PDF(Pubmed)
Abstract：
BACKGROUND: Despite modest efforts to study and document the complications that arise after acute treatment of patients with coronavirus disease, its ramifications and regional variations are yet to be clearly understood. Progress in sub-Saharan Africa, notably Nigeria, has been impeded by patient disengagement from care and insufficient or non-existent follow-up arrangements. The aim of this study was to describe the barriers and enablers for follow-up services after discharge from COVID-19 care pathway in Nigeria.
METHODS: Seventeen experts involved directly in the care of patients with COVID-19 participated in brainstorming using the nominal group technique during a national workshop to review the new guidelines for COVID-19 case management in Nigeria. Participants discussed the barriers and facilitators of post-acute care follow-up of patients discharged from COVID-19 pathway and ranked their recommendations to arrive at three major factors per question.
RESULTS: Participants were mostly middle aged and predominantly clinicians. The top three barriers were patients\' perception of their symptom severity, lack of organizational clarity/structure/policies on follow-up care after discharge, and financial constraints. Similarly, participants identified providers\' initiated education on the reasons for follow-up at discharge, written organizational policies/structure and clarity and free follow-up services as the top three facilitators.
CONCLUSIONS: This study has enumerated barriers to follow-up care after discharge patients with coronavirus disease and highlighted providers, institutional and governmental responses that will facilitator follow-up care after discharge of patients with COVID-19. The implication is that, there is need for clear institutional guidelines for tracking and documenting post-COVID condition. In the future, it would be necessary to assess the achievements and shortcomings of post-COVID condition tracking in Nigeria through the use of implementation science outcomes.
METHODS: Seventeen experts involved directly in the care of patients with COVID-19 participated in brainstorming using the nominal group technique during a national workshop to review the new guidelines for COVID-19 case management in Nigeria. Participants discussed the barriers and facilitators of post-acute care follow-up of patients discharged from COVID-19 pathway and ranked their recommendations to arrive at three major factors per question.
RESULTS: Participants were mostly middle aged and predominantly clinicians. The top three barriers were patients\' perception of their symptom severity, lack of organizational clarity/structure/policies on follow-up care after discharge, and financial constraints. Similarly, participants identified providers\' initiated education on the reasons for follow-up at discharge, written organizational policies/structure and clarity and free follow-up services as the top three facilitators.
CONCLUSIONS: This study has enumerated barriers to follow-up care after discharge patients with coronavirus disease and highlighted providers, institutional and governmental responses that will facilitator follow-up care after discharge of patients with COVID-19. The implication is that, there is need for clear institutional guidelines for tracking and documenting post-COVID condition. In the future, it would be necessary to assess the achievements and shortcomings of post-COVID condition tracking in Nigeria through the use of implementation science outcomes.
摘要：
背景：尽管对冠状病毒病患者急性治疗后出现的并发症进行了适度的研究和记录，其影响和区域差异尚未得到明确理解。撒哈拉以南非洲的进展，尤其是尼日利亚,由于患者脱离护理以及随访安排不足或不存在而受到阻碍。这项研究的目的是描述尼日利亚从COVID-19护理途径出院后后续服务的障碍和促成因素。
方法：直接参与COVID-19患者护理的17名专家在一次全国性研讨会上使用名义分组技术进行了头脑风暴，以审查尼日利亚的COVID-19病例管理新指南。参与者讨论了COVID-19途径出院患者急性护理后随访的障碍和促进因素，并对他们的建议进行了排序，以得出每个问题的三个主要因素。
结果：参与者大多是中年人，主要是临床医生。前三个障碍是患者对其症状严重程度的感知，缺乏出院后后续护理的组织清晰度/结构/政策，和财政限制。同样，参与者确定了提供者\'启动了出院时随访原因的教育，书面组织政策/结构和清晰度以及作为前三名主持人的免费后续服务。
结论：这项研究列举了冠状病毒病患者出院后后续护理的障碍，并强调了提供者，机构和政府的反应将促进COVID-19患者出院后的后续护理。言下之意是,需要有明确的机构指南来跟踪和记录COVID后的病情。在未来,有必要通过使用实施科学结果来评估尼日利亚COVID后病情跟踪的成就和不足。
方法：直接参与COVID-19患者护理的17名专家在一次全国性研讨会上使用名义分组技术进行了头脑风暴，以审查尼日利亚的COVID-19病例管理新指南。参与者讨论了COVID-19途径出院患者急性护理后随访的障碍和促进因素，并对他们的建议进行了排序，以得出每个问题的三个主要因素。
结果：参与者大多是中年人，主要是临床医生。前三个障碍是患者对其症状严重程度的感知，缺乏出院后后续护理的组织清晰度/结构/政策，和财政限制。同样，参与者确定了提供者\'启动了出院时随访原因的教育，书面组织政策/结构和清晰度以及作为前三名主持人的免费后续服务。
结论：这项研究列举了冠状病毒病患者出院后后续护理的障碍，并强调了提供者，机构和政府的反应将促进COVID-19患者出院后的后续护理。言下之意是,需要有明确的机构指南来跟踪和记录COVID后的病情。在未来,有必要通过使用实施科学结果来评估尼日利亚COVID后病情跟踪的成就和不足。
