Authors

Lucía Manzanedo Basilio1, Iván Cerrada Miguel2, Henar Garzón López3, Zahira Sánchez Pacheco4, Susana Arias-Rivera5

Position

¹Diplomada en Enfermería. Especialista en Geriatría. Hospital Universitario de Getafe. Madrid (España)²Diplomado en Enfermería. Hospital Universitario de Getafe. Madrid (España)³Grado en Enfermería. Hospital Universitario de Getafe. Madrid (España)⁴Diplomada en Enfermería. Máster en enfermería dermoestética, Cuidados de la piel y Técnicas de prevención del envejecimiento. Hospital Universitario de Getafe. Madrid (España)⁵Grado en Enfermería. Máster en género y Salud. Doctoranda por la Universidad de Barcelona. Hospital Universitario de Getafe. Madrid (España)

Contact address

Iván Cerrada Miguel. Hospital Universitario de Getafe. Carretera de Toledo, km. 12,5. 28905 Getafe, Madrid (España). Email: ivan.cerrada@salud.madrid.

Contact email: ivan.cerrada@salud.madrid.org

Abstract

Objective: to determine the level of psychological distress, anxiety and depression of patients hospitalized in isolation regime. Secondarily, to analyse the evolution at 48 hours of isolation and its association with specific sociodemographic characteristics.

Method: a longitudinal descriptive study with patients admitted in hospital isolation regimen at the Internal Medicine Unit of a second level hospital in Madrid (Spain) (N= 90). Sociodemographic and clinical variables were collected, and their level of psychological distress, anxiety and depression was evaluated through the Hospital Anxiety and Depression Scale at days 1 and 3 of isolation.

Results: the study included N= 78 patients; 38.5% of them presented psychological distress, 12.8% presented anxiety, and 10.3% presented depression. At 48 hours, there was only significant increase in psychological distress (p< 0.01). Anxiety was more prevalent in patients with low economic income (p= 0.02), while depression was associated with older age (p< 0.01), longer hospital stay (p= 0.02), being married (p= 0.04), being retired (p< 0.01), not having family dependants (p= 0.02) and being isolated due to iodine (oncological treatment) (p< 0.01). Anxiety levels were lower in patients isolated due to iodine (p= 0.04) and with iodine as their first treatment (p= 0.01) and in those with no previous isolation (p= 0.02); while depression levels were higher in widows / widowers (p= 0.03), those with a lower educational level (p= 0.05), those retired (p= 0.01), patients with lower incomes (p= 0.03) and patients in isolation due to other causes (p< 0.01).

Conclusions: distress, anxiety and depression levels are not high and hardly present any variations during the short term of hospitalization in isolation.

Keywords:

psychological distress; anxiety; depression; patient isolation; hospital anxiety and depression scale

Versión en Español

Título:

Distrés psicológico, ansiedad y depresión en pacientes ingresados en aislamiento hospitalario