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Padjadjaran of Nursing Journal

Original

Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran

The Prior-to-isolation Psychosocial Experiences of COVID-19 Diagnosed Patients: An Interpretive Phenomenological Analysis

DOI
https://doi.org/10.24198/jkp.v10i2.1968
Submitted
February 3, 2022
Published
2022-08-01

Abstract

Background: Changes that occurred during COVID-19 pandemic have caused people to have various responses when receiving a diagnosis of COVID-19; among others are stigma in society, lack of knowledge, various social media news that affect people’s beliefs, and mental health during the pandemic. Purpose: The purpose of this study was to explore the psychosocial experiences of patients before and when they were frst diagnosed with COVID-19. Methods: Using a phenomenological approach, we involved 19 COVID-19 survivors who were medically diagnosed and confrmed positive for COVID-19 in the frst 6 months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-toface semi-structured interviews with health protocols and analyzed using the 6-step of Interpretative Phenomenological Analysis (IPA) method. Results: Three themed-fndings illustrate patients’ psychosocial experiences before being diagnosed: 1) cooperative behavior during the pandemic (with sub themes: recognizing symptoms and looking for medical help); 2) Navigating feelings when frst received a diagnosis (with sub themes: being worried about the diagnosis, suspecting infection based on exposure history, and acknowledging the existence of COVID-19); and 3) Early psychosocial responses (with sub-themes: psychological response, cognitive response,behavioral response, family responses, and social response). Conclusion: Exploring the experiences of patients with confrmed COVID-19 before and undergoing the isolation period can provide opportunities to improve the quality of physical and psychological services starting from prevention and assistance when receiving a diagnosis so as not to experience a worsening of the condition during treatment. Recommendations are for further study about COVID-19 survivors among children and adolescents who have been treated in the intensive care unit.

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References

  1. Abdulkareem, S. A., Augustijn, E., Filatova, T., Musial, K., & Mustafa, Y. T. (2020). Risk Perception and Behavioral Change During Epidemics: Comparing Models of Individual and Collective Learning. PloS One, 15(1), e0226483. https://doi.org/10.1371/journal.pone.0226483
  2. Alkhamees, A. A., Alrashed, S. A., Alzunaydi, A. A., Almohimeed, A. S., & Aljohani, M. S. (2020). The psychological impact of COVID-19 pandemic on the general population of Saudi Arabia. Comprehensive Psychiatry, 102, 152192. https://doi.org/10.1016/j.comppsych.2020.152192
  3. Arora, A., Jha, A. K., Alat, P., & Das, S. S. (2020). Understanding coronaphobia. Asian Journal of Psychiatry, 54(July), 102384. https://doi.org/10.1016/j.ajp.2020.102384
  4. Asmundson, G. J. G., & Taylor, S. (2020). Coronaphobia: Fear and the 2019-nCoV outbreak. Journal of Anxiety Disorders, 70(February). https://doi.org/10.1016/j.janxdis.2020.102196
  5. Bhagavathula, A. S., Aldhaleei, W. A., Rahmani, J., Mahabadi, A., & Bandari, D. K. (2020). Knowledge and Perceptions of COVID-19 Among Health Care Workers: Cross-Sectional Study. JMIR Public Health and Surveillance, 6(2), e19160. https://doi.org/https://doi.org/10.2196/19160
  6. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet, 395(10227), 912-920. https://doi.org/10.1016/S0140-6736(20)30460-8
  7. CDC. (2020). Suplement: Community Containment Meansures, Including Non Hospital Isolation and Quarantine.
  8. Chen, F., Wang, X. D., Zhu, K. K., & Hu, J. B. (2020). Investigation of The Psychological Status of Suspected Patients During the Coronavirus Disease 2019 Epidemic. Medicine, 99(38), e22260. https://doi.org/10.1097/MD.0000000000022260
  9. Creswell, J. W. (2012). Educational Research: Planning, Conducting, and Evaluating Quantitative and Qualitative Research (4th Editio). United States of America: University of Nebraska - Lincoln.
  10. Deng, S.-Q., & Peng, H.-J. (2020). Characteristics of and Public Health Responses to the Coronavirus Disease 2019 Outbreak in China. Journal of Clinical Medicine, 9(2), 575. https://doi.org/10.3390/jcm9020575
  11. Djalante, R., Lassa, J., Setiamarga, D., Sudjatma, A., Indrawan, M., Haryanto, B., … Warsilah, H. (2020). Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Progress in Disaster Science, 6, 100091. https://doi.org/10.1016/j.pdisas.2020.100091
  12. Dubey, S., Biswas, P., Ghosh, R., Chatterjee, S., Dubey, M. J., Chatterjee, S., … Lavie, C. J. (2020). Psychosocial impact of COVID-19. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(5), 779-788. https://doi.org/10.1016/j.dsx.2020.05.035
  13. Esakandari, H., Nabi-afjadi, M., Fakkari-afjadi, J., Farahmandian, N., Miresmaeili, S., & Bahreini, E. (2020). A Comprehensive Review of COVID-19 Characteristics. Biological Procedures Online, 22(19), 1-10. https://doi.org/https://doi.org/10.1186/s12575-020-00128-2
  14. Forero, R., Nahidi, S., De Costa, J., Mohsin, M., Fitzgerald, G., Gibson, N., … Aboagye-Sarfo, P. (2018). Application of four-dimension criteria to assess rigour of qualitative research in emergency medicine. BMC Health Services Research, 18(1), 1-11. https://doi.org/10.1186/s12913-018-2915-2
  15. Hasan, M. K. C., Stanmore, E., & Todd, C. (2021). Perspectives of ESCAPE-Pain Programme for Older People With Knee Osteoarthritis in the Community Setting. Frontiers in Public Health, 8(January). https://doi.org/10.3389/fpubh.2020.612413
  16. Hossain, M. M., Tasnim, S., Sultana, A., Faizah, F., Mazumder, H., Zou, L., … Ma, P. (2020). Epidemiology of Mental Health Problems in COVID-19: A Review. F1000Research, 9, 1-16. https://doi.org/10.12688/f1000research.24457.1
  17. Hyland, P., Shevlin, M., McBride, O., Murphy, J., Karatzias, T., Bentall, R. P., … Vallières, F. (2020). Anxiety and Depression in The Republic of Ireland during the COVID-19 Pandemic. Acta Psychiatrica Scandinavica, 142(3), 249-256. https://doi.org/10.1111/acps.13219
  18. Ibáñez-Vizoso, J. E., Alberdi-Páramo, Ã., & Díaz-Marsá, M. (2020). International Mental Health Perspectives on The Novel Coronavirus SARS-CoV-2 Pandemic. Revista de Psiquiatria y Salud Mental, 12(2), 111-113. https://doi.org/10.1016/j.rpsm.2020.04.002
  19. Iswanti, I., Ilmi, B., & Syafwani, M. (2021). Experience of Nurses When Confirmed Covid-19 in the Doctor H. Mochammad Ansari Saleh Hospital Banjarmasin. Syntax Idea, 3(2), 321-337. https://doi.org/doi:10.36418/syntax-idea.v3i2.1046
  20. James, P. B., Wardle, J., Steel, A., & Adams, J. (2019). Post-Ebola psychosocial experiences and coping mechanisms among Ebola survivors : a systematic review. Tropical Medicine & International Health: TM & IH, 24(6), 671-691. https://doi.org/10.1111/tmi.13226
  21. Joyosemito, I. S., & Nasir, N. M. (2021). The Second Wave of the Pandemic Towards the Covid-19 Endemic: Analysis of Vaccination Policies and Restrictions on Community Activities in Indonesia. Jurnal Sains Teknologi Dalam Pemberdayaan Masyarakat, 2(1), 55-66. https://doi.org/10.31599/jstpm.v2i1.718
  22. Krishnamoorthy, Y., Nagarajan, R., Saya, G. K., & Menon, V. (2020). Prevalence of psychological morbidities among general population, healthcare workers and COVID-19 patients amidst the COVID-19 pandemic: A systematic review and meta-analysis. Psychiatry Research, 293(August), 113382. https://doi.org/10.1016/j.psychres.2020.113382
  23. Liu, K., Chen, Y., Wu, D., Lin, R., Wang, Z., & Pan, L. (2020). Effects of progressive muscle relaxation on anxiety and sleep quality in patients with COVID-19. Complementary Therapies in Clinical Practice, 39. https://doi.org/10.1016/j.ctcp.2020.101132
  24. Loades, M. E., Chatburn, E., Higson-Sweeney, N., Reynolds, S., Shafran, R., Brigden, A., … Crawley, E. (2020). Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19. Journal of the American Academy of Child and Adolescent Psychiatry, 59(11), 1218-1239.e3. https://doi.org/10.1016/j.jaac.2020.05.009
  25. Melki, J., Tamim, H., Hadid, D., Makki, M., El Amine, J., & Hitti, E. (2021). Mitigating infodemics: The relationship between news exposure and trust and belief in COVID-19 fake news and social media spreading. PLoS ONE, 16(6 June), 1-13. https://doi.org/10.1371/journal.pone.0252830
  26. Ministry of Health of the Republic of Indonesia. (2020). Guidelines for Preparedness for Coronavirus Disease (COVID-19). Jakarta.
  27. Mohamed, N. A., Solehan, H. M., Mohd Rani, M. D., Ithnin, M., & Isahak, C. I. C. (2021). Knowledge, acceptance and perception on COVID-19 vaccine among Malaysians: A web-based survey. PLoS ONE, 16(8 August), 1-17. https://doi.org/10.1371/journal.pone.0256110
  28. Musinguzi, G., Anthierens, S., Nuwaha, F., Van Geertruyden, J. P., Wanyenze, R. K., & Bastiaens, H. (2018). Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study. International Journal of Hypertension, 2018(8307591). https://doi.org/doi:10.1155/2018/8307591
  29. Nowell, L. S., Norris, J. M., White, D. E., & Moules, N. J. (2017). Thematic Analysis: Striving to Meet the Trustworthiness Criteria. International Journal of Qualitative Methods, 16(1), 1-13. https://doi.org/10.1177/1609406917733847
  30. Nwagbara, U. I., Osual, E. C., Chireshe, R., Bolarinwa, O. A., Saeed, B. Q., Khuzwayo, N., & Hlongwana, K. W. (2021). Knowledge, attitude, perception, and preventative practices towards COVID-19 in sub-Saharan Africa: A scoping review. PLOS ONE, 16(6), e0253833. https://doi.org/10.1371/journal.pone.0253833
  31. Ogunkorode, A. R. S., Holtslander, L., Ferguson, L., Maree, J. E., Anonson, J., & Ramsden, V. R. (2021). Factors influencing the health-seeking behaviors of women with advanced stages of breast cancer in Southwestern Nigeria: An interpretive description study. International Journal of Africa Nursing Sciences, 14, 100273. https://doi.org/10.1016/j.ijans.2020.100273
  32. Polit, D. F., & Beck, C. T. (2014). Essentials of Nursing Research: Appraising Evidence for Nursing Practice (8th ed). Philadelphia: Wolters Kluwer Health /Lippincott Williams & Wilkins.
  33. Regulation of the Minister of Health of the Republic of Indonesia. (2020). Regulation of the Minister of Health of the Republic of Indonesia Number HK.01.07/MENKES/413/2020 About Guidelines for Prevention and Control of Coronavirus Disease 2019 (Covid-19). Jakarta.
  34. Saah, F. I., Amu, H., Seidu, A.-A., & Bain, L. E. (2021). Health knowledge and care seeking behaviour in resource-limited settings amidst the COVID-19 pandemic: A qualitative study in Ghana. PLoS ONE, 16(5), 1-15. https://doi.org/10.1371/journal.pone.0250940
  35. Sembiring, E. E., & Meo, M. L. N. (2020). Knowledge and Attitudes Related to the Risk of Infecting Covid-19 in the People of North Sulawesi. NERS Jurnal Keperawatan, 16(2), 75. https://doi.org/10.25077/njk.16.2.75-82.2020
  36. Shiina, A., Niitsu, T., Kobori, O., Idemoto, K., Hashimoto, T., Sasaki, T., … Iyo, M. (2020). Relationship between perception and anxiety about COVID-19 infection and risk behaviors for spreading infection: A national survey in Japan. Brain, Behavior, & Immunity - Health, 6, 100101. https://doi.org/10.1016/j.bbih.2020.100101
  37. Siswanto, S. (2018). Traditional Indonesian Health Development: Concepts, Strategies and Challenges. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 1(1), 17-31. https://doi.org/10.22435/jpppk.v1i1.429
  38. Smith, J. A., & Shinebourne, P. (2012). APA Handbook of Research Methods in Psychology. (P. Harris Cooper, Ed.) (Interpreta). Washington DC, USA: American Psychological Assosiation. https://doi.org/10.1037/13620-005
  39. Stuart, G. W., Keliat, B. A., & Pasaribu, J. (2016). Principles and Practice of Psychiatric Nursing (1st Indone). Singapura: Elsevier Singapore Pte Ltd.
  40. Subagyo, F. A. K. D., & Irwansyah, I. (2021). Cognitive Dissonance in Health-Seeking Behavior of People in Indonesia to Prevent Covid-19. SALAM: Jurnal Sosial Dan Budaya Syar-I, 8(1), 251-266. https://doi.org/10.15408/sjsbs.v8i1.18692
  41. Sun, N., Wei, L., Wang, H., Wang, X., Gao, M., Hu, X., & Shi, S. (2021). Qualitative study of the psychological experience of COVID-19 patients during hospitalization. Journal of Affective Disorders, 278(24), 15-22. https://doi.org/10.1016/j.jad.2020.08.040
  42. Tali, S. H. ., LeBlanc, J. J., Sadiq, Z., Oyewunmi, O. D., Camargo, C., Nikpour, B., … Jahanshahi-Anbuhi, S. (2021). Tools and Techniques for Severe Acute Respiratory Syndrome. Clinical Microbiology Reviews, 34(3), 1-63. https://doi.org/https://doi.org/10.1128/CMR.00228-20
  43. Wei, N., Huang, B. chao, Lu, S. jia, Hu, J. bo, Zhou, X. yi, Hu, C. chan, … Hu, S. hua. (2020). Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. Journal of Zhejiang University: Science B, 21(5), 400-404. https://doi.org/10.1631/jzus.B2010013
  44. WHO. (2020). Coronavirus Disease COVID-19 Pandemic.
  45. Wu, Y.-C., Chen, C.-S., & Chan, Y.-J. (2020). The outbreak of COVID-19. Journal of the Chinese Medical Association, 83(3), 217-220. https://doi.org/10.1097/jcma.0000000000000270
  46. Xie, Q., Fan, F., Fan, X. P., Wang, X. J., Chen, M. J., Zhong, B. L., & Chiu, H. F. K. (2020). COVID-19 patients managed in psychiatric inpatient settings due to first-episode mental disorders in Wuhan, China: clinical characteristics, treatments, outcomes, and our experiences. Translational Psychiatry, 10(1). https://doi.org/10.1038/s41398-020-01022-x
  47. Ying, Y., Ruan, L., Kong, F., Zhu, B., Ji, Y., & Lou, Z. (2020). Mental health status among family members of health care workers in Ningbo, China, during the coronavirus disease 2019 (COVID-19) outbreak: a cross-sectional study. BMC Psychiatry, 20(1), 379. https://doi.org/10.1186/s12888-020-02784-w