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Title: | An evaluation of interventions to improve outcomes for hospitalized patients in isolation: A systematic review. | Authors: | Kramer S.;Omonaiye O.;Digby R.;Berry D.;Considine J.;Dunning T.;Hutchinson A.M. ;Hutchinson A. ;Manias E.;Rasmussen B.;Bucknall T. | Monash Health Department(s): | Deakin University - Centre for Quality and Patient Safety Research, Monash Health partnership | Institution: | (Kramer, Omonaiye, Digby, Berry, Considine, Dunning, Hutchinson, Hutchinson, Manias, Rasmussen, Bucknall) School of Nursing and Midwifery, Centre for Quality and Patient Safety Research, Institute for Health Transformation, Deakin University, Burwood, Australia (Kramer, Digby, Bucknall) Centre for Quality and Patient Safety Research-Alfred Health Partnership, Melbourne, Australia (Berry, Considine) Centre for Quality and Patient Safety, Research-Eastern Health Partnership, Box Hill, Australia (Dunning) Centre for Quality and Patient Safety Research-Barwon Health Partnership, Geelong, Australia (Hutchinson) Centre for Quality and Patient Safety Research-Monash Health Partnership, Clayton, Australia (Hutchinson) Centre for Quality and Patient Safety Research-Epworth Healthcare Partnership, Melbourne, Australia (Rasmussen) Centre for Quality and Patient Safety Research-Western Health Partnership, Sunshine, Australia |
Issue Date: | 17-Feb-2022 | Copyright year: | 2022 | Publisher: | Elsevier Inc. | Place of publication: | United States | Publication information: | American Journal of Infection Control. 50(2) (pp 193-202), 2022. Date of Publication: February 2022. | Journal: | American Journal of Infection Control | Abstract: | Background: Isolation is effective in preventing transmission of infectious disease. However, it has been shown to have negative effects including increased anxiety and poor physical outcomes. Objective(s): To summarize the effects of interventions to improve safety and outcomes for patients in isolation Design: Systematic review (PROSPERO protocol registration - CRD42020222779). Setting(s): Acute hospital Participants: Intervention studies including patients in preventative or protective isolation in a single room. Method(s): MEDLINE, Global Health, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and Excerpta Medica database were searched from 1996-October 2020. Two independent reviewers screened references and assessed risk of bias. One reviewer extracted data and was checked by another. Main outcomes were Quality of Life and mortality. Result(s): We identified 16,698 references and included 6 studies with different study designs. Average age ranged from 4-71 years. Samples sizes were small (range 10-49 participants) apart from one non-randomized controlled trial including >600 participants. Interventions were music therapy (n = 3), psychological counseling (n = 2) and exercise training (n = 1). One study reporting on Quality of Life and found no change after exercise. None of the studies reported on mortality. Due to heterogeneous results no meta-analyses were performed. Conclusion(s): There is a lack of high-quality evidence for effective comprehensive interventions to manage adverse effects associated with isolation. Future studies should investigate the effect of multi-component interventions using rigorous methods to improve outcomes for hospitalized isolated patients.Copyright © 2021 Association for Professionals in Infection Control and Epidemiology, Inc. | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1016/j.ajic.2021.09.002 | PubMed URL: | 34525405 [https://www.ncbi.nlm.nih.gov/pubmed/?term=34525405] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/46806 | Type: | Review | Subjects: | data analysis data extraction data synthesis exercise hospital patient infection prevention isolation music therapy patient safety psychological counseling quality of life |
Type of Clinical Study or Trial: | Systematic review and/or meta-analysis |
Appears in Collections: | Articles |
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