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唇腭裂告知性访谈的家长评估

Parental evaluation of informing interviews for cleft lip and/or palate.

作者信息

Byrnes Abigail L, Berk Nancy W, Cooper Margaret E, Marazita Mary L

机构信息

Department of Genetics, Magee-Womens Hospital, Pittsburgh, Pennsylvania, USA.

出版信息

Pediatrics. 2003 Aug;112(2):308-13. doi: 10.1542/peds.112.2.308.

Abstract

OBJECTIVE

This study was conducted to record subjective information concerning parental experiences and preferences with regard to informing interviews for cleft lip and/or palate. The analysis of these data was intended to help informants improve the way in which such conversations are conducted.

METHODS

The study used a self-administered questionnaire. Study participants were the biological parents of children who had cleft lip and/or palate and were seen in the University of Pittsburgh Cleft Palate-Craniofacial Center.

RESULTS

Results revealed that parents wanted informing health professionals to be in greater control of the informing conversation, to show more caring and confidence, to show more of their own feelings, to give parents more of an opportunity to talk and show feelings, to make a greater effort to comfort parents, to provide more information, to initiate more of a discussion about the association between clefts and mental retardation/learning disabilities, and to provide more referrals to other parents during the informing interview. A positive association between the degree to which parents reported knowing the health professionals and reported satisfaction was identified for 10 dimensions of health professional behavior.

CONCLUSIONS

Parents are dissatisfied with several aspects of informing interviews for cleft lip and/or palate. The results of this study suggest ways to improve informing interviews for oral-facial clefts and other congenital anomalies.

摘要

目的

本研究旨在记录有关唇腭裂患儿家长在告知性访谈中的经历和偏好的主观信息。对这些数据的分析旨在帮助访谈者改进此类谈话的方式。

方法

本研究采用自填式问卷。研究参与者为在匹兹堡大学腭裂 - 颅面中心就诊的唇腭裂患儿的亲生父母。

结果

结果显示,家长希望负责告知的医护人员能更好地掌控告知谈话,表现出更多关怀和自信,展现更多自身感受,给家长更多倾诉和表达感受的机会,更努力地安慰家长,提供更多信息,就腭裂与智力发育迟缓/学习障碍之间的关联展开更多讨论,并在告知性访谈期间为家长提供更多转介给其他家长的信息。在医护人员行为的10个维度上,家长报告对医护人员的了解程度与报告的满意度之间存在正相关。

结论

家长对唇腭裂告知性访谈的多个方面不满意。本研究结果提出了改进口腔颌面部裂隙及其他先天性异常告知性访谈的方法。

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