Effect of an isolation-coping programme on patients isolated for colonization or infection with multi-drug-resistant

J B Lee1, J S Choi2

  • 1Gachon University Gil Hospital, Incheon, South Korea.

Abstract

Insights

An isolation-coping program effectively reduced uncertainty, anxiety, and depression in patients with vancomycin-resistant enterococci (VRE) or carbapenem-resistant Enterobacterales (CRE). The intervention also improved patient knowledge regarding these multi-drug-resistant organisms (MDROs).

Area of Science:

  • Infectious Diseases
  • Nursing
  • Psychology

Background:

  • Rising prevalence of vancomycin-resistant enterococci (VRE) and carbapenem-resistant Enterobacterales (CRE) necessitates isolation protocols in healthcare settings.
  • Contact isolation for multi-drug-resistant organisms (MDROs) negatively impacts patient mental health.
  • Limited interventions exist to address the psychological effects of isolation due to MDROs.

Purpose of the Study:

  • To evaluate the effectiveness of an isolation-coping program delivered by infection control nurses.
  • To assess the program's impact on uncertainty, anxiety, depression, and knowledge in patients isolated for VRE or CRE.
  • To mitigate the negative psychological effects associated with MDRO isolation.

Main Methods:

  • A pre-post quasi-experimental design was employed to validate the isolation-coping program.
  • The study involved an experimental group receiving the program and a control group receiving standard guidelines.
  • Outcomes measured included patient uncertainty, anxiety, depression, and knowledge levels.

Main Results:

  • The experimental group (N=56) showed significant reductions in uncertainty, anxiety, and depression compared to the control group (M=55).
  • Patients in the experimental group demonstrated significantly improved knowledge regarding their condition and isolation.
  • Statistical analysis revealed highly significant differences (P<0.001) for all measured outcomes.

Conclusions:

  • The novel isolation-coping program is an effective intervention for patients isolated due to VRE or CRE.
  • The program, delivered by infection control nurses, successfully improved patient mental health and knowledge.
  • This intervention offers a valuable strategy to support patients undergoing isolation for MDROs.

Related Concept Videos

Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.4K
Techniques for Isolation of Pure Cultures01:24

Techniques for Isolation of Pure Cultures

Microorganisms are routinely cultured in the laboratory using various techniques to isolate, grow, and quantify them for further study. These methods rely on inoculating microorganisms into a suitable growth medium under aseptic conditions to prevent contamination. Depending on the objective, inoculation can involve direct transfer or the use of diluted bacterial suspensions as the inoculum.Streak-Plate Method for IsolationThe streak-plate method is a common technique for obtaining pure...
197
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.9K
Pulmonary Tuberculosis V01:28

Pulmonary Tuberculosis V

Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
228
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.8K
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.1K