The relationships between symptom severity post COVID-19, stress, social support and adaptation in patients with COVID-19 after discharge from the hospital
Issued Date
2025-11-01
Resource Type
eISSN
19326203
Scopus ID
2-s2.0-105020644811
Journal Title
Plos One
Volume
20
Issue
11 November
Rights Holder(s)
SCOPUS
Bibliographic Citation
Plos One Vol.20 No.11 November (2025)
Suggested Citation
Yeetho P., Chaiviboontham S., Sumdaengrit B. The relationships between symptom severity post COVID-19, stress, social support and adaptation in patients with COVID-19 after discharge from the hospital. Plos One Vol.20 No.11 November (2025). doi:10.1371/journal.pone.0327825 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/112966
Title
The relationships between symptom severity post COVID-19, stress, social support and adaptation in patients with COVID-19 after discharge from the hospital
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Author's Affiliation
Corresponding Author(s)
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Abstract
Objective This descriptive research aims to investigate the relationship between symptom severity of COVID-19, stress, social support, and adaptation in patients with COVID-19 after discharge from the hospital. Background COVID-19 is a respiratory infection with varying symptoms and severity, requiring tailored treatment based on individual needs. The virus spreads via respiratory secretions within 1–2 meters, requiring isolation to prevent transmission. Social distancing, work disruptions, and school closures cause psychological stress, disrupt routines, alter roles, and increase dependence on others. Roy’s adaptation theory was employed as the conceptual framework to determine the relationship between perceived symptoms severity post-COVID-19, stress, social support, and the adaptation of COVID-19 patients after being discharged from the hospital. Methods The sample involved 150 patients with COVID-19 after discharged from the university hospital. Five instruments were employed to collect data, including 1) Personal and health information questionnaire, 2) Symptoms and perceived symptoms severity post COVID-19 assessment form, 3) Stress assessment form, 4) Social support assessment form, and 5) Four aspects of adaptation assessment form for COVID-19 patients The data were analyzed using descriptive statistics and Spearman Rank Correlation coefficient. Results The results showed that 81.30% of the sample reported post-COVID symptoms. The symptoms severity was perceived at a low level. The most frequently reported symptoms were coughing (72.00%), phlegm (69.30%), and fatigue (60.70%). The study revealed stress at an adaptive level and attained social support at a moderate level. The perception of symptom severity and stress had a statistically significant negative relation with to post-COVID adaptation (r=−.355, p<0.01; r=−.413, p<0.01, respectively, while social support had a statistically significant positive relation with post-COVID adaptation (r=.518, p<0.01). Conclusion The results demonstrated a significant relationship between selected factors and patient adaptation. These findings can inform strategies to manage symptoms and stress, while strengthening social support within discharge planning for patients recovering from COVID-19, thereby facilitating their post-discharge adaptation.