Patient perceptions of osteomyelitis, septic arthritis and prosthetic joint infection: the psychological influence of methicillin‐resistant Staphylococcus aureus
- 16 April 2007
- journal article
- Published by Wiley in Internal Medicine Journal
- Vol. 37 (8), 536-542
- https://doi.org/10.1111/j.1445-5994.2007.01359.x
Abstract
Introduction: Patients form their own representations of their illness, which can be important determinants of their coping and influence outcome. Our aims were to (i) assess patient perceptions of osteomyelitis, septic arthritis and prosthetic joint infection, (ii) compare perceptions of methicillin-resistant Staphylococcus aureus(MRSA) with non-MRSA infection and (iii) investigate the emotional aspects of these infections. Methods: A questionnaire was developed from the ‘Illness Perception Questionnaire’ of Weinman et al.with additional questions assessing emotional response. This was offered to all patients with osteomyelitis, septic arthritis and prosthetic joint infection attending the Liverpool Hospital Infectious Diseases Outpatient Clinic during a 3-month period. Results: There were 91 respondents − 25 with MRSA infection, 14 with MRSA colonization and 52 without MRSA. Seventy-nine per cent of all respondents felt that their infection was very serious and 76% felt their infection had had major consequences on their life. On multivariate analysis MRSA was associated with a greater emotional effect; the consequences and emotional effects of infection were greater in younger people and prosthetic joint infection was associated with less sense of control or cure. Conclusion: Osteomyelitis, septic arthritis and prosthetic joint infection have a significant effect on an individual. Ongoing support and education are important, particularly for the young, those with prosthetic joint infection and patients with MRSA.Keywords
This publication has 16 references indexed in Scilit:
- The Patients’ Illness Perceptions and the Use of Primary Health CarePsychosomatic Medicine, 2005
- Antimicrobial Resistance inStaphylococcus aureusin Australian Teaching Hospitals, 1989-1999Microbial Drug Resistance, 2003
- Prosthetic Joint Infections: Bane of Orthopedists, Challenge for Infectious Disease SpecialistsClinical Infectious Diseases, 2003
- Patient perceptions of MRSA.The Annals of The Royal College of Surgeons of England, 2003
- The Revised Illness Perception Questionnaire (IPQ-R)Psychology & Health, 2002
- Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult populationJournal of Hospital Infection, 2001
- Patients' perceptions of methicillin-resistant Staphylococcus aureus and source isolation: a qualitative analysis of source-isolated patientsJournal of Hospital Infection, 2001
- Analysis of the stressful effects of hospitalisation and source isolation on coping and psychological constructsInternational Journal of Nursing Practice, 1998
- Psychological impact of the management of methicillin-resistant staphylococcus aureus (MRSA) in patients with spinal cord injurySpinal Cord, 1997
- Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal studyBMJ, 1996