Surviving COVID-19 and beyond: a mixed-method study

Abstract

Purpose The present study was aimed to explore and analyse the multifaceted impact of coronavirus disease 2019 (COVID-19) on quality-of-life of survivors, in physical, social, psychological and environmental health domains.Design/methodology/approach This explanatory mixed-method study was conducted on 20 patients admitted in the Intensive Care Unit (ICU) of a tertiary care hospital having mild-to-moderate clinical spectrum. Scores of WHO Quality of Life Brief Version (WHO QOL BREF) questionnaire, a quantitative data source, were recorded during admission and two months post-discharge. Qualitative data were collected through in-depth telephonic interviews 2 months post-discharge.Findings Statistically significant improvement in the quality-of-life was seen post-discharge in all four domains. Explanatory qualitative data derived four themes. This experience was life changing and metamorphic. Many participants experienced social exclusions. However, they outlived it with hope, faith and positive frame of mind. Quarantine, limiting social contact impacted largely the well-being and mental health of patients. Integrated care and multidisciplinary protocols are accentuated to combat future crisis.Research limitations/implications COVID-19 was a wake-up call to human race for radical change in healthcare policies. Researchers have emphasised the need to build resilient communities. The role of this research in building evidence as a basis for informed integrated care and decision making is vital. Study findings suggest that along with exhausting physical symptoms survivors experienced psychological symptoms highlighting the need of integrated approach and tailor-made strategies in assessment and treatment.Originality/value Lack of integrated approach in the system resulted in long-lasting physical and psychosocial impact on the survivors. This novel mixed methods research report, adding a valuable insight to body of knowledge through first-hand information, help provide evidence base which can account for future research, policy reforms and response.