新冠疫情期间限制父母探访新生儿重症监护病房的影响。
Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019.
机构信息
George Washington University, Washington, DC, USA.
MEDNAX Center for Research, Education, Quality, and Safety, Sunrise, FL, USA.
出版信息
J Perinatol. 2020 Sep;40(Suppl 1):36-46. doi: 10.1038/s41372-020-0753-7.
OBJECTIVES
To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes.
STUDY DESIGN
A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability.
RESULTS
Globally, 277 facilities responded to the survey. NICU policies preserving 24/7 parental presence decreased (83-53%, p < 0.001) and of preserving full parental participation in rounds fell (71-32%, p < 0.001). Single-family room design NICUs best preserved 24/7 parental presence after the emergence of COVID-19 (single-family room 65%, hybrid-design 57%, open bay design 45%, p = 0.018). In all, 120 (43%) NICUs reported reductions in therapy services, lactation medicine, and/or social work support.
CONCLUSIONS
Hospital restrictions have significantly limited parental presence for NICU admitted infants, although single-family room design may attenuate this effect.
目的
确定 COVID-19 的出现与新生儿重症监护病房（NICU）家属探视之间的关系，以及 NICU 设计如何影响这些变化。
研究设计
2020 年 4 月 21 日至 30 日的横断面调查。我们向各机构询问了 NICU 的人口统计学数据、对家长探视的限制以及辅助人员可用性的变化。
结果
全球共有 277 家机构对该调查做出了回应。保留 24/7 家长陪伴的 NICU 政策减少（83-53%，p<0.001），保留家长全面参与查房的政策减少（71-32%，p<0.001）。在 COVID-19 出现后，单家庭病房设计的 NICU 最能维持 24/7 的家长陪伴（单家庭病房 65%，混合设计 57%，开放式病房设计 45%，p=0.018）。共有 120 家（43%）NICU 报告减少了治疗服务、哺乳医学和/或社会工作支持。
结论
尽管单家庭病房设计可能会减轻这种影响，但医院的限制已大大限制了 NICU 收治婴儿的家长探视。
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