L’isolement en secteur protégé : une expérience extrême. Une revue de la littérature

Proia-Lelouey, Nadine; Letrecher, Sandrine

doi:10.3166/pson-2018-0045

Cited by 4 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prolonged protective isolation can lead to social isolation (Vottero & Rittenmeyer, 2012) and other psychosocial implications, such as loneliness (Biagioli, Piredda, Alvaro, & De Marinis, 2017;ElSadr, Noureddine, & Kelley, 2009), depression (El-Jawahri et al, 2015;Tecchio et al, 2013), anxiety (Abad, Fearday, & Safdar, 2010;Sasaki et al, 2000), anger (Vottero & Rittenmeyer, 2012) and insomnia (Kunitomi et al, 2010). Thus, healthcare providers have the responsibility to assess patients' perception of protective isolation in order to identify early those patients who are at risk for negative isolation experiences and to avoid the discontinuation of protective measures because of psychosocial implications (Proia-Lelouey & Letrecher, 2018).…”

Section: Introductionmentioning

confidence: 99%

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

et al. 2019

View full text Add to dashboard Cite

Objectives To identify which factors can influence the patients’ perception of protective isolation following Haematopoietic Stem Cell Transplantation (HSCT). Methods This is a prospective study conducted in 10 Italian centres, members of the Italian Group of stem cell transplant (GITMO). Patients’ perception of protective isolation was assessed using the ISOLA scale between 7 and 9 days post‐transplant. Statistical linear regression analysis was performed. Results The participants were 182 adult patients receiving autologous (48%) or allogeneic (52%) HSCT in protective isolation. Male sex (β = .152), education level (β = −.245), double room (β = .186), satisfaction with visiting hours (β = −.174) and emotional support from nurses (β = −.169) were independently associated with isolation‐related suffering. Significant predictors of the relationship with oneself included body temperature (β = −.179), fatigue (β = −.192) and emotional support from nurses (β = −.292). Factors independently associated with the relationship with others were education (β = −.230), chemotherapy cycles (β = −.218), pain (β = .150) and satisfaction with visiting hours (β = −.162). Conclusion Healthcare providers should pay greater attention in caring for those patients who are at risk for a negative isolation experience. Nurses should provide emotional support.

show abstract

Section: Introductionmentioning

confidence: 99%

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Total isolation is deleterious to the psychological health of human beings (Gilmartin et al., 2013). English‐speaking authors have long been interested in the psychological impact of this type of hospitalization, as shown in the abundant literature summarized in meta‐analyses of qualitative studies (Biagioli et al., 2017; Proia‐Lelouey & Letrecher, 2018; Vottero & et Rittenmeyer, 2012). Most of these studies report a negative impact of isolation on patients' mental well‐being and behavior.…”

Section: The Exemplary Model Of the Hematology Unitmentioning

confidence: 99%

The impact of protective isolation in a hematology unit on staff, patients, and their families

Letrecher

2023

Appl Psychoanal Studies

View full text Add to dashboard Cite

In order to study the psychological consequences of isolation measures, we decided to take the example of protective isolation in hematology. Most patients there had arrived as emergency cases. They were still shocked, stunned by the announcement of double jeopardy: a cancerous pathology with a high risk of death and a 5‐week isolation period. In addition to carrying out technical monitoring, the medical staff exhibits a high level of personal commitment on a daily basis. The support they provide is very intense, commensurate with the need to pick up any signs of somatic or psychological decompensation. In such a regressive context, there is a necessary lack of differentiation between patients and healthcare staff. The intensity of the care given in the hospital contrasts starkly with the total lack of human support at the point of discharge. Two case studies illustrate how the nature of the relationship between patient and family may be changed by hospitalization. Relatives must be able not only to take a back seat during hospitalization, but also to reassert themselves when their loved one is discharged or, more tragically, reaches the end of life. Unconscious aspects of the familial relationships and of the individual's reactions potentiated by this ordeal are described and analyzed.

show abstract

“…C'est pourquoi la littérature internationale explore depuis longtemps l'impact psychologique de ce type d'hospitalisation [3]. Les études en précisent les effets néfastes (anxiété, stress, et dépression, rupture des liens, solitude, frustration, colère) et insistent sur la nécessité de penser des prises en charge psychosociales et/ou psychologiques [4].…”

Section: Contexte De L'étudeunclassified

“…Notre recherche s'inscrit dans le paradigme des qualitative research methods dans lequel quatre formes d'approche qualitative combinables entre elles sont distinguées : ground theory 3 , approche phénoménologique, analyse du discours et analyse narrative auxquelles il faut ajouter la rechercheaction [9,10]. Ces courants soutiennent une approche empirique et subjective des phénomènes, ils partagent une démarche cyclique déterminée par une approche inductive qui autorise un travail d'allerretour entre théorie, expérience, hypothèses et résultats tout au long de la recherche.…”

Section: éPistémologie Et Méthodologieunclassified

Cancer du sang et secteur protégé adulte : premières investigations pour une recherche–action

Letrecher

Proia-Lelouey

2019

Médecine Palliative

View full text Add to dashboard Cite

L’isolement en secteur protégé : une expérience extrême. Une revue de la littérature

Cited by 4 publications

References 28 publications

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

Factors influencing the perception of protective isolation in patients undergoing haematopoietic stem cell transplantation: A multicentre prospective study

The impact of protective isolation in a hematology unit on staff, patients, and their families

Cancer du sang et secteur protégé adulte : premières investigations pour une recherche–action

Contact Info

Product

Resources

About