Health-related quality of life of hospitalized COVID-19 survivors: An initial exploration in Nanning city, China.

Affiliation

Wu C(1), Cheng J(2), Zou J(3), Duan L(4), Campbell JE(5).
Author information:
(1)School of Geography and Planning, Sun Yat-sen University, 135 Xingang Xi Road, Guangzhou, 510275, PR China. Electronic address: [Email]
(2)Department of Natural Sciences, Manchester Metropolitan University, Chester Street, M1 5GD, United Kingdom; Centre for Health Geographic Information and Education, Key Laboratory of Environment Change and Resources Use in Beibu Gulf, Nanning Normal University, 175 MingxiuDonglu Road, 530051, Nanning, PR China. Electronic address: [Email]
(3)Centre for Health Geographic Information and Education, Key Laboratory of Environment Change and Resources Use in Beibu Gulf, Nanning Normal University, 175 MingxiuDonglu Road, 530051, Nanning, PR China; The Fourth People's Hospital of Nanning, Erli-1 ChangGang Road, Xingning District, Nanning, 530023, PR China. Electronic address: [Email]
(4)Centre for Health Geographic Information and Education, Key Laboratory of Environment Change and Resources Use in Beibu Gulf, Nanning Normal University, 175 MingxiuDonglu Road, 530051, Nanning, PR China; School of Natural Resources and Surveying, Nanning Normal University, 175 MingxiuDonglu Road, 530051, Nanning, PR China. Electronic address: [Email]
(5)Department of Biostatistics and Epidemiology, Hudson College of Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, OK, 73104, USA. Electronic address: [Email]

Abstract

Understanding the health-related quality of life (HrQoL) of hospitalized COVID-19 survivors is an emerging global challenge arising from the current pandemic. A qualitative study of the experiences of sixteen hospitalized COVID-19 survivors from Nanning City, China, was conducted using semi-structured telephone interviews in May 2020. These first-hand accounts were critically and empirically analysed to identify emerging health and social issues, and provide potential solutions to improve survivors' quality of life. This in-depth, qualitative study of HrQoL for hospitalized COVID-19 survivors provides the first empirical evidence and conceptual framework with eight dimensions (physical symptoms, anxiety, trauma, economic loss, place-based identity, self-stigma, health self-interventions, and changing lifestyle) for understanding the physiological, psychological, socio-economic and health behavioral aspects of their daily lives. We argue that local and global governments should provide integrated healthcare, social and digital infrastructure to support this vulnerable group. More comparative and multi-disciplinary studies in this area are needed to generate academic standards of assessing health-related quality of life and produce good practice guidelines for promoting urban resilience in response to public health disasters.