Experiences and coping strategies among patients with mild COVID-19 who develop post COVID conditions at a primary care centre

基层医疗中心轻症新冠肺炎患者发展为新冠后遗症的经历和应对策略

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Abstract

The COVID-19 pandemic has led to the emergence of post-COVID conditions (PCC) even among individuals with initially mild illness. This study explored the experiences and coping strategies of patients transitioning from mild COVID-19 to PCC within a university-based primary care setting. Using purposive sampling, six women aged 20 to 39 were recruited between August 2022 and July 2023. Through narrative inquiry and in-depth interviews structured by a topic guide informed by Mishel’s Uncertainty in Illness Theory, and Lazarus and Folkman’s Coping Theory, participants’ experiences were explored across three domains: (1) Transitioning from acute COVID-19 to PCC; (2) The impact of PCC on daily life; and (3) Coping strategies. Interviews were audio-recorded and transcribed verbatim. Thematic analysis revealed three key themes. Theme 1, “Transitioning from Acute COVID-19 Symptoms”, describes the gradual shift from initial illness to persistent PCC symptoms. Theme 2, “Navigating Uncharted Territory”, highlights participants’ struggles with cognitive impairments, daily functioning, and the emotional burden of ongoing symptoms. Theme 3, “Building Resilience”, focuses on participants’ efforts to seek information, support, and coping strategies as they navigate their recovery journey. Participants reported a range of debilitating PCC symptoms significantly affecting daily functioning and described various adaptive coping mechanisms. Despite challenges, most participants adapted their lives proactively, and some drew strength from their faith to manage their condition. These findings provide valuable insights into the lived experiences of PCC patients and emphasize the importance of primary care providers, especially in the Malaysian context, in recognizing PCC and offering holistic care and support.

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