Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
J Adv Nurs. 2022 Dec;78(12):4042-4053. doi: 10.1111/jan.15325. Epub 2022 Jun 14.
To investigate the impact of family visit restrictions during the COVID-19 pandemic on deliriums, falls, pneumonia, pressure ulcers and readmissions among surgical inpatients with gastrointestinal (oncologic) diseases.
Cohort study.
This study was conducted among adult inpatients undergoing gastrointestinal surgery in two academic hospitals. During the COVID-19 outbreak in 2020, over a 10-week period, one cohort was subjected to family visit restrictions. Per patient, one person per day was allowed to visit for a maximum of 30 min. This cohort was compared with another cohort in which patients were not subjected to such restrictions during a 10-week period in 2019. Logistic regression analyses were used to investigate the impact of the restrictions on deliriums, falls, pneumonia, pressure ulcers and readmissions.
In total, 287 patients were included in the 2020 cohort and 243 in the 2019 cohort. No differences were observed in the cohorts with respect to baseline characteristics. Logistic regression analyses showed no significant differences in deliriums, falls, pneumonia, pressure ulcers and readmissions between the cohorts.
We cautiously conclude that the family visit restrictions during the COVID-19 pandemic did not contribute to deliriums, falls, pneumonia, pressure ulcers or readmissions in surgical patients with gastrointestinal (oncologic) diseases.
COVID-19 influenced family-centred care due to family visit restrictions. Nurses need to continue monitoring outcomes known to be sensitive to family-centred care to gain insight into the effects of visit restrictions and share the results in order to include nurses' perspectives in COVID-19-decision-making. Re-implementing of family visit restrictions should be carefully considered in policy-making.
调查 COVID-19 大流行期间对家庭探访的限制对胃肠（肿瘤）疾病外科住院患者谵妄、跌倒、肺炎、压疮和再入院的影响。
队列研究。
本研究在两家学术医院接受胃肠手术的成年住院患者中进行。在 2020 年 COVID-19 爆发期间，在 10 周的时间内，一组患者受到家庭探访限制。每天允许一名患者最多 30 分钟的访客。将该队列与 2019 年在 10 周期间未受到此类限制的另一队列进行比较。使用逻辑回归分析来调查限制对谵妄、跌倒、肺炎、压疮和再入院的影响。
共有 287 名患者纳入 2020 年队列，243 名患者纳入 2019 年队列。两组患者在基线特征方面无差异。逻辑回归分析显示，两组患者在谵妄、跌倒、肺炎、压疮和再入院方面无显著差异。
我们谨慎地得出结论，COVID-19 大流行期间对家庭探访的限制并未导致胃肠（肿瘤）疾病外科住院患者发生谵妄、跌倒、肺炎、压疮或再入院。
COVID-19 由于家庭探访限制，影响了以家庭为中心的护理。护士需要继续监测已知对以家庭为中心的护理敏感的结果，以深入了解探访限制的影响，并分享结果，以便将护士的观点纳入 COVID-19 决策中。在制定政策时应谨慎考虑重新实施家庭探访限制。
