Development of a community-based post-coronavirus care and management system for individuals living with COVID-19

Background: Post-COVID-19 care addresses the ongoing health challenges faced by individuals who have recovered from the virus. Many patients experience persistent symptoms, commonly referred to as long COVID, which can impact both physical and mental health. Consistent follow-up care is essential fo...

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Main Authors: Hathaichanok Buajaroen, Darin Portangtam, Paisan Simalaotoa, Ubonrat Sirisukpoca, Tapanee Sousengaee, wariya Chamkhan
Format: Article
Language:English
Published: Kashan University of Medical Sciences 2025-06-01
Series:Nursing and Midwifery Studies
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Online Access:https://nmsjournal.kaums.ac.ir/article_222989_457ad5ec1a8bd0fc326f1c4bf4a1635c.pdf
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author Hathaichanok Buajaroen
Darin Portangtam
Paisan Simalaotoa
Ubonrat Sirisukpoca
Tapanee Sousengaee
wariya Chamkhan
author_facet Hathaichanok Buajaroen
Darin Portangtam
Paisan Simalaotoa
Ubonrat Sirisukpoca
Tapanee Sousengaee
wariya Chamkhan
author_sort Hathaichanok Buajaroen
collection DOAJ
description Background: Post-COVID-19 care addresses the ongoing health challenges faced by individuals who have recovered from the virus. Many patients experience persistent symptoms, commonly referred to as long COVID, which can impact both physical and mental health. Consistent follow-up care is essential for these patients, emphasizing the need for a comprehensive approach. The development of systems that provide continuous care, particularly through health technology, is crucial for supporting recovery and assisting patients in adapting to life after COVID-19. Objectives: This study aimed to develop community-based care and management guidelines for post-COVID-19 patients, provide ongoing care for individuals living with COVID-19, and assess the effectiveness of these guidelines. Methods: This action research study included 50 professional nurses from Nakhon Pathom Province, Thailand, in 2024. Participants were selected through purposive sampling, with all having at least one year of experience in caring for COVID-19 patients. Data were collected via semi-structured group interviews and five focus groups, each consisting of 10 participants, along with 10 individual interviews to explore unresolved aspects. The guiding interview questions were validated by three experts in nursing and infectious diseases. Data analysis utilized content analysis, triangulation, and synthesis of key points to ensure credibility and applicability. Results: The findings identified critical components of the post-COVID-19 care guidelines: 1) Initial health assessments and screening for pre-existing conditions; 2) Monitoring residual symptoms for up to one-year post-recovery, including respiratory issues, dermatological conditions, chronic illnesses, and exacerbations of existing conditions. New diseases and lingering psychological symptoms were also noted; 3) Health management guidelines included self-care practices utilizing digital COVID-19 information, telehealth nursing for continuous care, physical health services post-recovery, mental health services addressing psychological impacts, and referral systems for emergency care. Conclusion: Continuous care, efficient health information transfer, and technology-supported psychological and social interventions were critical for supporting post-COVID-19 patients in resuming normal life and enhancing their quality of life.
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spelling doaj-art-c0e8ed1be6bb4fd58b0b515896f4cb8f2025-07-24T13:18:05ZengKashan University of Medical SciencesNursing and Midwifery Studies2322-14882322-16742025-06-0114214715910.48307/nms.2025.483742.1500222989Development of a community-based post-coronavirus care and management system for individuals living with COVID-19Hathaichanok Buajaroen0Darin Portangtam1Paisan Simalaotoa2Ubonrat Sirisukpoca3Tapanee Sousengaee4wariya Chamkhan5Faculty of Nursing, Nakhon Pathom Rajabhat University, Nakhon Pathom, ThailandFaculty of Management Sciences, Nakhon Pathom Rajabhat University, Nakhon Pathom, ThailandFaculty of Science and Technology, Nakhon Pathom Rajabhat University, Nakhon Pathom, ThailandNa-Sang-Thombon Health Promotion Hospital, Nakhon Pathom, ThailandFaculty of Nursing, Nakhon Pathom Rajabhat University, Nakhon Pathom, ThailandFaculty of Nursing, Nakhon Pathom Rajabhat University, Nakhon Pathom, ThailandBackground: Post-COVID-19 care addresses the ongoing health challenges faced by individuals who have recovered from the virus. Many patients experience persistent symptoms, commonly referred to as long COVID, which can impact both physical and mental health. Consistent follow-up care is essential for these patients, emphasizing the need for a comprehensive approach. The development of systems that provide continuous care, particularly through health technology, is crucial for supporting recovery and assisting patients in adapting to life after COVID-19. Objectives: This study aimed to develop community-based care and management guidelines for post-COVID-19 patients, provide ongoing care for individuals living with COVID-19, and assess the effectiveness of these guidelines. Methods: This action research study included 50 professional nurses from Nakhon Pathom Province, Thailand, in 2024. Participants were selected through purposive sampling, with all having at least one year of experience in caring for COVID-19 patients. Data were collected via semi-structured group interviews and five focus groups, each consisting of 10 participants, along with 10 individual interviews to explore unresolved aspects. The guiding interview questions were validated by three experts in nursing and infectious diseases. Data analysis utilized content analysis, triangulation, and synthesis of key points to ensure credibility and applicability. Results: The findings identified critical components of the post-COVID-19 care guidelines: 1) Initial health assessments and screening for pre-existing conditions; 2) Monitoring residual symptoms for up to one-year post-recovery, including respiratory issues, dermatological conditions, chronic illnesses, and exacerbations of existing conditions. New diseases and lingering psychological symptoms were also noted; 3) Health management guidelines included self-care practices utilizing digital COVID-19 information, telehealth nursing for continuous care, physical health services post-recovery, mental health services addressing psychological impacts, and referral systems for emergency care. Conclusion: Continuous care, efficient health information transfer, and technology-supported psychological and social interventions were critical for supporting post-COVID-19 patients in resuming normal life and enhancing their quality of life.https://nmsjournal.kaums.ac.ir/article_222989_457ad5ec1a8bd0fc326f1c4bf4a1635c.pdfcovid-19post-acute covid-19 syndromecommunity health nursingnursing
spellingShingle Hathaichanok Buajaroen
Darin Portangtam
Paisan Simalaotoa
Ubonrat Sirisukpoca
Tapanee Sousengaee
wariya Chamkhan
Development of a community-based post-coronavirus care and management system for individuals living with COVID-19
Nursing and Midwifery Studies
covid-19
post-acute covid-19 syndrome
community health nursing
nursing
title Development of a community-based post-coronavirus care and management system for individuals living with COVID-19
title_full Development of a community-based post-coronavirus care and management system for individuals living with COVID-19
title_fullStr Development of a community-based post-coronavirus care and management system for individuals living with COVID-19
title_full_unstemmed Development of a community-based post-coronavirus care and management system for individuals living with COVID-19
title_short Development of a community-based post-coronavirus care and management system for individuals living with COVID-19
title_sort development of a community based post coronavirus care and management system for individuals living with covid 19
topic covid-19
post-acute covid-19 syndrome
community health nursing
nursing
url https://nmsjournal.kaums.ac.ir/article_222989_457ad5ec1a8bd0fc326f1c4bf4a1635c.pdf
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