2020年初COVID-19出院患者日常生活时空行为分析

doi:10.11821/dlxb202304016

Abstract

Abstract:

The COVID-19 patients have exceeded 6% of the world's population. How the COVID-19 infection experience affects the daily life of discharged patients has become a great concern in China and around the world. Focusing on the COVID-19 outbreak period in Wuhan, this study investigated the spatio-temporal behaviors of daily life of COVID-19 patients before infection and after discharge by means of paper questionnaires and telephone interviews. It was found that 6 months after discharge, the daily life of patients was characterized by longer sleep time throughout the day, mingled activities in daytime and more active leisure in evening leisure time. The main spatio-temporal behaviors of patients before and after the infection changed from going out for work to going out for work, from going out for work to mixed leisure, personal affairs and housework at home, and from leisure at home to mixed leisure, personal affairs and housework at home. Based on time geography theory, it was concluded that the changes of patients' spatio-temporal behaviors after discharge were caused by the capability constraints related to patients' physical and economic conditions, the coupling constraints of their life styles and required resources, and the authority constraints from policy regulations and public opinions. Further exploration of pathogenesis, good rehabilitation plan, and improvement of social recognition are essential to the physical and mental recovery of patients. These findings can provide scientific evidence for life quality evaluation of patients under major public health emergencies and public health policy formulation, and provide reference for enriching behavioral geography in spatio-temporal behavior research for special events, special groups and special periods.

Key words: COVID-19, patient, daily life, spatio-temporal behavior, time geography, Wuhan

CHEN Jie, ZHOU Yingfei, YIN Ling, LI Ye, MIAO Fen, PEI Tao, LIU Kang, REN Qianru, LI Xuan, ZHANG Hao, LI Ziyin, XI Guikai. Spatio-temporal behavior analysis of daily life of discharged COVID-19 patients in early 2020[J].Acta Geographica Sinica, 2023, 78(4): 1028-1043.

Figures/Tables 13

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References 30

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	社会经济属性	样本(人)	占比(%)
性别	男	47	36.7
	女	81	63.3
年龄(岁)	< 18	0	0.0
	18~29	3	2.3
	30~39	17	13.3
	40~49	34	26.6
	50~59	39	31.5
	≥ 60	35	27.3

男性		患病前		出院后		P
男性		时长(h)	占比(%)	时长(h)	占比(%)	P
睡眠		7.9	33.0	8.5	35.6	0.03
用餐	居家	1.8	7.4	2.0	8.2	0.37
用餐	外出	0.5	2.1	0.5	2.0	0.93
私事	居家	0.6	2.6	1.4	5.6	0.03
私事	外出	0.0	0.1	0.0	0.1	0.32
家务	居家	1.9	8.1	2.5	10.4	0.34
家务	外出	0.1	0.2	0.0	0.0	0.66
购物	居家	0.1	0.2	0.0	0.0	0.32
购物	外出	0.2	0.8	0.3	1.4	0.51
工作	居家	0.3	1.3	0.7	3.1	0.26
工作	外出	5.2	21.7	3.1	12.8	0.00
休闲	居家	2.6	10.9	3.0	12.6	0.29
休闲	外出	1.3	5.2	0.9	3.5	0.16
出行		1.5	6.3	1.1	4.6	0.01
总和		24.0	1.0	24.0	1.0

女性		患病前		出院后		P
女性		时长(h)	占比(%)	时长(h)	占比(%)	P
睡眠		8.0	33.3	9.2	38.5	0.00
用餐	居家	2.0	8.3	2.6	10.6	0.00
用餐	外出	0.5	2.2	0.2	0.8	0.00
私事	居家	0.6	2.4	1.1	4.5	0.03
私事	外出	0.0	0.0	0.2	0.8	0.04
家务	居家	2.9	12.2	2.4	10.2	0.34
家务	外出	0.1	0.5	0.1	0.2	0.43
购物	居家	0.0	0.1	0.1	0.3	0.38
购物	外出	0.3	1.2	0.2	0.8	0.11
工作	居家	0.2	0.9	0.3	1.5	0.36
工作	外出	4.6	19.0	2.1	8.7	0.00
休闲	居家	2.5	10.4	3.4	14.3	0.00
休闲	外出	0.9	3.6	1.0	4.0	0.56
出行		1.4	5.9	1.1	4.6	0.01
总和		24.0	1.0	24.0	1.0

		平均出行距离(km)
		工作	购物	休闲
男性	患病前	10.6	1.9	2.7
	出院后	9.6	0.8	1.1
	P	0.408	0.500	0.173
女性	患病前	12.2	1.5	1.8
	出院后	6.7	0.9	2.7
	P	0.000	0.037	0.118

		步行	自行车/电动车	私家车/出租车	公交/地铁	班车/校车
男性	患病前	52.1	13.6	16.4	13.6	4.2
男性	出院后	57.8	15.6	18.4	2.8	5.5
女性	患病前	49.3	16.1	5.5	26.3	2.8
女性	出院后	59.9	13.4	10.5	15.1	1.2

Spatio-temporal behavior analysis of daily life of discharged COVID-19 patients in early 2020

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		步行	自行车/电动车	私家车/出租车	公交/地铁	班车/校车
男性	患病前	18.5	18.5	40.7	14.8	7.4
男性	出院后	0.0	21.4	64.3	0.0	14.3
女性	患病前	17.1	19.5	12.2	46.3	4.9
女性	出院后	0.0	27.8	27.8	38.9	5.6

		步行	自行车/电动车	私家车/出租车
男性	患病前	62.5	25.0	12.5
男性	出院后	71.4	14.3	14.3
女性	患病前	68.4	31.6	0.0
女性	出院后	87.5	12.5	0.0

		步行	自行车/电动车	私家车/出租车	公交/地铁
男性	患病前	79.3	10.3	0.0	10.3
男性	出院后	85.2	14.9	0.0	0.0
女性	患病前	84.4	6.3	3.1	6.3
女性	出院后	85.7	8.6	2.9	2.9

大类	子类	人数(人)	合计(人)
“外出—外出”型	外出工作—外出工作	39	48
	外出休闲—外出休闲	5
	外出工作—外出休闲	4
“居家—居家”型	居家休闲—居家混合	32	40
	居家家务—居家混合	8
“外出—居家”型	外出工作—居家混合	30	38
	外出休闲—居家混合	8
“居家—外出”型	居家家务—外出私事	1	2
	居家休闲—外出休闲	1

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