Purpose
The purpose of this study was to identify risk factors for nosocomial Vancomycin-Resistant Enterococcus (VRE) infections in patients with hematologic cancer in Korea. Methods A total of 232 patients (77 in the case group and 155 in the control group) from a tertiary teaching hospital participated in this study from January 2011 to December 2017. Data concerning the disease, treatment, and nursing care were collected from electronic medical records using the coding form. Results VRE infections were found to be associated with leukemic-type cancer, longer hospital stays, high-risk antibiotic use, low-risk antibiotic use, oral antifungal agent use within one month of admission, lower serum albumin levels, and dependent self-care. Conclusion The implication of this study’s results is that VRE infections are associated with factors other than VRE colonization, which is known to be the main influencing factor. Considering these factors, it is crucial to develop programs for VRE prevention and management. In particular, oncology nurses should adhere to precaution guidelines when they have contact with patients who are undergoing a prolonged hospital stay, are having difficulties with self-care activities, or are more likely to have depressed immunity because of intensive chemotherapy and nutritional deficiency. Tools to screen risk factors for VRE infections and programs to encourage nurses’ adherence to guidelines need to be evaluated and provided continuously.

Citations

• Effect of Virtual-Reality Simulation of Indwelling Catheterization on Nursing Students’ Skills, Confidence, and Satisfaction
  Soohyun Park, Hyeon Gyeong Yoon
  Clinical Simulation in Nursing.2023; 80: 46.     CrossRef

PURPOSE
The purpose of this study was to investigate the level of resilience, family support, anxiety and depression in patients with hematologic malignancy, and to determine modifiable psychosocial factors that affect their resilience.
METHODS
Data were collected from 104 patients undergoing curative therapy at 'S' hospital in Seoul. The data were collected from April to May, 2012. The questionnaires included Korean Version of Connor-Davidson Resilience Scale, Family Support Scale and Hospital Anxiety-Depression Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression.
RESULTS
Resilience had statistically significant correlation with family support (r=.43, p<.001), anxiety (r=-.49, p<.001) and depression (r=-.52, p<.001). Factors influencing resilience were depression, family support, anxiety and time since diagnosis with R-sq. value of 36%.
CONCLUSION
The results of the study show that family support, anxiety and depression have important influences on resilience of patients with hematologic malignancy. Thus, family support needs to be reinforced when developing and implementing nursing intervention, and nurses need to intervene to reduce anxiety and depression of patients with hematologic malignancy.

Citations

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