为因感染 MDROs 而被隔离的患者提供咨询课程，提高他们的知情程度，减少他们的不满情绪。

IF 3.9 3区医学 Q1 INFECTIOUS DISEASES

Journal of Hospital Infection Pub Date : 2024-10-10 DOI:10.1016/j.jhin.2024.09.022

V. Gillitzer , A. Rath , A. Caplunik-Pratsch , S. Däumling , W. Schneider-Brachert , S. Gaube

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引用次数: 0

摘要

背景：耐多药生物（MDROs）的传播是一个严重的健康问题。为防止传播而采取的隔离措施可能会对受影响的患者造成不良的心理影响。目的：本研究探讨了在接触隔离期间进行有针对性的辅导是否能提高患者对其 MDRO 感染情况重要性的认识，并改善他们的心理状况：方法：在德国一家三级医院开展了一项干预前-干预后研究，对 N = 64 名因感染 MDRO 而被隔离的患者进行了量身定制的咨询。咨询内容包括有关 MDROs 的信息、采取医院隔离措施的原因以及住院期间和住院后的适当行为。参加者在咨询前后填写了调查问卷，以评估咨询对其知情度、患者（不）满意度和幸福感的影响：咨询前，患者的不满意与焦虑和对 MDROs 的知情度不足有关。咨询结束后，患者对 MDROs 相关情况的理解能力明显提高，对医院状况的不满意度明显降低，这主要归功于获得的信息：这是德国的第一项研究，显示了改进有关 MDROs 的信息如何影响患者对医院的满意度。研究结果强调了改善医护人员与受 MDROs 影响的患者之间的互动和沟通的重要性。

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Counselling sessions for patients in contact isolation due to multi-drug-resistant organisms improve informedness and reduce dissatisfaction

Background

The spread of multi-drug-resistant organisms (MDROs) is a critical health issue. Isolation measures imposed to prevent transmission may result in adverse psychological effects among affected patients. This emphasizes the need for better communication and information to improve their hospital experience and mental well-being as well as to prevent inadequate treatment.

Aim

The present study examined whether tailored counselling sessions during contact isolation could enhance patients' understanding of their situation concerning the significance of their MDRO status and enhance their well-being.

Methods

A pre-post-intervention study was conducted in a German tertiary-care hospital in which N = 64 patients who were isolated due to MDROs received tailored counselling. The counselling included information about MDROs, the reason for hospital isolation measures, and appropriate behaviour during and after hospitalization. Participants completed questionnaires before and after the counselling sessions to assess its impact on their informedness, patient (dis)satisfaction and well-being measures.

Findings

Prior to the counselling session, patient dissatisfaction was associated with anxiety and inadequate informedness about MDROs. After the counselling, patients reported a significantly improved comprehension of their MDROs-related situation and a notable decrease in dissatisfaction with their hospital situation, primarily attributed to the acquired information.

Conclusions

This is the first German study to show how improved information about MDROs impacts patient satisfaction in hospitals. The findings stress the crucial need for improving healthcare workers' interaction and communication with patients affected by MDROs.

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来源期刊

Journal of Hospital Infection 医学-传染病学

CiteScore

12.70

自引率

5.80%

发文量

271

审稿时长

19 days

期刊介绍： The Journal of Hospital Infection is the editorially independent scientific publication of the Healthcare Infection Society. The aim of the Journal is to publish high quality research and information relating to infection prevention and control that is relevant to an international audience. The Journal welcomes submissions that relate to all aspects of infection prevention and control in healthcare settings. This includes submissions that: provide new insight into the epidemiology, surveillance, or prevention and control of healthcare-associated infections and antimicrobial resistance in healthcare settings; provide new insight into cleaning, disinfection and decontamination; provide new insight into the design of healthcare premises; describe novel aspects of outbreaks of infection; throw light on techniques for effective antimicrobial stewardship; describe novel techniques (laboratory-based or point of care) for the detection of infection or antimicrobial resistance in the healthcare setting, particularly if these can be used to facilitate infection prevention and control; improve understanding of the motivations of safe healthcare behaviour, or describe techniques for achieving behavioural and cultural change; improve understanding of the use of IT systems in infection surveillance and prevention and control.