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胎儿超声检查出现意外发现时父母的焦虑心态:一项对照研究。

Parents' worried state of mind when fetal ultrasound shows an unexpected finding: a comparative study.

机构信息

Division of Nursing, Department of Health Sciences, Faculty of Medicine, Lund University, PO Box 157, SE-22100 Lund, Sweden.

出版信息

J Ultrasound Med. 2009 Dec;28(12):1663-70. doi: 10.7863/jum.2009.28.12.1663.

DOI:10.7863/jum.2009.28.12.1663
PMID:19933480
Abstract

OBJECTIVE

Most parents yearn for a second-trimester ultrasound examination and feel excitement about it, but some also worry about what the examination will show. According to prior research, using only generic instruments or specific questionnaires, anxiety decreases when the ultrasound findings are normal. The aim of this study was to compare parents' worry (Parents' Expectations, Experiences, and Reactions to Ultrasound [PEER-U] State of Mind Index) and sense of coherence before and after a routine second-trimester ultrasound examination when it showed normal or abnormal findings.

METHODS

A 1-year cohort study was performed at a Swedish university hospital. A total of 2049 parents who had their second-trimester ultrasound examinations there filled in a questionnaire consisting of 2 parts before and after the examinations.

RESULTS

Parents with normal ultrasound findings were less worried than parents with abnormal findings. The group with normal findings also showed less worry after the examination than before. A sex analysis showed similar patterns.

CONCLUSIONS

Parents with abnormal ultrasound findings are more worried and anxious. The new instrument, the PEER-U State of Mind Index, not only measures parents' worry but can also expose what influences their ultrasound examination experience.

摘要

目的

大多数父母渴望进行第二次妊娠中期超声检查,并对此感到兴奋,但也有一些父母担心检查结果会显示什么。根据先前的研究,当超声检查结果正常时,使用通用仪器或特定问卷可以降低焦虑。本研究旨在比较正常和异常超声检查结果前后父母的担忧(父母对超声检查的期望、经历和反应量表[PEER-U]心态指数)和应对感。

方法

在瑞典一所大学医院进行了为期 1 年的队列研究。共有 2049 名在该院进行第二次妊娠中期超声检查的父母在检查前后填写了一份由两部分组成的问卷。

结果

与异常超声检查结果的父母相比,正常超声检查结果的父母担忧程度较低。正常检查结果组在检查后也比检查前担忧程度较低。性别分析显示出相似的模式。

结论

异常超声检查结果的父母更担心和焦虑。新的工具,PEER-U 心态指数,不仅可以测量父母的担忧,还可以揭示哪些因素影响他们的超声检查体验。

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