2020年初COVID-19出院患者日常生活时空行为分析  

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

作　　者：陈洁[1] 周莹菲 尹凌[2] 李烨[2] 苗芬[2] 裴韬[1] 刘康 任倩茹 李璇 张浩[2,3] 李子垠 奚桂锴 CHEN Jie;ZHOU Yingfei;YIN Ling;LI Ye;MIAO Fen;PEI Tao;LIU Kang;REN Qianru;LI Xuan;ZHANG Hao;LI Ziyin;XI Guikai(Institute of Geographic Sciences and Natural Resources Research,CAS,Beijing 100101,China;Shenzhen Institute of Advanced Technology,CAS,Shenzhen 518055,Guangdong,China;University of Chinese Academy of Sciences,Beijing 100049,China)

机构地区：[1]中国科学院地理科学与资源研究所,北京100101 [2]中国科学院深圳先进技术研究院,深圳518055 [3]中国科学院大学,北京100049

出　　处：《地理学报》2023年第4期1028-1043,共16页Acta Geographica Sinica

基　　金：国家自然科学基金项目(42271475);中国科学院战略性先导科技专项(XDB38060100)。

摘　　要：截至2022年5月新型冠状病毒感染(COVID-19)患者数量累计已逾世界人口的6%。罹患COVID-19的经历对于出院患者的日常生活究竟造成怎样的影响,成为中国乃至全球共同关注的问题。本文以武汉市为例,针对2020年初感染COVID-19的出院患者,基于个体时空行为视角,开展纸质问卷与电话访谈相结合的时空行为调查并获取一手数据资料,分析患者在患病前与出院后不同时期日常生活时空行为的特征差异及影响因素。研究发现,出院后6个月,患者的日常生活呈现出全天睡眠延长、日间活动杂化、晚间休闲活跃的特征,患者的时空行为模式主要表现为从外出工作到外出工作、从外出工作到居家混合、从居家休闲到居家混合的转变。基于时间地理学理论,研究得出,患者身体状况及经济条件的能力制约、个人生活与所需资源形成的组合制约、政策规定及社会舆论形成的权威制约是导致患者出院后日常生活时空行为发生改变的根本原因,进一步探索发病机理、制定康复计划、提高社会认可对患者的身心恢复至关重要。研究结果可为重大突发公共卫生事件下的患者生活质量评价及公共卫生政策制定提供科学依据,并为行为地理学面向特殊事件、特殊人群、特殊阶段开展时空行为研究提供案例参考。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 homc.Bascd 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.

关 键 词：COVID-19 患者 日常生活 时空行为 时间地理学 武汉市 

分 类 号：R563.1[医药卫生—呼吸系统] R181.8[医药卫生—内科学]