Kennedy P, Hamilton L R
National Spinal Injuries Centre, Stoke Mandeville Hospital, Aylesbury, Bucks, UK.
Spinal Cord. 1997 Sep;35(9):617-9. doi: 10.1038/sj.sc.3100469.
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.
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.
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.
In this spinal cord injured group the difference between the psychological well-being 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.
耐甲氧西林金黄色葡萄球菌（MRSA）感染的管理包括立即隔离患者。尽管关于作为感染控制措施的隔离的影响的信息很少，但长期隔离被认为对心理有害。本研究的目的是检查因MRSA呈阳性而被隔离的脊髓损伤患者的心理健康状况。
在英国白金汉郡斯托克曼德维尔医院的国家脊髓损伤中心，对MRSA阳性患者和MRSA阴性患者进行了一项横断面配对对照研究。16名年龄在18至65岁之间的MRSA阳性患者及其配对对照完成了一系列问卷，以测量心理影响的各个方面。所使用的测量指标包括功能独立性、抑郁、焦虑以及愤怒、活力、疲劳和困惑等情感状态。
MRSA阳性的脊髓损伤患者仅比对照组明显更易怒，尽管这些被隔离的患者在所有测量指标上得分都更高。
在这个脊髓损伤群体中，被隔离的MRSA阳性患者和未被隔离的MRSA阴性患者的心理健康差异并不像预期的那么大。患者认为康复受到影响，但通过提供更多空间和更好的病房视野，情况可能会得到改善。
