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成人重症监护病房探视政策:荷兰 ICU 的全面调查。

Visiting policies in the adult intensive care units: a complete survey of Dutch ICUs.

机构信息

Department of Intensive Care, University Medical Center, Utrecht, The Netherlands.

出版信息

Intensive Crit Care Nurs. 2011 Feb;27(1):27-30. doi: 10.1016/j.iccn.2010.10.002. Epub 2010 Nov 19.

Abstract

OBJECTIVES

Treatment in an intensive care unit (ICU) is not only very stressful for the patient but also for the family as well. An open visiting policy, defined as a policy that imposes no restrictions on visiting hours, duration of visits and/or number of visitors, seems to fit very well both patient and family needs. The purpose of this article is to give an overview of the current situation of Dutch ICUs visiting policies.

DESIGN

Nationwide, telephone-based questionnaire survey.

PARTICIPANTS

(Head)nurses of all ICUs.

RESULTS

The results of this study show that none of the ICUs have an open visiting policy, defined as a policy that imposes no restrictions on visiting time, duration of visits and/or number of visitors. The majority of the Dutch ICUs (85.7%) has restricted visiting policies. Responses were obtained from 100% of the ICUs.

CONCLUSION

Despite several international guidelines, research and literature about unrestricted visiting hours on the ICUs, none of the ICUs in this study operates with such a visiting policy. If we take these results into account then the question rises if ICUs are aware of these patients and family needs on the ICUs.

摘要

目的

重症监护病房(ICU)的治疗不仅对患者,而且对患者家属来说都是非常紧张的。开放式探视政策,即对探视时间、探视时长和/或探视人数没有限制的政策,似乎非常符合患者和家属的需求。本文的目的是概述荷兰 ICU 探视政策的现状。

设计

全国范围内的电话问卷调查。

参与者

所有 ICU 的护士长。

结果

这项研究的结果表明,没有一家 ICU 采用开放式探视政策,即对探视时间、探视时长和/或探视人数没有限制的政策。荷兰大多数 ICU(85.7%)都有严格的探视政策。共收到了 100%的 ICU 的回复。

结论

尽管有几项国际指南、关于 ICU 不限时探视的研究和文献,但本研究中的 ICU 没有一家实行这种探视政策。如果我们考虑到这些结果,那么就会出现这样一个问题,即 ICU 是否了解 ICU 上患者和家属的这些需求。

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