ArticleInternational journal of general medicine2026
Comparison of Open Visiting and Restricted Visiting in ICU Chronic Critical Patients: Effects on Negative Emotions and Delirium.
Article in International journal of general medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To compare the effects of open visiting versus restricted visiting on negative emotions and delirium in ICU chronic critical patients. Methods: A retrospective analysis was conducted on 264 chronic critical patients admitted to a tertiary hospital ICU between January 2025 and January 2026. Patients were divided into a restricted visiting control group (n=132) and an open visiting study group (n=132) based on the implementation of open visiting in December 2025. The open group received 24-hour access, while the control group received 1 hour daily. Clinical outcomes, psychological status, and delirium incidence were compared. Results: The study group had significantly shorter mechanical ventilation time (15.44±1.28 vs. 18.88±3.47 days), ICU stay (12.17±3.33 vs. 15.91±3.78 days), and total hospital stay (20.22±3.16 vs. 25.11±5.11 days) compared to the control group (all P<0.05). Treatment compliance was higher in the study group (89.39% vs. 75.45%, P<0.05). At discharge, the study group showed lower HADS scores (11.22±1.96 vs. 14.78±2.25 points), as well as lower family state anxiety (44.23±2.17 vs. 56.89±2.88) and trait anxiety scores (44.18±1.89 vs. 57.54±3.11) (all P<0.05). Delirium incidence was significantly reduced in the study group (11.36% vs. 25.76%, P<0.05). No significant difference in ICU air quality was observed between groups (P>0.05). Conclusion: Open visiting mode is superior to restricted visiting in improving psychological outcomes, reducing delirium, and enhancing clinical recovery in ICU chronic critical patients, supporting its clinical promotion.
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