重症患者家属被禁止探视的经历。

IF 2 4区 医学 Q2 NURSING Western Journal of Nursing Research Pub Date : 2024-08-26 DOI:10.1177/01939459241277777
Sunjung Kim, Sunghee H Tak
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引用次数: 0

摘要

背景:探视对重症患者及其家属有许多积极作用。它可以减轻重症监护病房(ICU)病人及其家属的身心压力,并让家属参与到病人护理中来。在 COVID-19 大流行期间禁止探视给患者、家属和医疗服务提供者带来了前所未有的挑战:本定性研究旨在探讨因 COVID-19 而采取禁止探视政策的重症监护病房病人家属的经历:在 2021 年 10 月至 2022 年 3 月期间,通过 8 次半结构式深度访谈收集数据。数据分析采用 Colaizzi 提出的定性方法。研究人员独立分析数据,核对研究结果,得出次主题,并将其归类为总主题:数据分析得出了四个主题:(a) 遭遇情绪困扰;(b) 害怕与患者面对面接触;(c) 对重症监护室的出入控制政策不满意;(d) 努力与患者取得联系:为被拒绝探视重症监护病房亲人的家属提供支持和制定干预措施至关重要。由于亲自探视对家属至关重要,医院应制定明确合理的探视指南,与家属进行有效沟通,并提供其他方法让家属与重症监护室中的亲人联系。
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Experiences of Family Members With Visitation Prohibition for Critically Ill Patients.

Background: Visitation plays a number of positive roles for critically ill patients and their families. It reduces the physical and mental stress of intensive care unit (ICU) patients and their families and allows family members to participate in patient care. Visit prohibition during the COVID-19 pandemic has raised unprecedented challenges to patients, family members, and health care providers.

Objective: This qualitative study aimed to explore the experiences of families of patients in the ICU with no-visitor policies due to COVID-19.

Methods: Data collection was conducted through 8 individual in-depth semi-structured interviews conducted between October 2021 and March 2022. Data analysis was performed following the qualitative method proposed by Colaizzi. The researchers independently analyzed the data, checked the findings, derived subthemes, and categorized them into overarching themes.

Results: Four themes emerged from the data analysis: (a) experiencing emotional distress, (b) being fearful of in-person patient contact, (c) being dissatisfied with the access control policy in the ICU, and (d) making efforts to reach the patient.

Conclusions: It is critical to provide support and develop interventions for families denied visitation with loved ones in ICUs. Since in-person visits are crucial for families, hospitals should establish clear and reasonable visitation guidelines, communicate effectively with families, and offer alternative methods for them to connect with loved ones in the ICU.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
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