A multicenter survey of visiting policies in French intensive care units
A multicenter survey of visiting policies in French intensive care units
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DOI：
10.1007/s00134-002-1402-7
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发表时间：
2002-10-01
影响因子：
38.9
通讯作者：
de Tinténiac, A
中科院分区：
文献类型：
--
作者：
Quinio, P;Savry, C;de Tinténiac, A
目的：确定法国重症监护病房的探视政策。设计和设置：重症监护病房的描述性研究。方法：向 200 个法国 ICU 发送一份关于官方就诊政策的调查问卷。结果：95 个 ICU 完成了问卷调查（47.5%）。九十二 (97%) ICU 报告了限制探视时间的政策，仅允许一次或多次预先指定的探视时间。平均每日总访问时间为 168 分钟（范围 30-370）。 90 个 ICU（95%）的探视人数受到限制。访客类型（仅限直系亲属）限制为 57 人（60%）。 10 岁（11%）禁止儿童探视，41 岁（44%）规定了探视年龄限制。 78 名 (82%) 的访客需接受更衣程序。 18 个 (19%) ICU 没有可用的候诊室，35 个 (37%) 除候诊室外还使用一个特殊房间为家属提供信息，61 个 (64%) 提供信息传单。 68 个国家（71%）组织了一次结构化的第一次会议。 6 人（6%）在 ICU 出院时举行了最后一次有组织的家庭会议。结论：响应的 ICU 在探视时间、探视人数和类型方面提供了同质的限制性探视政策。然而，家庭接待不能简化为一些定量因素，而是取决于多个其他参数，例如家庭会议的组织和信息传单的使用。这些结果应该是观察未来心态和实践任何变化的有趣起点。
Objective: To determine the visiting policies of French intensive care units. Design and setting: Descriptive study in intensive care units. Methods: A questionnaire on their official visiting policies was sent to 200 French ICUs. Results: Ninety-five ICUs completed the questionnaire (47.5%). Ninety-two (97%) ICUs reported restricted visiting-hour policies, allowing visits at only one or several preassigned times. Mean total daily visiting time was 168 min (range 30-370). The number of visitors was restricted in 90 ICUs (95%). The type of visitors (immediate relatives only) was restricted in 57 (60%). Visiting was forbidden for children in 10 (11%), and 41 (44%) fixed an age limit for visiting. A gowning procedure was imposed on visitors in 78 (82%). Eighteen (19%) ICUs had no waiting room available, 35 (37%) used a special room for providing families with information in addition to the waiting room, 61 (64%) provided an information leaflet. A structured first meeting was organized in 68 (71%). A last structured family meeting at the ICU discharge was provided in 6 (6%). Conclusions: Responding ICUs provide homogeneously restrictive visiting policies concerning visiting hours, number and type of visitors. However, family reception cannot be reduced to some quantitative factors and depends on multiple other parameters such as the organization of family meetings and the use of an information leaflet. These results should be an interesting starting point to observe any change in mentalities and practices in the future.