背景:我们旨在从患者的角度综合关于COVID-19相关限制家庭存在政策影响的定性证据,家庭,和来自新生儿(NICU)的医疗保健专业人员,儿科(PICU),或成人ICU。
方法:我们搜索了MEDLINE,EMBASE,Cochrane评论和临床试验数据库,CINAHL,Scopus,PsycINFO,和WebofScience。两名研究人员独立审查了标题/摘要和全文文章。在评估文章质量并使用标准化工具评估对个人审查结果的信心之后,完成了主题分析。
结果:我们综合了184项研究的54项发现,揭示这些政策对儿童和成人的影响:(1)家庭综合护理以及以病人和家庭为中心的护理(例如,母乳喂养/袋鼠护理中断,患者的去人性化);(2)患者,家庭,和医疗保健专业人员(例如,负面的心理健康后果,道德困扰);(3)支持系统(例如,失去朋友/家人的支持);和(4)关系(例如,与婴儿失去必要的联系,努力发展信任)。报告了减轻这些影响的战略。
结论:本综述强调了不同护理环境和策略中限制探视政策的多方面影响,以减轻这些政策的有害影响,并指导在未来的健康危机中制定富有同情心的家庭存在政策。
背景:https://www.crd.约克。AC.uk/PROSPERO/display_record。php?RecordID=290263。
BACKGROUND: We aimed to synthesize the qualitative evidence on the impacts of COVID-19-related restricted family presence policies from the perspective of patients, families, and healthcare professionals from neonatal (NICU), pediatric (PICU), or adult ICUs.
METHODS: We searched MEDLINE, EMBASE, Cochrane Databases of Reviews and Clinical Trials, CINAHL, Scopus, PsycINFO, and Web of Science. Two researchers independently reviewed titles/abstracts and full-text articles for inclusion. Thematic analysis was completed following appraising article quality and assessing confidence in the individual review findings using standardized tools.
RESULTS: We synthesized 54 findings from 184 studies, revealing the impacts of these policies in children and adults on: (1) Family integrated care and patient and family-centered care (e.g., disruption to breastfeeding/kangaroo care, dehumanizing of patients); (2) Patients, families, and healthcare professionals (e.g., negative mental health consequences, moral distress); (3) Support systems (e.g., loss of support from friends/families); and (4) Relationships (e.g., loss of essential bonding with infant, struggle to develop trust). Strategies to mitigate these impacts are reported.
CONCLUSIONS: This review highlights the multifaceted impacts of restricted visitation policies across distinct care settings and strategies to mitigate the harmful effects of these policies and guide the creation of compassionate family presence policies in future health crises.
BACKGROUND: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=290263 .