Skyman Eva, Sjöström Harrieth Thunberg, Hellström Lisbeth
Infection Control Unit, Sahlgrenska University Hospital, Gothenburg, Sweden.
Scand J Caring Sci. 2010 Mar;24(1):101-7. doi: 10.1111/j.1471-6712.2009.00692.x. Epub 2010 Jan 11.
Patients infected with methicillin-resistant Staphylococcus aureus (MRSA) during a large outbreak of E-MRSA 16 between 1997 and 2001 at Sahlgrenska University Hospital, Sweden, were moved from their speciality ward to the Clinic of Infectious Diseases for care in source isolation as long as the patient needed hospital care.
To get knowledge regarding patients' experiences who contracted MRSA at the hospital and subsequently source isolated at the Clinic of Infectious Diseases.
The interviews were designed according to qualitative research. Six patients, aged 35-76 years, who contracted MRSA at Sahlgrenska hospital and subsequently source isolated for at least 1 week were interviewed. The interviews were tape-recorded and an inter-subjective analysis was accomplished.
The study found that the patients felt violated for having contracted MRSA at the hospital and the isolation was described as traumatic, albeit accepted because they took responsibility for not spreading MRSA. The patients felt that they did not receive rehabilitation on the same conditions as other patients and lacked information about MRSA. They felt vulnerable due to negative reactions from the nursing staff, family members and other patient's surroundings.
Patients who contract MRSA need information about what the MRSA contagion involves. There is a great need for an elevated knowledge of MRSA among staff members. An increased awareness of how the contagion spreads will allay fears of MRSA among staff and patients. The source isolation should be as short as possible to minimise the feeling of confinement.
1997年至2001年期间,瑞典哥德堡大学萨赫格伦斯卡医院爆发了大规模的E-MRSA 16感染,感染耐甲氧西林金黄色葡萄球菌(MRSA)的患者在需要住院治疗期间,从其专科病房转移到传染病诊所接受源头隔离护理。
了解在医院感染MRSA并随后在传染病诊所接受源头隔离的患者的经历。
访谈按照定性研究设计。对6名年龄在35至76岁之间、在萨赫格伦斯卡医院感染MRSA并随后接受至少1周源头隔离的患者进行了访谈。访谈进行了录音,并完成了主体间分析。
研究发现,患者因在医院感染MRSA而感到被侵犯,隔离被描述为创伤性的,尽管他们接受隔离是因为他们为不传播MRSA承担了责任。患者觉得他们没有得到与其他患者相同条件的康复治疗,并且缺乏关于MRSA的信息。由于护理人员、家庭成员和其他患者周围人的负面反应,他们感到脆弱。
感染MRSA的患者需要了解MRSA感染的相关情况。工作人员非常需要提高对MRSA的认识。提高对感染传播方式的认识将减轻工作人员和患者对MRSA的恐惧。源头隔离应尽可能缩短,以尽量减少被限制的感觉。