Family Presence for Patients with Severe Acute Brain Injury and the Influence of the COVID-19 Pandemic
Family Presence for Patients with Severe Acute Brain Injury and the Influence of the COVID-19 Pandemic
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DOI：
10.1089/jpm.2020.0520
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发表时间：
2020-11-17
影响因子：
2.8
通讯作者：
Engelberg, Ruth A.
中科院分区：
文献类型：
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作者：
Creutzfeldt, Claire J.;Schutz, Rachael E. C.;Engelberg, Ruth A.
目标：全球COVID-19大流行使严格的探视政策成为必要。我们探讨了严重急性脑损伤患者家属的经历，重点关注家属在医院的影响。（2018年2月至2020年4月）进行了录音，转录，并使用主题分析进行分析。结果：我们采访了19名中风，创伤性脑损伤或心脏骤停患者的家属;在限制探视政策开始实施后进行了五次面谈。四个关键主题强调了探视对家庭能力的作用：（1）在床边科普，（2）保护和倡导患者，（3）与临床医生建立信任，（4）在重症监护室接受情感支持。探视限制后，家庭找到了沟通和支持虚拟和希望从clinicies.Conclusions主动沟通的方法：在病人的床边家庭的存在满足重要的需求。探视限制要求医院具有创造性和包容性，以帮助维持这些联系。
Objectives: The global COVID-19 pandemic made strict visitation policies necessary. We explored the experiences of family members of patients with severe acute brain injury focusing on the impact of family presence in the hospital.Methods: Semistructured interviews (February 2018-April 2020) were audiotaped, transcribed, and analyzed using thematic analysis.Results: We interviewed family members of 19 patients with stroke, traumatic brain injury, or cardiac arrest; five interviews occurred after initiation of restrictive visitation policies. Four key themes highlight the role of visitation on family's ability to (1) cope by being at the bedside, (2) protect and advocate for the patient, (3) build trust with clinicians, and (4) receive emotional support in the intensive care unit. After visitation restrictions, families found ways to communicate and support virtually and wished for proactive communication from clinicians.Conclusions: Family presence at patient's bedside fulfills important needs. Visitation restrictions require hospitals to be creative and inclusive to help maintain these connections.