新冠疫情期间重症监护病房的探视与沟通政策：来自南亚和中东地区的横断面调查
Visiting and Communication Policy in Intensive Care Units during COVID-19 Pandemic: A Cross-sectional Survey from South Asia and the Middle East.
作者信息
Chanchalani Gunjan, Arora Nitin, Nasa Prashant, Sodhi Kanwalpreet, Bahrani Maher J Al, Tayar Ashraf Al, Hashmi Madiha, Jaiswal Vinod, Kantor Sandeep, Lopa Ahsina J, Mansour Bassam, Mudalige Anushka D, Nadeem Rashid, Shrestha Gentle S, Taha Ahmed R, Türkoğlu Melda, Weeratunga Dameera
机构信息
Department of Critical Care Medicine, Cumballa Hill Hospital, Mumbai, Maharashtra, India.
Department of Intensive Care, University Hospitals Birmingham, Birmingham, West Midlands, United Kingdom.
出版信息
Indian J Crit Care Med. 2022 Mar;26(3):268-275. doi: 10.5005/jp-journals-10071-24091.
PURPOSE
The coronavirus disease-2019 (COVID-19) pandemic had affected the visiting or communicating policies for family members. We surveyed the intensive care units (ICUs) in South Asia and the Middle East to assess the impact of the COVID-19 pandemic on visiting and communication policies.
MATERIALS AND METHOD
A web-based cross-sectional survey was used to collect data between March 22, 2021, and April 7, 2021, from healthcare professionals (HCP) working in COVID and non-COVID ICUs (one response per ICU). The topics of the questionnaire included current and pre-pandemic policies on visiting, communication, informed consent, and end-of-life care in ICUs.
RESULTS
A total of 292 ICUs (73% of COVID ICUs) from 18 countries were included in the final analysis. Most (92%) of ICUs restricted their visiting hours, and nearly one-third (32.3%) followed a "no-visitor" policy. There was a significant change in the daily visiting duration in COVID ICUs compared to the pre-pandemic times ( = 0.011). There was also a significant change ( <0.001) in the process of informed consent and end-of-life discussions during the ongoing pandemic compared to pre-pandemic times.
CONCLUSION
Visiting and communication policies of the ICUs had significantly changed during the COVID-19 pandemic. Future studies are needed to understand the sociopsychological and medicolegal implications of revised policies.
HOW TO CITE THIS ARTICLE
Chanchalani G, Arora N, Nasa P, Sodhi K, Al Bahrani MJ, Al Tayar A, . Visiting and Communication Policy in Intensive Care Units during COVID-19 Pandemic: A Cross-sectional Survey from South Asia and the Middle East. Indian J Crit Care Med 2022;26(3):268-275.
目的
2019年冠状病毒病（COVID-19）大流行影响了家庭成员的探视或沟通政策。我们对南亚和中东的重症监护病房（ICU）进行了调查，以评估COVID-19大流行对探视和沟通政策的影响。
材料与方法
采用基于网络的横断面调查，于2021年3月22日至2021年4月7日收集在COVID和非COVID ICU工作的医疗保健专业人员（HCP）的数据（每个ICU一份回复）。问卷主题包括ICU当前和大流行前关于探视、沟通、知情同意和临终关怀的政策。
结果
最终分析纳入了来自18个国家的292个ICU（占COVID ICU的73%）。大多数ICU（92%）限制了探视时间，近三分之一（32.3%）遵循“无探视者”政策。与大流行前相比，COVID ICU的每日探视时长有显著变化（P = 0.011）。与大流行前相比，在当前大流行期间，知情同意和临终讨论过程也有显著变化（P<0.001）。
结论
在COVID-19大流行期间，ICU的探视和沟通政策发生了显著变化。需要进一步研究以了解修订政策的社会心理和法医学影响。
如何引用本文
Chanchalani G, Arora N, Nasa P, Sodhi K, Al Bahrani MJ, Al Tayar A, 等。COVID-19大流行期间重症监护病房的探视和沟通政策：来自南亚和中东的横断面调查。《印度重症监护医学杂志》2022；26(3):268 - 275。
Zotero 插件