الفهرس | Only 14 pages are availabe for public view |
Abstract In addition to physical damage, COVID-19 also has a serious impact on the mental health of the public. Therefore, the aim of the present work was to assess the prevalence and predictors of psychological impairments among post-COVID patients and evaluate the effect of applying psychological rehabilitation program on those patients. To achieve such aim, a cross sectional study was conducted on 328 post-COVID patients aged 21-80 years old who attended outpatient clinics of Menoufia University affiliated Hospitals period from 1st of September 2021 to the last of December 2023. The cross sectional study was to assess the prevalence and predictors of GAD, PTSD and depression then an interventional study was conducted to assess the effect of psychological rehabilitation on the study participants. The participants were interviewed using a predesigned questionnaire that consisted of five sections; the first section included questions about identification data [age, marital status, education and occupation) assessment of socioeconomic standard. The second section included questions about COVID and post-COVID symptoms` severity. The third section included questions about GAD (GAD-7) (validated Arabic question). The forth section was composed of questions about depression (PHQ-9) (validated Arabic question). The fifth section included questions about PTSD (PTC-C) (validated Arabic question). from this study, the results showed that: 1- The prevalence of GAD, depression and PTSD among post-COVID patients were 48%,29%and 8.5% respectively. 2- It was found that there were statistically significant differences between the studied groups of patients regarding socioeconomic standard and educational level as 55.4% of depressed patients had low socioeconomic standard and 52.2% of them had low educational level. 3- Low socioeconomic standard and high educational level were more likely to have depressive disorders (odds ratio: 5.231and 1.689 respectively). 4- There was a statistically significant difference between the studied groups of patients (group of patients who had depression and the other group who didn`t have depression) regarding impaired activity of daily level, having chronic disease and hospital admission (either ward or intensive care unit admission), about 35.9% of depressed patients had impaired activity of daily living , 37% of patients with depressive disorders had chronic disease and 28.3% of depressed patient needed hospitalization. 5- Also there was statistically significant difference between the studied groups regarding the duration of hospital stay which was longer in depressed patients (2.71±4.977) compared to non-depressed patients (1.326±3.37). 6- Patients with history of ICU admission, present problems with ADL, chronic diseases and hospitalization were more likely to have depressive disorders (odds ratio: 3.788, 3.2, 2.71 and 2.26 respectively). 7- It was found that there are no statistically significant differences between studied PTSD patients and non-PTSD patients regarding the sociodemographic data (age, sex, residence, marital status, educational level, working status and sociodemographic standard) . |