Macclesfield District General Hospital, Macclesfield, UK.
Anaesthesia. 2010 Nov;65(11):1101-5. doi: 10.1111/j.1365-2044.2010.06506.x. Epub 2010 Sep 14.
Admission to an intensive care unit is a highly stressful event for both patients and their relatives. Feelings of anxiety, pain, fear and a sense of isolation are often reported by survivors of a critical illness, whilst the majority of relatives report symptoms of anxiety or depression while their relative was in the intensive care unit. Traditionally, infection control concerns and a belief that liberal visiting by patients' relatives interferes with the provision of patient care have led many units to impose restricted visiting policies. However, recent studies suggest that an open visiting policy with unrestricted visiting hours improve visitors' satisfaction and reduces anxiety. In order to determine current visiting practice and provision for relatives within intensive care units, a questionnaire was sent to the principal nurse in all units within the United Kingdom. A total of 206 hospitals out of 271 completed the survey (76%). We found that 165 (80.1%) of responding units still impose restricted visiting policies, with wide variations in the facilities available to patients' relatives.
入住重症监护病房对患者及其家属来说都是一件压力极大的事情。重病幸存者常报告感到焦虑、痛苦、恐惧和孤立无援,而大多数家属在其亲属入住重症监护病房期间报告出现焦虑或抑郁症状。传统上,感染控制问题以及认为患者亲属的自由探视会干扰患者护理的观念,导致许多单位实行了限制探视政策。然而,最近的研究表明,实行开放探视政策并取消探视时间限制可以提高探视者的满意度并减轻焦虑。为了确定重症监护病房内目前的探视实践和为亲属提供的服务,我们向英国所有单位的护士长发送了一份问卷。在 271 家医院中,共有 206 家(76%)完成了调查。我们发现,165 家(80.1%)回应的单位仍实行限制探视政策,而可供患者亲属使用的设施差异很大。