Family Presence for Critically Ill Patients During a Pandemic.
Family Presence for Critically Ill Patients During a Pandemic.
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DOI：
10.1016/j.chest.2021.05.003
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发表时间：
2021-08
期刊：
影响因子：
9.6
通讯作者：
Taylor SP
中科院分区：
文献类型：
--
作者：
Hart JL;Taylor SP
家庭参与是高质量重症监护的关键组成部分，对患者，护理团队和家庭成员本身都有已知的好处。COVID-19大流行导致对探视的禁令或限制迅速颁布，现在仍然存在，特别是对COVID-19患者。自早期大流行以来，根据知识和资源的进步重新评估这些政策至关重要，因为COVID-19将在数月至数年内继续成为公共卫生威胁，并且未来很可能发生大流行。本文回顾了限制或允许家庭成员实际存在的理由和证据，并为医疗保健系统制定和实施政策提供了广泛的指导，这些政策可以在COVID-19和未来类似的公共卫生危机期间最大限度地提高家庭探视的效益并最大限度地降低风险。
Family engagement is a key component of high-quality critical care, with known benefits for patients, care teams, and family members themselves. The COVID-19 pandemic led to rapid enactment of prohibitions or restrictions on visitation that now persist, particularly for patients with COVID-19. Reevaluation of these policies in response to advances in knowledge and resources since the early pandemic is critical because COVID-19 will continue to be a public health threat for months to years, and future pandemics are likely. This article reviews rationales and evidence for restricting or permitting family members’ physical presence and provides broad guidance for health care systems to develop and implement policies that maximize benefit and minimize risk of family visitation during COVID-19 and future similar public health crises.
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