有创操作家属陪伴的研究现状

综述了家属与医务人员对有创操作家属陪伴的态度,病人、家属及医务人员对有创操作家属陪伴利弊的看法,提出医疗机构应制定相应的措施和规章制度.     

进行有创操作或心肺复苏时是否许可家属在现场

给病人进行有创操作或心肺复苏时不允许家属留在现场或病人身边 ,是因为担心影响临床工作 ,引起家属精神负担 ,以及担心发生不必要的纠纷等。 1995年美国急症护士协会 ( ENA)提出许可有家属临场给病人做心肺复苏或有创操作的设想 ,并认为这对病人和家属有积极的正面意义。为此 ,作者根据有家属临场作心肺复苏或有创性操作的原始记录 ,及 ENA制定的准则 ,使用定性和定量的方法进行研究。材料来自作者工作所在地区的一级创伤中心急诊部 ,作者调查了 39名病人家属和 96名医务人员 ( 6 0名注册护士 ,2 2名住院医生和 14名主治医生 ) ,继续随…     

家属陪伴分娩的临床应用与展望

从产妇对陪伴分娩的态度、陪伴人员的选择与培训、陪伴的方式与时间、陪伴的效果等方面对家属陪伴分娩的临床应用现状进行综述,对家属陪伴分娩相关研究存在的问题进行分析与探讨。     

家属陪伴对婴幼儿高压氧疗的影响

目的探讨家属陪伴对婴幼儿高压氧疗的影响。方法随机抽查2004年在常规的操舱下行高压氧疗的婴幼儿500例为观察组,允许家属舱外陪伴,并对患儿施以心理护理及对家长进行健康教育。2003年的无家属陪伴的高压氧疗的婴幼儿302例为对照组。观察两组依从性和并发症情况。结果观察组的氧疗依从性高于对照组,而并发症少于对照组。结论婴幼儿高压氧疗有家属陪伴,可提高婴幼儿高压氧疗的依从性,减少并发症,保障了高压氧治疗的疗程、疗效及安全。     

家属陪伴分娩的临床应用与展望

从产妇对陪伴分娩的态度、陪伴人员的选择与培训、陪伴的方式与时间、陪伴的效果等方面对家属陪伴分娩的临床应用现状进行综述,对家属陪伴分娩相关研究存在的问题进行分析与探讨。     

ICU清醒患者有创机械通气时的心理护理

ICU病房中,医务人员对于有创机械通气的治疗原理、目的等大多与家属交涉,而忽略向患者做详细解释说明,致使其产生诸多心理问题,应根据患者的文化程度、病情情况、性格特点,因人施护,及时对患者进行心理干预,增强其战胜病魔的信心,使有创机械通气顺利进行,促进患者早日康复。     

儿科急诊危重患儿家属对复苏陪伴的态度及相关因素研究

目的:调查急诊危重患儿家属对复苏陪伴的态度和相关影响因素。方法:横断面研究纳入297名急诊危重症患儿家属,采用中文(家属版)复苏时家属在场利弊衡量表进行调查,分析量表总分、利益风险项得分、对各条目认同度和不同认同态度的相关因素。结果:287名(96.6%)家属支持复苏陪伴。不同性别、学历、家庭收入、患儿病程、病情危急程度家属量表总分比较差异无统计学意义(P>0.05),有无复苏经历家属量表总分比较差异有统计学意义(P=0.032)。结论:绝大多数家属赞同复苏陪伴,但对利益及风险相关条目的认同度有明显的倾向性。     

手术室外有创操作安全核查方案的制订及应用研究

目的 制订并应用手术室外有创操作安全核查方案,并评价其应用效果.方法 2017年,医院质量和安全委员会为了提高在手术室外进行有创操作时患者的安全,成立有创操作安全委员会,采取制订工作计划、修改安全核查制度和表格、对相关医务人员进行培训等一系列措施.对比方案实施前(2017年4-9月)、方案实施后2个阶段(2018年4-...     

住院癌症患者陪伴需求的调查研究

目的分析住院癌症患者陪伴需求状况、原因及相关影响因素。方法使用自制的住院患者陪伴需求及相关因素调查表对200例住院癌症患者进行问卷调查,并对数据进行统计学分析。结果 86%的患者希望获得陪伴,并且最希望获得亲属的陪伴。手术科室、受教育时间短、躯体症状明显、自理能力差及来自农村的患者对陪伴的需求较高,而离异患者对陪伴的需求较低。患者的陪伴需求原因主要来自安全需求层次和爱与归属需求层次。结论住院癌症患者对家属陪伴有较强烈的需求,应合理安排家属的探视和陪伴时间。     

家属陪伴对待产孕妇心理状态的影响

目的：观察家属陪伴对入院待产孕妇心理状态的影响。方法：随机抽取有家属陪伴的足月初产妇25例为观察组，无家属陪伴足月初产妇35例为对照组，对两组孕妇于待产期间行汉密顿焦虑量表（HAMA）和汉密顿抑郁量表（HAMD）测试，观察两组孕妇心理状态。结果：经过待产期后，观察组孕妇焦虑、抑郁评分低于对照组，差异具有显著性（P〈0．05）。结论：家属陪伴可降低待产孕妇的焦虑和抑郁情绪。     

Family presence during cardiopulmonary resuscitation and invasive procedures: practices of critical care and emergency nurses.

BACKGROUND: Increasingly, patients' families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence. OBJECTIVE: To identify the policies, preferences, and practices of critical care and emergency nurses for having patients' families present during resuscitation and invasive procedures. METHODS: A 30-item survey was mailed to a random sample of 1500 members of the American Association Of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. RESULTS: Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures). Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedures) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures). CONCLUSIONS: Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.     

Family presence during cardiopulmonary resuscitation and invasive procedures: practices of critical care and emergency nurses.

BACKGROUND: Increasingly, patients' families are remaining with them during cardiopulmonary resuscitation and invasive procedures, but this practice remains controversial and little is known about the practices of critical care and emergency nurses related to family presence. OBJECTIVE: To identify the policies, preferences, and practices of critical care and emergency nurses for having patients' families present during resuscitation and invasive procedures. METHODS: A 30-item survey was mailed to a random sample of 1500 members of the American Association of Critical-Care Nurses and 1500 members of the Emergency Nurses Association. RESULTS: Among the 984 respondents, 5% worked on units with written policies allowing family presence during both resuscitation and invasive procedures and 45% and 51%, respectively, worked on units that allowed it without written policies during resuscitation or during invasive procedures. Some respondents preferred written policies allowing family presence (37% for resuscitation, 35% for invasive procedures), whereas others preferred unwritten policies allowing it (39% for resuscitation, 41% for invasive procedures), Many respondents had taken family members to the bedside (36% for resuscitation, 44% for invasive procedure) or would do so in the future (21% for resuscitation, 18% for invasive procedures), and family members often asked to be present (31% for resuscitation, 61% for invasive procedures). CONCLUSIONS: Nearly all respondents have no written policies for family presence yet most have done (or would do) it, prefer it be allowed, and are confronted with requests from family members to be present. Written policies or guidelines for family presence during resuscitation and invasive procedures are recommended.     

The Effect of Family Presence During Resuscitation and Invasive Procedures on Patients and Families: An Umbrella Review

IntroductionThe concept of family presence during resuscitation and invasive procedures is a controversial issue and has not been universally adopted by health care providers. Owing to the sheer number of studies in this field, we conducted this umbrella study to provide an overview of this concept with the aim of investigating the impact of family presence on patients, families, and resuscitation and invasive procedures.MethodsIn this review, using the Joanna Briggs Institute levels of evidence umbrella methodology guidelines, the authors searched PubMed, Google Scholar, Embase, MEDLINE, Web of Science, Scopus, and the Cochrane database for systematic review and meta-analysis studies that evaluated the presence of family during resuscitation and invasive procedures without time limit until July 2020. The following key words were used for the search: family presence; family witness; parent presence; parent witness; and resuscitation.ResultsA total of 254 articles published between January 1967 and July 2020 were screened. Five articles (1 meta-analysis and 4 systematic reviews) met the inclusion criteria. The review showed that family presence during resuscitation or invasive procedures does not have negative effects on family members, patients, or the resuscitation or invasive intervention process. Family members focus on the patients, not the ongoing treatment. The presence of family members is beneficial for both family members and health care staff. None of the reviewed studies reported a negative effect on family members.DiscussionThe presence of parents and other immediate family members during resuscitation and invasive procedures has positive impacts on patients, families, and health care staff.     

Attitudes toward and beliefs about family presence: a survey of healthcare providers, patients' families, and patients.

BACKGROUND: Although some healthcare providers remain hesitant, family presence, defined as the presence of patients' family members during resuscitation and/or invasive procedures, is becoming an accepted practice. Evidence indicates that family presence is beneficial to patients and their families. OBJECTIVES: To describe and compare the beliefs about and attitudes toward family presence of clinicians, patients' families, and patients. METHODS: Clinicians, patients' families, and patients in the emergency department and adult and neonatal intensive care units of a 300-bed urban academic hospital were surveyed. RESULTS: Surveys were completed by 202 clinicians, 72 family members, and 62 patients. Clinicians had positive attitudes toward family presence but had concerns about safety, the emotional responses of the family members, and performance anxiety. Nurses had more favorable attitudes toward family presence than physicians did. Patients and their families had positive attitudes toward family presence. CONCLUSIONS: Family presence is beneficial to patients, patients' families, and healthcare providers. As family presence becomes a more accepted practice, healthcare providers will need to accommodate patients' families at the bedside and address the barriers that impede the practice.     

家属行为对宫外孕患者术前心理的影响及对策

通过对93例宫外孕急诊患及家属的心理护理，总结认为：宫外孕手术前患家属的行为对患术前的心理有着直接的影响，家属对患无微不至的关怀和安慰是医护人员无可代替的。提出术前对患实施良好的心理护理和加强与患家属的沟通，争取家属和社会的支持，对帮助患正视现实，缓和紧张恐惧的心理，顺应医护计划，保证手术的顺利完成起到积极的作用，也有助于患转危为安。     

特需病房的临终关怀服务

目的提高临终病人及家属的生活质量。方法建立家庭式临终关怀病房,控制癌症晚期病人的疼痛,制定个性化临终护理计划,做好基础护理和心理护理,给予临终病人家属心理支持,尊重其民族习俗和宗教信仰,遵照病人生前愿望进行尸体料理,帮助家属办理后续事宜。结果提高了临终病人生命质量,满足了病人的心理需要,病人及家属满意度较高。结论在特需病房实施的临终护理模式提高了服务质量和特需医疗服务信任度,扩大了特需医疗服务的影响力。     

病人亲属在抢救现场对医护人员影响的调查

目的了解病人亲属在抢救现场对医护人员产生的影响，探讨医护人员如何有效应对。方法采用调查问卷的形式，调查住院病人亲属66名，以及医护人员60名。结果多数病人亲属对留在抢救现场有较强烈需求，而医护人员对此顾虑重重。结论医护人员应满足病人亲属希望能在抢救现场需求，采取切实可行的措施，提供有效的支持。