management Strategies and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease. J Nurs Sci 2017;35(2):100-11.
Huang C, Huang L, Wang Y, Li X, Ren L, Gu X, Kang L, et al. 6-Month consequences of COVID-19 in patients discharged from hospital: a cohort study. Lancet 2021;397(10270):220–32.
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