Family Visiting Restrictions and Postoperative Clinical Outcomes: A Retrospective Analysis.

COVID-19 caregivers clinical outcomes surgical patients visiting policies

Journal

Nursing reports (Pavia, Italy)
ISSN: 2039-4403
Titre abrégé: Nurs Rep
Pays: Switzerland
ID NLM: 101592662

Informations de publication

Date de publication:
12 Aug 2022
Historique:
received: 20 06 2022
revised: 02 08 2022
accepted: 09 08 2022
entrez: 23 8 2022
pubmed: 24 8 2022
medline: 24 8 2022
Statut: epublish

Résumé

In the last two years, all hospitals have adopted restricted visitation policies due to the coronavirus disease 2019. The objective of this study was to assess the consequences of hospital visitation restrictions on the most common outcome measures on adult patients who underwent surgery. A retrospective study design was conducted according to the STrengthening the Reporting of OBservational studies in Epidemiology statements in 2021. Forty patients exposed to a no-visitors policy and forty unexposed patients (1:1) were enrolled. Patients who were not allowed to receive family visits were more likely to report disorientation/agitation episodes (n = 25, 62.5% vs. n = 12, 30.0%; p < 0.01), spend more sleepless nights (n = 10, 25.0% vs. n = 1, 2.5%; p < 0.01), be restrained (n = 8, 20.0% vs. n = 1, 2.5%; p = 0.02), incur device-removal incidents (n = 14, 35.0% vs. n = 5, 12.5%; p = 0.01) compared to unexposed patients. Conversely, pain episodes were significantly more frequent in the unexposed group (n = 7.1, SD = 7.9 vs. n = 2.4, SD = 2.8; p < 0.01), and there was lower clinical deterioration risk (NEWS of 0−4 average 19.5, SD = 12.2 evaluations vs. 12.3, SD = 8.6; p < 0.01) compared to exposed patients. According to the results, family visiting restrictions should be measured against their possible advantages in order to prevent negative outcomes for surgical patients and to improve the quality of care.

Identifiants

pubmed: 35997465
pii: nursrep12030057
doi: 10.3390/nursrep12030057
pmc: PMC9397009
doi:

Types de publication

Journal Article

Langues

eng

Pagination

583-588

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Auteurs

Matteo Danielis (M)

Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy.

Rosa Iob (R)

Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy.

Illarj Achil (I)

Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy.

Alvisa Palese (A)

Department of Medical Sciences, University of Udine, Viale Ungheria 20, 33100 Udine, Italy.

Classifications MeSH