Hunfeld J A, Leurs A, De Jong M, Oberstein M L, Tibben A, Wladimiroff J W, Wildschut H I, Passchier J
Department of Medical Psychology & Psychotherapy, Erasmus University, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands.
Prenat Diagn. 1999 Nov;19(11):1043-7.
The main aim of the study was to evaluate the relationship between the physician's attitude (using the non-verbal Global Affective Measure of the Roter Analaysis System and the Counselor Rating Form-short version) and the satisfaction of the pregnant women with the prenatal consultation. A secondary aim was to evaluate the women's recall of essential information (i.e. location, severity, prognosis and cause of the anomaly). To this end, 24 prenatal consultations (pregnant women, partners and physicians) were videotaped following a fetal anomaly scan, and a few days later, the pregnant women completed questionnaires to assess their perception of the physician's attitude and their satisfaction with the consultation and the extent to which they could recall the essentials of the information given about the fetal anomaly. In descending order, the physician's dominance/assertiveness (i.e. being self-confident and decisive) (assessment of the videotapes by two psychologists), trustworthiness (women's report) and expertise were significantly positively associated with the women's overall satisfaction, i.e. satisfaction with the information given and affective behaviour on the part of the physician during the prenatal consultation. All the women (n=24) recalled the essentials of the information given about the location of the fetal anomaly. The majority of them correctly reproduced the severity, the prognosis and the cause of the anomaly. Our findings indicate that women in whom a fetal anomaly has been detected derive particular benefit from a self-confident, decisive, expert and trustworthy physician.
该研究的主要目的是评估医生的态度（使用罗特分析系统的非语言整体情感量表和咨询师评定量表简版）与孕妇对产前咨询的满意度之间的关系。次要目的是评估女性对重要信息（即异常的位置、严重程度、预后和原因）的回忆情况。为此，在一次胎儿异常扫描后，对24次产前咨询（孕妇、伴侣和医生）进行了录像，几天后，孕妇填写问卷，以评估她们对医生态度的看法、对咨询的满意度以及她们能回忆起有关胎儿异常所提供信息要点的程度。按降序排列，医生的主导性/坚定性（即自信和果断）（由两位心理学家对录像进行评估）、可信赖度（女性报告）和专业知识与女性的总体满意度显著正相关，即对所提供信息的满意度以及医生在产前咨询期间的情感行为。所有24名女性都回忆起了有关胎儿异常位置所提供信息的要点。她们中的大多数正确地复述了异常的严重程度、预后和原因。我们的研究结果表明，检测出胎儿异常的女性从自信、果断、专业且值得信赖的医生那里能获得特别的益处。
