Adams Sheila, Herrera Amando, Miller Laura, Soto Rhonda
Baptist Medical Center, San Antonio, Texas, USA.
Crit Care Nurs Q. 2011 Jan-Mar;34(1):3-10. doi: 10.1097/CNQ.0b013e31820480ef.
Evidence-based practice has shown that open visitation in the intensive care setting positively impacts patient outcomes. However, many intensive care units continue to strictly limit visitation hours. One concern for nurses is that open visitation will expose their vulnerable patients to an increased risk of infection. This fear is unfounded in professional literature as well as in the experience of a busy intensive care unit in San Antonio, Texas. Keeping our patients safe from hospital-acquired infections requires vigilant attention to infection prevention procedures. Meanwhile, what may actually be bugging our patients is a health care culture that is based on tradition and is blind to the many benefits provided by a more liberal visitation policy rooted in patient-centered care.
循证医学实践表明，重症监护环境下的开放式探视对患者的治疗结果有积极影响。然而，许多重症监护病房仍继续严格限制探视时间。护士们担心的一个问题是，开放式探视会使他们脆弱的患者面临更高的感染风险。在专业文献以及得克萨斯州圣安东尼奥市一家繁忙的重症监护病房的经验中，这种担忧是毫无根据的。要保护我们的患者免受医院获得性感染，需要对感染预防程序保持警惕。与此同时，真正困扰我们患者的可能是一种基于传统的医疗文化，这种文化对以患者为中心的更宽松探视政策所带来的诸多益处视而不见。
