The Effect of Hospital Visitor Policies on Patients, Their Visitors, and Health Care Providers During the COVID-19 Pandemic: A Systematic Review.
The Effect of Hospital Visitor Policies on Patients, Their Visitors, and Health Care Providers During the COVID-19 Pandemic: A Systematic Review.
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DOI：
10.1016/j.amjmed.2022.04.005
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发表时间：
2022-10
影响因子：
5.9
通讯作者：
Prasad, Vinay
中科院分区：
文献类型：
--
作者：
Iness, Audra N.;Abaricia, Jefferson O.;Sawadogo, Wendemi;Iness, Caleb M.;Duesberg, Max;Cyrus, John;Prasad, Vinay
严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行期间的卫生保健政策制定对限制医院访客的先例提出了质疑。我们的目标是综合现有数据，描述由此产生的对患者、家庭/访客和医疗保健提供者幸福感的影响。我们系统地查阅了世界卫生组织新冠肺炎全球冠状病毒疾病文献数据库2019年12月至2021年4月发表的文章。包括以住院患者为重点的研究，并报告了一个或多个预先指定的主要或次要结果(冠状病毒病2019[新冠肺炎]疾病传播、全球福祉、死亡率、发病率或医疗保健资源利用)。两名作者独立地将数据提取成标准化形式，第三名作者解决了差异。共筛选出1153篇摘要，最终纳入26篇全文。有10项研究是定性的，有7项队列研究，没有随机对照试验。危重患者的比例最高(26项研究中有12项)。全面的医院访客政策与未能满足患者、他们的访客和各种临床环境中的医疗保健提供者的独特需求有关。总体而言，以患者为中心、深思熟虑和细致入微的医院访客政策可能会使所有利益相关者受益，同时将潜在危害降至最低。
Health care policymaking during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has questioned the precedent of restricting hospital visitors. We aimed to synthesize available data describing the resulting impact on patient, family/visitor, and health care provider well-being. We systematically reviewed articles from the World Health Organization COVID-19 Global Literature on Coronavirus Disease Database published between December 2019 through April 2021. Included studies focused on hospitalized patients and reported 1 or more prespecified main or secondary outcome (coronavirus disease 2019 [COVID-19] disease transmission, global well-being, mortality, morbidity, or health care resource utilization). Two authors independently extracted data into a standardized form with a third author resolving discrepancies. A total of 1153 abstracts were screened, and 26 final full-text articles were included. Ten studies were qualitative, with 7 cohort studies, and no randomized controlled trials. Critically ill patients were the most represented (12 out of 26 studies). Blanket hospital visitor policies were associated with failure to address the unique needs of patients, their visitors, and health care providers in various clinical environments. Overall, a patient-centered, thoughtful, and nuanced approach to hospital visitor policies is likely to benefit all stakeholders while minimizing potential harms.
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DOI：
10.1093/geront/gnaa161
发表时间：
2021-02-23
期刊：
The Gerontologist
影响因子：
--
作者：
Kemp CL
通讯作者：
Kemp CL
影响因子：
39.2
作者：
Hutton, Brian;Salanti, Georgia;Moher, David
通讯作者：
Moher, David
影响因子：
2.8
作者：
Creutzfeldt, Claire J.;Schutz, Rachael E. C.;Engelberg, Ruth A.
通讯作者：
Engelberg, Ruth A.
影响因子：
2.6
作者：
Daubman, Bethany-Rose;Black, Lynn;Goodman, Annekathryn
通讯作者：
Goodman, Annekathryn
影响因子：
2.7
作者：
Boulton, Adam J.;Jordan, Helen;Adams, Claire E.;Polgarova, Petra;Morris, Andrew Conway;Arora, Nitin
通讯作者：
Arora, Nitin