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重症监护病房护士对 ICU 开放式探视的看法。

Perspectives of intensive care nurses on open visits in an ICU.

机构信息

Unidad de Cuidados Intensivos (UCI 3-6), Hospital, Universitario Central de Asturias (HUCA), Oviedo, Spain.

Unidad de Cuidados Intensivos (UCI 3-6), Hospital, Universitario Central de Asturias (HUCA), Oviedo, Spain.

出版信息

Enferm Intensiva (Engl Ed). 2021 Apr-Jun;32(2):62-72. doi: 10.1016/j.enfie.2020.02.007. Epub 2021 May 15.

DOI:10.1016/j.enfie.2020.02.007
PMID:34099266
Abstract

OBJECTIVE

To determine the attitude of the nursing professionals of an Intensive Care Unit regarding the effects of open visiting on the daily activities of the patient, their family and professionals, and also to determine their contribution to the current open visiting policy.

METHOD

A cross-sectional descriptive study was performed, with a non-probabilistic discretionary sampling. The sample comprised nursing professionals of the aforementioned Unit. They were given a questionnaire with 26 items and an open question to evaluate their suggestions.

RESULTS

101 nursing professionals took part in the study, of the 120 working in the Unit under study. Seventy-five point two percent state that the nursing team has to postpone or modify their work due to the presence of the family and 89.9% that their presence produces a physical and psychological burden on the staff. Eighty percent think that the visit exhausts the family and 84.2% that the family feels obliged to remain with the patient. Ninety-four percent think that the effect of the presence of the family depends on the patient and the family.

CONCLUSIONS

Most of professionals have a negative opinion about the policy of open visits, showing some reluctance when it comes to flexible visiting hours, although they admit that an unrestricted schedule in this type of units implies some benefit for the patient and the family.

摘要

目的

了解重症监护病房护理人员对开放探视影响患者、家属和医护人员日常活动的态度,以及他们对现行开放探视政策的看法。

方法

采用横断面描述性研究,采用非概率性随机抽样。研究对象为该病房的护理人员。他们收到了一份包含 26 个项目和一个开放问题的问卷,以评估他们的建议。

结果

共有 101 名护理人员参与了研究,其中 120 名在研究单元工作。75.2%的人表示,由于家属的存在,护理团队不得不推迟或修改他们的工作,89.9%的人表示,家属的存在给工作人员带来了身体和心理上的负担。80%的人认为探视会使家属感到疲惫,84.2%的人认为家属有义务陪伴患者。94%的人认为家属的存在对患者和家属的影响。

结论

大多数专业人员对开放探视政策持负面看法,他们对灵活的探视时间表现出一定的不情愿,尽管他们承认在这类病房实行无限制的探视时间对患者和家属有一定的好处。

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