Intensive Care Unit, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia.
Intensive Care Unit, Princess Alexandra Hospital, Metro South Health, Brisbane, Queensland, Australia; School of Nursing & Midwifery, Griffith University, Gold Coast Campus, Queensland, Australia.
Intensive Crit Care Nurs. 2022 Dec;73:103304. doi: 10.1016/j.iccn.2022.103304. Epub 2022 Aug 6.
Animal-assisted activities have demonstrated benefits for patients and clinicians in acute care settings. However, concern exists regarding the use of animal-assisted activities in intensive care settings.
To synthesise research evidence on animal-assisted activities in intensive care units.
A scoping review of research literature published in English was undertaken. In May 2021, five databases (CINAHL, MEDLINE, Embase, Scopus and PSYCInfo) were systematically searched. Title, abstract and then full text screening was undertaken independently by the research team.
Six primary research studies were identified from the 1190 records screened. All six studies were of a feasibility or observational study design, with five of the studies published in the last three years, highlighting the emerging evidence base for this practice. This scoping review synthesises the key characteristics of animal-assisted activities in intensive care units, including risk mitigation strategies. Strong satisfaction with and support for animal-assisted activities was reported by patients, family members and clinicians. However, studies reporting biophysical outcomes were inconclusive due to small sample sizes.
Evidence supporting animal-assisted activities in intensive care units remains largely anecdotal. Further research is required to ascertain the feasibility, appropriateness, meaningfulness and effectiveness of animal-assisted activities for improving patient outcomes, and family members and intensive care clinicians' wellness.
动物辅助活动已被证明对急性护理环境中的患者和临床医生有益。然而，人们对在重症监护环境中使用动物辅助活动存在担忧。
综合重症监护病房中动物辅助活动的研究证据。
对发表在英文期刊上的研究文献进行了范围综述。在 2021 年 5 月，对五个数据库（CINAHL、MEDLINE、Embase、Scopus 和 PSYCInfo）进行了系统搜索。研究团队独立进行了标题、摘要和全文筛选。
从筛选出的 1190 条记录中确定了 6 项原始研究。所有 6 项研究均为可行性或观察性研究设计，其中 5 项研究发表于过去三年，突显了该实践的新兴证据基础。本范围综述综合了重症监护病房中动物辅助活动的关键特征，包括风险缓解策略。患者、家属和临床医生对动物辅助活动的满意度和支持度很高。然而，由于样本量小，报告生物物理结果的研究结论并不确定。
支持重症监护病房中动物辅助活动的证据仍然主要是轶事证据。需要进一步研究，以确定动物辅助活动在改善患者结局以及患者家属和重症监护临床医生的健康方面的可行性、适当性、意义和有效性。
