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Effect of an isolation-coping programme on patients isolated for colonization or infection with multi-drug-resistant
Background:
The global increase in the prevalence of vancomycin-resistant enterococci (VRE) and carbapenem-resistant Enterobacterales (CRE) among multi-drug-resistant organisms (MDROs) has necessitated contact precaution and isolation in medical institutions. Contact isolation has a negative effect on the mental health of patients, but few interventions have addressed this issue.
Aim:
To evaluate an isolation-coping programme delivered by an infection control nurse for patients colonized or infected with VRE or CRE.
Methods:
An isolation-coping programme was developed to mitigate the negative effects of isolation due to MDROs, and the effects of the programme on uncertainty, anxiety, depression and knowledge of patients isolated because of MDROs (VRE or CRE) were validated using a pre-post quasi-experimental design.
Findings:
The experimental group (N=56) received education and emotional support via the isolation-coping programme, and the control group (M=55) received verbal isolation guidelines alone from the medical institution. Compared with the control group, the experimental group showed a reduction in uncertainty (t=-8.925), anxiety (Z=-6.131) and depression (Z=-5.379), and better knowledge (Z=-8.372) (P<0.001 for all).
Conclusion:
This novel isolation-coping programme delivered by an infection control nurse was found to be an effective intervention to improve uncertainty, anxiety, depression and knowledge in patients isolated with VRE or CRE.
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.
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