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麻醉后恢复室中的家属探视:一项循证实践项目

Family Visitation in the PACU: An Evidence-Based Practice Project.

作者信息

Pagnard Elizabeth, Sarver Wendy

出版信息

J Perianesth Nurs. 2019 Jun;34(3):600-605. doi: 10.1016/j.jopan.2018.09.007. Epub 2018 Dec 6.

DOI:10.1016/j.jopan.2018.09.007
PMID:30528306
Abstract

PURPOSE

Evidence demonstrates that allowing visitation in the postanesthesia care unit (PACU) leads to decreased anxiety and increased satisfaction. The purpose of this project was to create a visitation policy for families of patients staying overnight in the PACU, which would lead to improved satisfaction with the surgical waiting room experience and decreased family member anxiety.

DESIGN

Evidence-based practice project.

METHODS

Survey data were sent to staff registered nurses to implement a visitation policy. On the basis of the feedback, a visitation policy was implemented. Family satisfaction was measured preimplementation and postimplementation.

FINDINGS

Family satisfaction increased from a mean score of 4.5 to 9.6 and 10. Anecdotally, patients and families reported less anxiety after the visit.

CONCLUSIONS

Family satisfaction can be increased and anxiety decreased by allowing a brief visit in the PACU. Although registered nurses expressed concerns before the change, the new visitation policy was successfully implemented and met with enthusiasm. It continues in practice today.

摘要

目的

有证据表明,允许在麻醉后护理单元(PACU)进行探视可减轻焦虑并提高满意度。本项目的目的是为在PACU过夜的患者家属制定一项探视政策,这将提高对手术等候室体验的满意度并减轻家属焦虑。

设计

循证实践项目。

方法

向注册护士发送调查数据以实施探视政策。根据反馈意见,实施了一项探视政策。在实施前和实施后测量家属满意度。

结果

家属满意度从平均4.5分提高到9.6分和10分。据患者和家属反映,探视后焦虑减轻。

结论

在PACU允许进行短暂探视可提高家属满意度并减轻焦虑。尽管注册护士在政策改变前表示担忧,但新的探视政策仍成功实施并受到欢迎。该政策至今仍在实行。

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Family Visitation in the PACU: An Evidence-Based Practice Project.麻醉后恢复室中的家属探视:一项循证实践项目
J Perianesth Nurs. 2019 Jun;34(3):600-605. doi: 10.1016/j.jopan.2018.09.007. Epub 2018 Dec 6.
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Staff attitudes and beliefs regarding family visitation after implementation of a formal visitation policy in the PACU.
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J Perianesth Nurs. 2015 Feb;30(1):39-49. doi: 10.1016/j.jopan.2014.01.010. Epub 2014 Nov 13.
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Family Visitation in the Postanesthesia Care Unit: Implementation of a Nurse Liaison Role.麻醉后护理单元的家属探视:护士联络角色的实施
J Perianesth Nurs. 2018 Oct;33(5):669-675. doi: 10.1016/j.jopan.2016.02.009. Epub 2017 Jun 9.
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Patient, visitor, and nurse evaluations of visitation for adult postanesthesia care unit patients.
J Perianesth Nurs. 1997 Dec;12(6):402-12. doi: 10.1016/s1089-9472(97)90003-4.
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J Perianesth Nurs. 2012 Feb;27(1):3-9. doi: 10.1016/j.jopan.2011.10.004.
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Family visitation in the PACU: the current state of practice in the United States.麻醉后护理单元中的家属探视:美国目前的实践状况
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Satisfaction With Elimination of all Visitation Restrictions in a Mixed-Profile Intensive Care Unit.对综合重症监护病房取消所有探视限制的满意度。
Am J Crit Care. 2016 Jan;25(1):46-50. doi: 10.4037/ajcc2016789.
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