IF 2.4 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Emily Marshall, Colette Gramszlo, Alejandra Perez Ramirez, Anne E Kazak, Amanda J Shillingford, Cynthia M Ortinau, Sarah L Kelly, Nadine Kasparian, Lindsay A Edwards, Allison A Divanovic, Jo Ann Davis, Samantha C Butler, Katherine Braley, Erin Riegel, Erica Sood
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引用次数: 0

摘要

摘要确定产前诊断为先天性心脏病(CHD)的准父母所面临的社会压力和支持,并为减少痛苦的干预措施提供依据:在八个医疗系统有目的地抽取产前诊断为先天性心脏病患儿的父母(37 人)。采用众包方法收集定性数据,并使用主题分析法对数据进行编码/分析:产前诊断后增加痛苦的社会压力因素得到广泛认可:(1) 孤独感(最常见:68%),(2) 善意但无益的评论,(3) 失去对怀孕的庆祝,(4) 信息超载,(5) 围绕终止妊娠的不及时/不敏感的讨论。社会支持包括社会支持包括:(1) 情感支持和善意的小举动,(2) 通过他人的经历获得希望/联系,(3) 信息支持,(4) 孕育正常状态和怀孕的喜悦,(5) 通过宗教/精神联系:结论:人际关系对于应对产前诊断至关重要。结论:人际关系对于应对产前诊断至关重要,为减轻产前诊断后的痛苦而采取的干预措施应关注常见的社会压力因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interpersonal relationships after prenatal diagnosis of congenital heart disease: Social stressors and supports.

Objective: To identify social stressors and supports for expectant parents after prenatal diagnosis of congenital heart disease (CHD) and inform interventions to reduce distress.

Method: Parents of children diagnosed prenatally with CHD (N = 37) were purposively sampled across eight health systems. Qualitative data were collected using crowdsourcing methods and coded/analyzed using thematic analysis.

Results: Social stressors increasing distress after prenatal diagnosis were widely endorsed: (1) feelings of loneliness (most common: 68%), (2) well-meaning yet unhelpful comments, (3) loss of celebration of pregnancy, (4) information overload, and (5) untimely/insensitive discussions surrounding pregnancy termination. Social supports included: (1) emotional support and small acts of kindness, (2) hope/connection through the experiences of others, (3) informational support, (4) nurturing normalcy and the joy of pregnancy, and (5) connection through religion/spirituality.

Conclusion: Interpersonal relationships are vital for coping with prenatal diagnosis. Interventions to reduce distress after prenatal diagnosis should attend to common social stressors.

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来源期刊
Journal of Perinatology
Journal of Perinatology 医学-妇产科学
CiteScore
5.40
自引率
6.90%
发文量
284
审稿时长
3-8 weeks
期刊介绍: The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.
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