Psychological impact of the management of methicillin-resistant Staphylococcus aureus (MRSA) in patients with spinal cord injury
Psychological impact of the management of methicillin-resistant Staphylococcus aureus (MRSA) in patients with spinal cord injury
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DOI：
10.1038/sj.sc.3100469
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发表时间：
1997-09-01
期刊：
影响因子：
2.2
通讯作者：
Hamilton, LR
中科院分区：
文献类型：
--
作者：
Kennedy, P;Hamilton, LR
背景：管理耐甲氧西林金黄色葡萄球菌感染包括立即隔离患者。长时间的隔离被认为在心理上是有害的，尽管关于隔离作为感染控制程序的影响的信息很少。本研究的目的是调查因MRSA阳性而被隔离的脊髓损伤患者的心理健康状况。方法：在英国巴克斯斯托克曼德维尔医院国家脊髓损伤中心对MRSA阳性患者和MRSA阴性患者进行横断面配对对照研究。16名年龄在18岁至65岁之间的MRSA阳性患者和他们的匹配对照组完成了一系列问卷，以衡量心理影响的各个方面。测试内容包括功能独立性、抑郁、焦虑以及愤怒、活力、疲劳和困惑等情绪状态。结果：MRSA阳性脊髓损伤患者的愤怒程度仅显著高于对照组，但这些隔离患者的各项测试得分较高。说明：在这一脊髓损伤组中，孤立MRSA阳性患者与非孤立MRSA阴性患者的心理健康状况之间的差异并不像预期的那么大。患者觉得康复受到了影响，但如果提供更多的空间和更好的病房景观，情况可能会得到改善。
Background: Management of MRSA infection includes immediate isolation of the patient. Long periods of isolation are considered to be psychologically detrimental, though little information is available about the impact of isolation as an infection control procedure. The purpose of this study is to examine the psychological well-being of spinal cord injured patients who are isolated as a result of being MRSA positive.Methods: A cross-sectional matched-control study of MRSA positive patients with MRSA negative patients was carried out at the National Spinal Injuries Centre, Stoke Mandeville Hospital, Bucks, England. Sixteen MRSA positive patients, aged 18 to 65, and their matched controls completed a series of questionnaires to measure aspects of psychological impact. The measures used were functional independence, depression, anxiety, and the affective states of anger, vigour, fatigue and confusion.Findings: The MRSA positive spinal cord injured patients were only significantly more angry than the control group, although these isolated patients scored higher in all measures.Interpretations: In this spinal cord injured group the difference between the psychological wellbeing of isolated MRSA positive patients and non-isolated MRSA negative patients is not as great as might have been expected. Patients feel that rehabilitation is affected, but the situation may be improved by providing more space and a better view onto the ward.