Patients’ Health Experiences of Post COVID-19 Condition—A Qualitative Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Patients
2.3. Data Collection
2.4. Data Analysis
2.5. Ethical Considerations
3. Results
3.1. Loss of Abilities
3.1.1. Losing Smell and Taste
It’s no fun to invite people home and cook, you spend a lot of time around food. You grill or go out and eat. To go out and eat at a restaurant is to throw the money into the lake right now. Sure, the experience, but you do not sense any aromas in the restaurant either. Often it can smell like cigarette smoke even though it is not cigarette smoke. It is a scent we all feel in the whole family, but no one in the family smokes. It’s boring (Patient no. 1).
I am a teacher in preschool, I work with the small children, I did not sense the smell if they had pooped or whatever, that you had to change the diaper. I did not feel that, so it was disabling in a way (Patient no. 8).
3.1.2. Lacking Energy
I think this is probably the worst precisely because the body does not have the strength it wants to have. So I think it has been the worst thing, not being able to go and train at the gym or swim or something like that (Patient no. 12).
It’s the energy, that I do not have the strength, then I do not become this person who has so much tolerance, cares so much about the surroundings, does not have the energy to be as alert at work, does not have the energy to go past my parents after work as I usually do and so on. Of course, it affects health negatively, it is extremely frustrating (Patient no. 10).
3.2. Loss of Control
3.2.1. Being Foreign to Oneself
The first three months I could not walk up the stairs without feeling shortness of breath, it felt very strange. I was not able to cope with that feeling, it was hard and it took time (Patient no. 1).
It’s awful, it’s such brain fatigue, like walking in a glass bubble, no one reaches in and no one reaches out in any way. You just want to go to bed. Of course, it’s hard to feel tired and get lost in the thought when patients talk to you, whenever you want to think something intelligent or make a decision (Patient no. 10).
3.2.2. Seeking Answers
I did not get out of bed. So then I sought medical help or a doctor again, and then I was put on sick leave. And then you were not sure either if it was just the post-COVID symptom that made me tired or if it was some kind of fatigue symptom because the symptoms are quite similar. You consider it a bit like this, which was it, the chicken or the egg (Patient no. 6).
Like, to my closest friends, when we sat down and I got to tell how it was and how I felt. Then they got a different understanding that I might not be myself in certain periods. Because… when it is not visible on the outside, it is not always as easy for people to understand (Patient no. 12).
3.3. Revaluation of Life
3.3.1. Accepting the Transformed Body
It’s not fun. I would like it to be like it used to be. But it’s like I have accepted it, that now it’s just like this. That I can take it easy. It has probably become… that I have to accept it (Patient no. 5).
The only positive thing I’ve got out of it is that I have allowed my body to just be, when it needs to rest. And there I don’t feel that I have to perform at my best. But I can swim there in peace and my body feels good about it too. So it has been nice to find… try to find other ways. That it does not have to be the gym or long walks, it can be something simple (Patient no. 12).
3.3.2. Prioritizing Health
I do not focus so much on details anymore, I focus on the life and health for my loved ones. I couldn’t imagine getting sick like this, but it feels like an experience, because I will never again think “that doesn’t happen to me”. It can happen to anyone. You should not be too sure (Patient no. 11).
I probably feel grateful for life, and I probably did before. But I probably feel that I have reflected even more, and maybe value things even more than I did before (Patient no. 8).
4. Discussion
Methodological Considerations
5. Conclusions and Implications
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | n |
---|---|
Sex | |
Women | 10 |
Men | 4 |
Age in years, Median (range) | 58 (26–76) |
Levels of education | |
Secondary school | 7 |
University | 7 |
Civil status/ | |
Co-habiting | 12 |
Living alone | 2 |
Employment | |
Working full time | 5 |
Working part-time (25–80%) | 6 |
Retired | 3 |
Duration of post COVID-19 condition | |
5–6 months | 2 |
16–21 months | 12 |
Most frequent long-term symptoms | |
Anosmia/taste disorder | 7 |
Fatigue | 7 |
Dyspnoea | 5 |
Impaired physical condition | 3 |
Theme | Moving Between Uncertainty and New Insights | ||
---|---|---|---|
Categories | Loss of abilities | Loss of control | Revaluation of life |
Sub-categories | Losing smell and taste | Being foreign to oneself | Accepting the transformed body |
Lacking energy | Seeking answers | Prioritizing health |
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Almgren, J.; Löfström, E.; Malmborg, J.S.; Nygren, J.; Undén, J.; Larsson, I. Patients’ Health Experiences of Post COVID-19 Condition—A Qualitative Study. Int. J. Environ. Res. Public Health 2022, 19, 13980. https://doi.org/10.3390/ijerph192113980
Almgren J, Löfström E, Malmborg JS, Nygren J, Undén J, Larsson I. Patients’ Health Experiences of Post COVID-19 Condition—A Qualitative Study. International Journal of Environmental Research and Public Health. 2022; 19(21):13980. https://doi.org/10.3390/ijerph192113980
Chicago/Turabian StyleAlmgren, Johanna, Emma Löfström, Julia S Malmborg, Jens Nygren, Johan Undén, and Ingrid Larsson. 2022. "Patients’ Health Experiences of Post COVID-19 Condition—A Qualitative Study" International Journal of Environmental Research and Public Health 19, no. 21: 13980. https://doi.org/10.3390/ijerph192113980