Self-Esteem and Associated Factors among Orthopedic Trauma Patients with Nosocomial Infections in Kenitra, Morocco: A Cross-Sectional Study
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Objective: Nosocomial infections (NI) represent a major worldwide public health problem, with several repercussions on the psychological health of patients. The study aimed to assess the level of self-esteem and its associated factors in orthopedic trauma patients who have developed a nosocomial infection at the Hospital El Idrissi of Kenitra, Morocco.
Methods and Materials: A descriptive–analytical cross-sectional study was conducted from October 2020 to April 2022. Sixty-five adult orthopedic trauma patients with confirmed NI were included. Self-esteem was measured using the Rosenberg Self-Esteem Scale and categorized as low versus moderate/average based on predefined cut-offs. Hygiene level (poor vs average) was assessed by nursing staff using standardized observable criteria prior to NI onset. Clinical and sociodemographic variables (e.g., age, sex, comorbidities, infection site, length of stay, smoking) were extracted from records and interviews. Data were analyzed in SPSS using chi-square/Fisher’s exact tests and ANOVA where appropriate (p<0.05).
Findings: The mean age was 47.78 years with a balanced sex ratio. Surgical site infection was the most frequent NI (>50%). Low self-esteem was observed in 66.2% of patients, with higher prevalence among women. Self-esteem impairment was significantly associated with hygiene level, comorbidities (notably diabetes/hypertension), hospitalization characteristics/length of stay, age, sex, and infection site.
Conclusion: Low self-esteem is common among orthopedic trauma patients with NIs and is linked to clinical and care-related factors. Integrating psychological screening and support into infection-management pathways, alongside strengthened prevention and hygiene protocols, may reduce the psychosocial burden of Nis.
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