The relationship between subjective perception and the psychological effects of patients in spatial isolation

Background: Spatial isolation is a common infection control measure, but negative psychological effects are often neglected. We investigated which factors influence the perception of single room isolated patients.Methods: In the present correlative cross-sectional study, 32 isolated patients have be...

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Main Authors: Ibert, Fabienne, Eckstein, Monika, Günther, Frank, Mutters, Nico T.
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2017-08-01
Series:GMS Hygiene and Infection Control
Subjects:
Online Access:http://www.egms.de/static/en/journals/dgkh/2017-12/dgkh000296.shtml
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author Ibert, Fabienne
Eckstein, Monika
Günther, Frank
Mutters, Nico T.
author_facet Ibert, Fabienne
Eckstein, Monika
Günther, Frank
Mutters, Nico T.
author_sort Ibert, Fabienne
collection DOAJ
description Background: Spatial isolation is a common infection control measure, but negative psychological effects are often neglected. We investigated which factors influence the perception of single room isolated patients.Methods: In the present correlative cross-sectional study, 32 isolated patients have been interviewed within three departments of the Heidelberg University Hospital, one of Germany’s largest hospitals. The following questionnaires were used: 10-Item Big Five Inventory (BFI-10), Positive and Negative Affect Schedule (PANAS), Hospital Anxiety and Depression Scale (HADS) and a self-developed questionnaire to evaluate the individual experience of isolation. Data were analysed using correlation and regression analysis.Results: A significant positive correlation was found between the isolation period and anxiety (r=.42, p<.05). Interestingly, a significant positive correlation was demonstrated between the duration of contact to nursing staff and negative daydreaming (r=.89, p<.01). The activity watching television was associated with higher levels of anxiety (r=.38, p<.05). Surfing the internet had a positive relationship with thinking about beautiful things (r=.41, p<.05). Conclusions: Our study results have implications how to improve the psychological situation of patients during spatial isolation. Contact between nursing staff and patients is crucial, since this contact significantly associated with negative daydreaming, probably due to increased neediness of emotional and physical care in some patients. The duration of the isolation has an influence on the experience of anxiety. Activities to cope with the isolation, however, not always have positive effects on the well-being of the patient.
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spelling doaj.art-39f6ebfd727b4bc2bd8d0efed33db23b2022-12-21T18:55:25ZdeuGerman Medical Science GMS Publishing HouseGMS Hygiene and Infection Control2196-52262017-08-0112Doc1110.3205/dgkh000296The relationship between subjective perception and the psychological effects of patients in spatial isolationIbert, Fabienne0Eckstein, Monika1Günther, Frank2Mutters, Nico T.3Heidelberg University Hospital, Institute of Medical Psychology in the Center for Psychosocial Medicine, Heidelberg, GermanyHeidelberg University Hospital, Institute of Medical Psychology in the Center for Psychosocial Medicine, Heidelberg, GermanyHeidelberg University Hospital, Department of Infectious Diseases, Heidelberg, GermanyHeidelberg University Hospital, Department of Infectious Diseases, Heidelberg, GermanyBackground: Spatial isolation is a common infection control measure, but negative psychological effects are often neglected. We investigated which factors influence the perception of single room isolated patients.Methods: In the present correlative cross-sectional study, 32 isolated patients have been interviewed within three departments of the Heidelberg University Hospital, one of Germany’s largest hospitals. The following questionnaires were used: 10-Item Big Five Inventory (BFI-10), Positive and Negative Affect Schedule (PANAS), Hospital Anxiety and Depression Scale (HADS) and a self-developed questionnaire to evaluate the individual experience of isolation. Data were analysed using correlation and regression analysis.Results: A significant positive correlation was found between the isolation period and anxiety (r=.42, p<.05). Interestingly, a significant positive correlation was demonstrated between the duration of contact to nursing staff and negative daydreaming (r=.89, p<.01). The activity watching television was associated with higher levels of anxiety (r=.38, p<.05). Surfing the internet had a positive relationship with thinking about beautiful things (r=.41, p<.05). Conclusions: Our study results have implications how to improve the psychological situation of patients during spatial isolation. Contact between nursing staff and patients is crucial, since this contact significantly associated with negative daydreaming, probably due to increased neediness of emotional and physical care in some patients. The duration of the isolation has an influence on the experience of anxiety. Activities to cope with the isolation, however, not always have positive effects on the well-being of the patient.http://www.egms.de/static/en/journals/dgkh/2017-12/dgkh000296.shtmlspatial isolationpsychological effectsanxietyinfection control
spellingShingle Ibert, Fabienne
Eckstein, Monika
Günther, Frank
Mutters, Nico T.
The relationship between subjective perception and the psychological effects of patients in spatial isolation
GMS Hygiene and Infection Control
spatial isolation
psychological effects
anxiety
infection control
title The relationship between subjective perception and the psychological effects of patients in spatial isolation
title_full The relationship between subjective perception and the psychological effects of patients in spatial isolation
title_fullStr The relationship between subjective perception and the psychological effects of patients in spatial isolation
title_full_unstemmed The relationship between subjective perception and the psychological effects of patients in spatial isolation
title_short The relationship between subjective perception and the psychological effects of patients in spatial isolation
title_sort relationship between subjective perception and the psychological effects of patients in spatial isolation
topic spatial isolation
psychological effects
anxiety
infection control
url http://www.egms.de/static/en/journals/dgkh/2017-12/dgkh000296.shtml
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