Prevalence and Related Factors of Stress Symptoms Among COVID-19 Patients in Home Isolation Program
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Abstract
Introduction: The COVID-19 pandemic caused mental health problems and was associated with stress in patients hospitalized with COVID-19. In addition to hospitalization, home isolation for COVID-19 patients was implemented in Thailand for treating asymptomatic or mildly symptomatic patients. This study aimed to study the prevalence of stress and factor-associated stress symptom in home isolation patients.
Objective: To study the prevalence and factors associated with stress symptoms in home isolation patients, Vajira Hospital
Design: Retrospective descriptive study
Methods: The stress level records of 508 COVID-19 patients were retrospectively reviewed by ST5 questionnaire, including demographic data and patients’ concerns about the COVID-19 pandemic. In-home isolation program of Vajira Hospital was evaluated from 26 July to 8 October 2021.
Result: The prevalence rate of stress was 7.3% with 46.7% of stressed patients having sleep problems. Demographic data (age, education, occupation, marital status, and underlying diseases) was not associated with stress levels. However, the patient’s concern about the COVID-19 pandemic has been significantly associated with stress levels (p < 0.001). Most moderate to severely stressed patients were concerned about their health (48.6%).
Conclusion: The prevalence rate of stress in home isolation patients was low. Patient’s concerns about the COVID-19 pandemic, particularly health problems was significantly associated with stress levels. Physicians and healthcare workers can use the ST5 as a screening tool to assess stress levels. The patients can easily answer the questionnaire themselves. ST5, a screening tool, could be implemented for the early detection and treatment of high-stress patients, especially those with health concerns and sleep problems.
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