Early Mental Health and Quality of Life in Discharged Patients With COVID-19

Aim: This study aimed to analyze the early mental health (MH) and quality of life (QoL) of discharged patients with coronavirus disease 2019 (COVID-19), which can provide a scientific basis for the further development of intervention programs.Methods: In total, 108 subjects participated in this stud...

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Main Authors: Jinzhuo Hu, Yang Zhang, Qingqing Xue, Yun Song, Fei Li, Ran Lei, Jinlun Wu, Jinghua Qian
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2021.725505/full
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author Jinzhuo Hu
Yang Zhang
Qingqing Xue
Yun Song
Fei Li
Ran Lei
Jinlun Wu
Jinghua Qian
author_facet Jinzhuo Hu
Yang Zhang
Qingqing Xue
Yun Song
Fei Li
Ran Lei
Jinlun Wu
Jinghua Qian
author_sort Jinzhuo Hu
collection DOAJ
description Aim: This study aimed to analyze the early mental health (MH) and quality of life (QoL) of discharged patients with coronavirus disease 2019 (COVID-19), which can provide a scientific basis for the further development of intervention programs.Methods: In total, 108 subjects participated in this study, including an experimental group (90 patients diagnosed with COVID-19 from March to April 2020 and hospitalized in Wuhan China Resources & WISCO General Hospital, Wuhan, China, 83.3%) and a control group (18 healthy participants, 16.7%). Their MH and QoL were measured through the 12-item Short Form Health Survey version 2 (SF-12v2), the Self-rating anxiety scale (SAS), the Self-rating depression scale (SDS), and the International Physical Activity Questionnaire (IPAQ). The results of questionnaires were compared between these two groups.Results: (1) Comparison of anxiety status: among 90 discharged patients with COVID-19, 30 patients (33.3%) had a state of anxiety. Compared with healthy participants and the general population, patients with COVID-19 in the early stages of discharge had a higher incidence of anxiety and more severe anxiety symptoms (P < 0.05). (2) Comparison of depression status: among 90 discharged patients with COVID-19, 29 patients (32.2%) had a state of depression. Compared with healthy participants and the general population, patients with COVID-19 in the early stages of discharge had a higher incidence of depression and more severe depression symptoms (P < 0.05). (3) Comparison of QoL: 78 patients (86.7%) presented a decrease in physical health-related quality of life (HRQoL) and 73 patients (81.1%) presented a decrease in psychology-related QoL. The SF-12v2 physical component summary (PCS) and the SF-12v2 mental component summary (MCS) of patients were significantly lower than those of healthy people, especially in physical function (PF), vitality (VT), social function (SF), and mental health (MH) (all P < 0.05). (4) Gender differences in mental health and the QoL among patients with COVID-19: women had more severe anxiety/depression symptoms than men (P < 0.05). The scores of women in all dimensions of SF-12V2 were lower than those of men, and there were statistically significant differences between the two groups in PCS, PF, general health (GH), VT, and role-emotional (RE) (P < 0.05).Conclusion: During the early phase after being discharged, patients with COVID-19 might experience negative emotions, such as anxiety or depression, and also problems with reduced QoL, especially among female patients. Therefore, an intervention plan should focus on strengthening psychological condition and improving physical function, and gender-specific rehabilitation programmes should be adapted to improve psychological status and QoL.
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spelling doaj.art-7605fe989cfa499798f9a77f8a462b672022-12-21T18:45:39ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-12-01910.3389/fpubh.2021.725505725505Early Mental Health and Quality of Life in Discharged Patients With COVID-19Jinzhuo Hu0Yang Zhang1Qingqing Xue2Yun Song3Fei Li4Ran Lei5Jinlun Wu6Jinghua Qian7School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaRehabilitation Department, China Resources and Wisco General Hospital, Wuhan, ChinaRehabilitation Department, China Resources and Wisco General Hospital, Wuhan, ChinaRehabilitation Department, China Resources and Wisco General Hospital, Wuhan, ChinaSchool of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, ChinaAim: This study aimed to analyze the early mental health (MH) and quality of life (QoL) of discharged patients with coronavirus disease 2019 (COVID-19), which can provide a scientific basis for the further development of intervention programs.Methods: In total, 108 subjects participated in this study, including an experimental group (90 patients diagnosed with COVID-19 from March to April 2020 and hospitalized in Wuhan China Resources & WISCO General Hospital, Wuhan, China, 83.3%) and a control group (18 healthy participants, 16.7%). Their MH and QoL were measured through the 12-item Short Form Health Survey version 2 (SF-12v2), the Self-rating anxiety scale (SAS), the Self-rating depression scale (SDS), and the International Physical Activity Questionnaire (IPAQ). The results of questionnaires were compared between these two groups.Results: (1) Comparison of anxiety status: among 90 discharged patients with COVID-19, 30 patients (33.3%) had a state of anxiety. Compared with healthy participants and the general population, patients with COVID-19 in the early stages of discharge had a higher incidence of anxiety and more severe anxiety symptoms (P < 0.05). (2) Comparison of depression status: among 90 discharged patients with COVID-19, 29 patients (32.2%) had a state of depression. Compared with healthy participants and the general population, patients with COVID-19 in the early stages of discharge had a higher incidence of depression and more severe depression symptoms (P < 0.05). (3) Comparison of QoL: 78 patients (86.7%) presented a decrease in physical health-related quality of life (HRQoL) and 73 patients (81.1%) presented a decrease in psychology-related QoL. The SF-12v2 physical component summary (PCS) and the SF-12v2 mental component summary (MCS) of patients were significantly lower than those of healthy people, especially in physical function (PF), vitality (VT), social function (SF), and mental health (MH) (all P < 0.05). (4) Gender differences in mental health and the QoL among patients with COVID-19: women had more severe anxiety/depression symptoms than men (P < 0.05). The scores of women in all dimensions of SF-12V2 were lower than those of men, and there were statistically significant differences between the two groups in PCS, PF, general health (GH), VT, and role-emotional (RE) (P < 0.05).Conclusion: During the early phase after being discharged, patients with COVID-19 might experience negative emotions, such as anxiety or depression, and also problems with reduced QoL, especially among female patients. Therefore, an intervention plan should focus on strengthening psychological condition and improving physical function, and gender-specific rehabilitation programmes should be adapted to improve psychological status and QoL.https://www.frontiersin.org/articles/10.3389/fpubh.2021.725505/fullcoronavirus disease 2019discharged patientsmental healthquality of lifethe 12-item short form Health Survey version 2
spellingShingle Jinzhuo Hu
Yang Zhang
Qingqing Xue
Yun Song
Fei Li
Ran Lei
Jinlun Wu
Jinghua Qian
Early Mental Health and Quality of Life in Discharged Patients With COVID-19
Frontiers in Public Health
coronavirus disease 2019
discharged patients
mental health
quality of life
the 12-item short form Health Survey version 2
title Early Mental Health and Quality of Life in Discharged Patients With COVID-19
title_full Early Mental Health and Quality of Life in Discharged Patients With COVID-19
title_fullStr Early Mental Health and Quality of Life in Discharged Patients With COVID-19
title_full_unstemmed Early Mental Health and Quality of Life in Discharged Patients With COVID-19
title_short Early Mental Health and Quality of Life in Discharged Patients With COVID-19
title_sort early mental health and quality of life in discharged patients with covid 19
topic coronavirus disease 2019
discharged patients
mental health
quality of life
the 12-item short form Health Survey version 2
url https://www.frontiersin.org/articles/10.3389/fpubh.2021.725505/full
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