Effect of planned visiting policy on physiological indices of intensive care unit patients

How to Cite:Reihane AkbariHossein Karimi MoonaghiSeyedreza MazloumAhmad Bagheri MoghaddamEffect of planned visiting policy on physiological indices of intensive care unit patients.koomesh.21(2):e153081.

Abstract

Introduction: Visiting patient in intensive care unit (ICUs) is one of the major challenges in healthcare. The belief that visiting will increase the anxiety and create destructive effects on the patient;#39s physiological indices, has led to a serious visiting restriction for patients and their. Therefore, the present study aimed to investigate the effect of flexible (planned) visiting policy on physiological indices of patients in ICUs. Materials and Methods: This randomized clinical trial was performed on 60 patients admitted in four ICUs of Emam Reza and Qaem hospitals in Mashhad (Iran) in 2018. Patients were randomly divided into two groups of intervention and control. In the control group, the visiting was routinely executed, while the planned visiting policy was performed in the intervention group. Physiological indices were measured before and after visiting. Results: In the intervention group, systolic and diastolic blood pressure at 10 and 30 minutes after the visitation significantly decreased (P0.05). Conclusion: Increasing the duration and frequency of visitation in the ICUs has not destructive effects on patients, but it can make a change in physiological indices to be in normal range. Thus, the results can be used for planning visiting polices in the ICUs.

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References

1.
Berwick DM, Kotagal M. Restricted visiting hours in ICUs: time to change. Jama 2004; 292: 736-737.
2.
Mitchell ML, Aitken LM. Flexible visiting positively impacted on patients, families and staff in an Australian Intensive Care Unit: A before-after mixed method study. Aust Crit Care 2017; 30: 91-97.
3.
Haghbin S, Tayebi Z, Abbasian A, Haghbin H. Visiting hour policies in intensive care units, southern Iran. Iran Red Crescent Med J 2011; 13: 684.
4.
Speroni C, Gobbi D, Gemperli A, Merlani P, Pagnamenta A. Potential predictors of visiting hours policies in the intensive care setting. Minerva Anestesiol 2015; 81: 1338-1345.
5.
Hetland B, McAndrew N, Perazzo J, Hickman R. A qualitative study of factors that influence active family involvement with patient care in the ICU: Survey of critical care nurses. Intensive Crit Care Nurs 2018; 44: 67-75.
6.
Debaty G, Ageron F-X, Minguet L, Courtiol G, Escallier C, Henniche A, et al. More than half the families of mobile intensive care unit patients experience inadequate communication with physicians. Intensive Care Med 2015; 41: 1291-1298.
7.
Garrouste-Orgeas M, Philippart F, Timsit JF, Diaw F, Willems V, Tabah A, et al. Perceptions of a 24-hour visiting policy in the intensive care unit. Crit Care Med 2008; 36: 30-35.
8.
Davidson JE, Powers K, Hedayat KM, Tieszen M, Kon AA, Shepard E, et al. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 20042005. Crit Care Med 2007; 35: 605-622.
9.
Cabrini L, Landoni G, Antonelli M, Bellomo R, Colombo S, Negro A, et al. Critical care in the near future: patient-centered, beyond space and time boundaries. Minerva Anestesiol 2015; 82.
10.
Wong P, Liamputtong P, Koch S, Rawson H. Barriers to families regaining control in ICU: Disconnectedness. Nurs Crit Care 2017; 23: 95-101.
11.
Hajiabadi F, Heydari A, Manzari ZS. The elixir of visiting: a qualitative study on the experiences of conscious mechanically ventilated patients in intensive care units regarding visiting family members. Evid Based Care 2017; 7: 46-58.
12.
Athanasiou A, Papathanassoglou EDE, Patiraki E, McCarthy MS, Giannakopoulou M. Family visitation in greek intensive care units: nurses perspective. Am J Crit Care 2014; 23: 326-333.
13.
Kamrani F, Seyed Javadi M, Abed Saeedi J, Jale E, Alavi Majd H, and et al. The comparison of physiologic indexes before, during and after visiting in CCU. Shahid Beheshti Med Sci J 1389; 20: 18-22. (Persian).
14.
Tayebi Z, DehghanNayeri N, Kohan M. Rationales of restricted visiting hour in Iranian intensive care units: a qualitative study. Nurs Crit Care 2014; 19: 117-125.
15.
Alizadeh R, Pourshaikhian M, Emami SA, Kazeminejad LE. Visiting in intensive care units and nurses beliefs. 2015; 2: 11-21. (Persian).
16.
McAdam JL, Puntillo KA. Open visitation policies and practices in US ICUs: can we ever get there? Crit Care 2013; 17: 171.
17.
Basiri Moghadam M, Jani MR, Razm Ara MR, Hamzei A, Mohseni Zade SM, Sarvari MH, et al. The effect of regular family caregivers supportive meeting on physiologic parameters in CVA Patients in Intensive Care Unit. Med Surg Nurs J 2015; 4: 67. (Persian).
18.
Scully CG, Daluwatte C. Evaluating performance of early warning indices to predict physiological instabilities. J Biomed Inform 2017; 75: 14-21.
19.
Arbeev KG, Ukraintseva SV, Akushevich I, Kulminski AM, Arbeeva LS, Akushevich L, et al. Age trajectories of physiological indices in relation to healthy life course. Mech Ageing Dev 2011; 132: 93-102.
20.
Rahmani R, Ahmadian YR, Motahedian E, Rahimi A. To assess the effect of planed meeting on the physiologic indicators of the patients who suffer from Acute Coronary Syndrome. 2013; 6: 57-64. (Persian).
21.
Lolaty HA, Bagheri-Nesami M, Shorofi SA, Golzarodi T, Charati JY. The effects of family-friend visits on anxiety, physiological indices and well-being of MI patients admitted to a coronary care unit. Complement Ther Clin Pract 2014; 20: 147-151.
22.
Di Bernardo V, Grignoli N, Marazia C, Andreotti J, Perren A, Malacrida R. Sharing intimacy in open intensive care units. J Crit Care 2015; 30: 866-870.
23.
da Silva Ramos FJ, Fumis RRL, Azevedo LCP, Schettino G. Perceptions of an open visitation policy by intensive care unit workers. Ann Intensive Care 2013; 3: 34.
24.
Giannini A, Miccinesi G, Prandi E, Buzzoni C, Borreani C, Group OS. Partial liberalization of visiting policies and ICU staff: a before-and-after study. Intensive Care Med 2013; 39: 2180-2187.
25.
Giannini A, Garrouste-Orgeas M, Latour JM. Whats new in ICU visiting policies: can we continue to keep the doors closed? Intensive Care Med 2014; 40: 730-733.
26.
Salavati M, Najafvandzadeh M, Oshvandi K, Homayonfar PDS, Soltanian AR. The effects of programmed visiting on physiological indexes in CCU patients. Sci J Hamadan Nurs Midwifery Fac 2012; 20: 43-53. (Persian0.
27.
Fumagalli S, Boncinelli L, Nostro A Lo, Valoti P, Baldereschi G, Di Bari M, et al. Reduced cardiocirculatory complications with unrestrictive visiting policy in an intensive care unit: results from a pilot, randomized trial. Circulation 2006; 113: 946-952.
28.
Giannini A, Miccinesi G, Leoncino S. Visiting policies in Italian intensive care units: a nationwide survey. Intensive Care Med 2008; 34: 1256-1262.
29.
Gerber DL. The effects of visitation on adult intensive care unit patients. Texas Woman's University (Thesis) 1997; 1328.
30.
Mahmoudi M, Asgari P, Khajeh-Goodari M, Hekmatpou D, Rafiei F. The effect of increasing meeting time on the physiological indices of patients admitted to the intensive care unit. Jundishapur J Chronic Dis Care 2016; 5. (Persian).
31.
Rezaie H, Sadeghi T, Abdoli F. The effects of scheduled visitation on the physiological indices of conscious patients admitted at intensive care units. Evid Based Care 2016; 5: 33-40.
32.
Kleman M, Bickert A, Karpinski A, Wantz D, Jacobsen B, Lowery B, et al. Physiologic responses of coronary care patients to visiting. J Cardiovasc Nurs 1993; 7: 52-62##.

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