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远距离关怀:当亲人入住神经科或神经外科病房时,新冠疫情访客禁令对亲属的影响。

Caring from a distance: how a COVID-19 visitor ban affects relatives when a loved one is admitted to a neurological or neurosurgical ward.

作者信息

Loft Mia I, Guldager Rikke, Poulsen Ingrid

机构信息

Head of Nursing Research, Department of Neurology, Rigshospitalet; Research Unit for Nursing and Healthcare, Dept. of Public Health, Aarhus University, Copenhagen, Denmark.

Postdoc, Neurosurgical Department, Rigshospitalet, Copenhagen, Denmark.

出版信息

J Res Nurs. 2022 Nov;27(6):532-542. doi: 10.1177/17449871221116440. Epub 2022 Nov 2.

Abstract

BACKGROUND

Neurological patients often suffer physical, cognitive, communicative, behavioural or psychosocial limitations. This may weaken the preconditions for participating in decisions about their treatment, rehabilitation and future. These impairments often cause relatives to care and advocate for the patient. This practice was gravely interrupted by the COVID-19 visitor ban.

AIMS

This study aims to investigate how relatives of neurological patients experienced the visitor ban and to identify potential areas for improvement.

METHODS

Twelve semi-structured interviews with relatives of neurological patients were conducted. Data were analysed by performing a thematic analysis inspired by Braun and Clark.

RESULTS

The following six themes emerged: Visitor ban as a necessary evil, Losing control and feeling checkmate, Mending the information gap, Waiting by the phone, Empathy and compassion as the core of a good relationship and Caring for a loved one from a distance.

CONCLUSIONS

Having a loved one admitted to a neurological ward during the COVID-19 visitor ban greatly restrains relatives and affects the relationship with their loved one and the hospital healthcare staff. Healthcare staff need to take responsibility and reach out, while simultaneously exploring new ways of communicating.

摘要

背景

神经系统疾病患者常常存在身体、认知、沟通、行为或心理社会方面的限制。这可能会削弱他们参与治疗、康复及未来决策的前提条件。这些损伤常常导致亲属来照顾患者并为其代言。这种情况因新冠疫情期间的探访禁令而严重中断。

目的

本研究旨在调查神经系统疾病患者的亲属如何看待探访禁令,并确定潜在的改进领域。

方法

对神经系统疾病患者的亲属进行了12次半结构式访谈。采用受布劳恩和克拉克启发的主题分析法对数据进行分析。

结果

出现了以下六个主题:探访禁令实属无奈之举、失去控制权与感到束手无策、弥补信息差距、守在电话旁等待、共情与同情是良好关系的核心以及远程照顾亲人。

结论

在新冠疫情探访禁令期间,亲人住进神经科病房,这极大地限制了亲属,并影响了他们与亲人及医院医护人员的关系。医护人员需要承担责任并主动联系,同时探索新的沟通方式。

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