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一项关于法国重症监护病房探视政策的多中心调查。

A multicenter survey of visiting policies in French intensive care units.

作者信息

Quinio Philippe, Savry Christophe, Deghelt Arnaud, Guilloux Matthieu, Catineau Jean, de Tinténiac Anne

机构信息

Surgical Intensive Care Unit, Brest Teaching Hospital, Hôpital de la Cavale Blanche, Boulevard Tanguy Prigent, 29609 Brest cedex, France.

出版信息

Intensive Care Med. 2002 Oct;28(10):1389-94. doi: 10.1007/s00134-002-1402-7. Epub 2002 Jul 19.

Abstract

OBJECTIVE

To determine the visiting policies of French intensive care units.

DESIGN AND SETTING

Descriptive study in intensive care units.

METHODS

A questionnaire on their official visiting policies was sent to 200 French ICUs.

RESULTS

Ninety-five ICUs completed the questionnaire (47.5%). Ninety-two (97%) ICUs reported restricted visiting-hour policies, allowing visits at only one or several preassigned times. Mean total daily visiting time was 168 min (range 30-370). The number of visitors was restricted in 90 ICUs (95%). The type of visitors (immediate relatives only) was restricted in 57 (60%). Visiting was forbidden for children in 10 (11%), and 41 (44%) fixed an age limit for visiting. A gowning procedure was imposed on visitors in 78 (82%). Eighteen (19%) ICUs had no waiting room available, 35 (37%) used a special room for providing families with information in addition to the waiting room, 61 (64%) provided an information leaflet. A structured first meeting was organized in 68 (71%). A last structured family meeting at the ICU discharge was provided in 6 (6%).

CONCLUSIONS

Responding ICUs provide homogeneously restrictive visiting policies concerning visiting hours, number and type of visitors. However, family reception cannot be reduced to some quantitative factors and depends on multiple other parameters such as the organization of family meetings and the use of an information leaflet. These results should be an interesting starting point to observe any change in mentalities and practices in the future.

摘要

目的

确定法国重症监护病房的探视政策。

设计与环境

在重症监护病房进行的描述性研究。

方法

向200个法国重症监护病房发送了一份关于其官方探视政策的问卷。

结果

95个重症监护病房完成了问卷(47.5%)。92个(97%)重症监护病房报告了限制探视时间的政策,只允许在一个或几个预先指定的时间探视。平均每日总探视时间为168分钟(范围30 - 370分钟)。90个(95%)重症监护病房限制了探视人数。57个(60%)重症监护病房限制了探视者类型(仅限直系亲属)。10个(11%)重症监护病房禁止儿童探视,41个(44%)设定了探视年龄限制。78个(82%)重症监护病房要求探视者穿隔离衣。18个(19%)重症监护病房没有候诊室,35个(37%)除候诊室之外还使用一个特殊房间为家属提供信息,61个(64%)提供了信息手册。68个(71%)重症监护病房组织了结构化的首次会面。6个(6%)重症监护病房在患者从重症监护病房出院时提供了最后一次结构化的家属会面。

结论

回复问卷的重症监护病房在探视时间、探视人数和探视者类型方面提供了一致的限制性探视政策。然而,对家属的接待不能仅归结为一些量化因素,还取决于多个其他参数,如家属会面的组织和信息手册的使用。这些结果应是未来观察观念和做法变化的一个有趣起点。

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