Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019
Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019
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DOI：
10.1038/s41372-020-0753-7
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发表时间：
2020-08-28
影响因子：
2.9
通讯作者：
Ahmad, Kaashif A.
中科院分区：
文献类型：
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作者：
Mahoney, Ashley Darcy;White, Robert D.;Ahmad, Kaashif A.
目的确定COVID-19的出现与新生儿重症监护病房（NICU）家庭存在之间的关系，以及NICU设计如何影响这些变化。研究设计2020年4月21日至30日的横断面调查。我们询问了研究中心的NICU人口统计数据、NICU对父母在场的限制以及辅助人员可用性的变化。在全球范围内，有277家机构对调查做出了回应。保留24/7父母在场的NICU政策下降（83- 53%，p < 0.001），保留父母完全参与查房的政策下降（71- 32%，p < 0.001）。在COVID-19出现后，单户房间设计的NICU最好地保留了24/7父母的存在（单户房间65%，混合设计57%，开放式海湾设计45%，p = 0.018）。总共有120个（43%）NICU报告治疗服务、哺乳药物和/或社会工作支持减少。结论医院的限制，显着限制了父母的存在，新生儿重症监护病房收治的婴儿，虽然单家庭的房间设计可能会减弱这种影响。
Objectives To determine the relationship between the emergence of COVID-19 and neonatal intensive care unit (NICU) family presence as well as how NICU design affects these changes. Study design A cross-sectional survey from April 21 to 30, 2020. We queried sites regarding NICU demographics, NICU restrictions on parental presence, and changes in ancillary staff availability. Results Globally, 277 facilities responded to the survey. NICU policies preserving 24/7 parental presence decreased (83-53%, p < 0.001) and of preserving full parental participation in rounds fell (71-32%, p < 0.001). Single-family room design NICUs best preserved 24/7 parental presence after the emergence of COVID-19 (single-family room 65%, hybriddesign 57%, open bay design 45%, p = 0.018). In all, 120 (43%) NICUs reported reductions in therapy services, lactation medicine, and/or social work support. Conclusions Hospital restrictions have significantly limited parental presence for NICU admitted infants, although singlefamily room design may attenuate this effect.