由针对MDROS实施接触隔离所引发的另类研究
毫无疑问，对于发生MDROs的患者，我们需要实施接触隔离措施，其中之一就是要对患者实施单间（有条件的医院）隔离。有时在我们顾及到一面时，也许我们往往会无意忽视另一面，而这一面往往给患者带来的伤害会更大。。。下面的一篇研究就是很好的佐证，值得我们思考。。。
Patient isolation associated with hospital delirium: study
Author: SHEA, ICHE, The University of Chicago Press
Date Published:12/12/2011 12:01:00 AM
Abstract:
A new study finds that patients who are moved into isolation during a hospital stay are nearly twice as likely to develop delirium, a potentially dangerous change in mental status that often affects hospital patients. Patients who began their stay in isolation were not at increased risk.
The study, published in the January issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, is the largest of its kind to examine the link between delirium and measures taken to prevent the spread of hard-to-treat infections such as MRSA. The measures, known as contact precautions, require patients to be isolated in their own room, and for healthcare personnel to wear masks, gowns, and other protective equipment. Some clinicians have been concerned that contact precautions may be disorienting to patients, making delirium more likely. Though delirium is generally a temporary condition, it can often adversely affect patient care. Symptoms include confusion, an inability to pay attention, and fluctuations in alertness.
A team of researchers led by Dr. Hannah Day of the University of Maryland School of Medicine examined two years of data from the university’s 662-bed medical center. They found that patients who were placed on contact precautions at some point after admission to the hospital were 1.75 times more likely to develop delirium. However, patients on contact precautions starting at admission were no more likely to develop delirium. That finding, the researchers say, suggests that it may not be the precautions themselves causing delirium.
“Patients in our study who were placed on contact precautions later in their hospitalization were generally sicker than those who were on contact precautions from the outset,” said Dr. Day. “So it’s possible that the underlying illness rather than the precautions themselves is responsible for the association with delirium.”
“Regardless of cause, we hope clinicians will view a move to isolation as a marker for increased risk of delirium and take appropriate precautions.”
Dr. Day and her colleagues say patients on contact precautions should be educated about the reasons for and the goals of the intervention so they might be more comfortable with it. Clinicians should also take extra care to monitor medications and try not to interrupt patients’ sleep patterns. In addition, isolation rooms should have clocks, calendars, and other orienting objects to help avoid sensory deprivation.
Patient isolation associated with hospital delirium: study
Author: SHEA, ICHE, The University of Chicago Press
Date Published:12/12/2011 12:01:00 AM
Abstract:
A new study finds that patients who are moved into isolation during a hospital stay are nearly twice as likely to develop delirium, a potentially dangerous change in mental status that often affects hospital patients. Patients who began their stay in isolation were not at increased risk.
The study, published in the January issue of Infection Control and Hospital Epidemiology, the journal of the Society for Healthcare Epidemiology of America, is the largest of its kind to examine the link between delirium and measures taken to prevent the spread of hard-to-treat infections such as MRSA. The measures, known as contact precautions, require patients to be isolated in their own room, and for healthcare personnel to wear masks, gowns, and other protective equipment. Some clinicians have been concerned that contact precautions may be disorienting to patients, making delirium more likely. Though delirium is generally a temporary condition, it can often adversely affect patient care. Symptoms include confusion, an inability to pay attention, and fluctuations in alertness.
A team of researchers led by Dr. Hannah Day of the University of Maryland School of Medicine examined two years of data from the university’s 662-bed medical center. They found that patients who were placed on contact precautions at some point after admission to the hospital were 1.75 times more likely to develop delirium. However, patients on contact precautions starting at admission were no more likely to develop delirium. That finding, the researchers say, suggests that it may not be the precautions themselves causing delirium.
“Patients in our study who were placed on contact precautions later in their hospitalization were generally sicker than those who were on contact precautions from the outset,” said Dr. Day. “So it’s possible that the underlying illness rather than the precautions themselves is responsible for the association with delirium.”
“Regardless of cause, we hope clinicians will view a move to isolation as a marker for increased risk of delirium and take appropriate precautions.”
Dr. Day and her colleagues say patients on contact precautions should be educated about the reasons for and the goals of the intervention so they might be more comfortable with it. Clinicians should also take extra care to monitor medications and try not to interrupt patients’ sleep patterns. In addition, isolation rooms should have clocks, calendars, and other orienting objects to help avoid sensory deprivation.
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大宛名驹&&
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这个很有体会。
我父亲住院的时候，夜间要被叫醒2次，一次肌注，一次口服，很难有一个完整的睡眠，怎么会有一个好精神同病魔抗争哦。
江边一碗水&&
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看来，就像楼主所说，每一个硬币有两个面……