Health and Population Sciences, University of Birmingham, United Kingdom.
Int J Nurs Stud. 2013 Jan;50(1):121-33. doi: 10.1016/j.ijnurstu.2012.05.004. Epub 2012 Jun 7.
First to develop a consensus on what is known about men's experiences and involvement in antenatal screening, second to understand whether screening is an appropriate way to engage uninvolved men in pregnancy and third to identify areas requiring further research.
A systematic review was conducted to extract relevant qualitative primary research studies, which were subsequently synthesised.
International qualitative research papers, in English or with English translations, were identified using twenty-three electronic databases, such as CINAHL, MEDLINE, EMBASE, PsycInfo, ASSIA and British Nursing Index. Articles that explored men's views and opinions of antenatal screening and prenatal diagnosis were included.
Eighteen relevant research studies that met the inclusion criteria were identified. Each one was appraised as suitable for inclusion using a published appraisal tool.
Three themes were constructed, which were (1) men's emotional conflicts, (2) men's focus on information and (3) men's influence on decision-making. Men felt a responsibility towards their unborn child to be involved in screening. Despite this, their input was often limited to supporting their partners, and there was no clearly defined, additional role for them as expectant fathers. Thus screening is not likely to be sufficient as an opportunity to encourage men who are uninvolved in pregnancy to become more involved. Nonetheless, engaging men who were involved in the pregnancy and who attended screening appointments was beneficial in encouraging the responsibility they felt towards their unborn child, and in allowing them to support their partners.
Healthcare professionals need to engage those men who show willingness to be involved. Nevertheless trying to engage reluctant men in screening, where there is no clearly defined role for them might create further distance between them and the pregnancy. Alternative ways to engage such men in pregnancy are thus required.
首先就男性在产前筛查中的经历和参与情况达成共识，其次了解筛查是否是让不参与的男性参与妊娠的合适方式，最后确定需要进一步研究的领域。
系统综述旨在提取相关的定性原始研究，然后对其进行综合分析。
使用二十三个电子数据库，如 CINAHL、MEDLINE、EMBASE、PsycInfo、ASSIA 和英国护理索引，确定了以英文或带有英文翻译的国际定性研究论文。包括探讨男性对产前筛查和产前诊断的看法和意见的文章。
确定了符合纳入标准的 18 项相关研究。使用已发表的评估工具对每一项研究进行评估，以确定其是否适合纳入。
构建了三个主题，分别是（1）男性的情感冲突，（2）男性关注信息，（3）男性对决策的影响。男性感到有责任参与筛查。尽管如此，他们的参与通常仅限于支持他们的伴侣，而没有明确规定他们作为准父亲的额外角色。因此，筛查不太可能成为鼓励不参与妊娠的男性更多参与的充分机会。尽管如此，让参与妊娠并参加筛查预约的男性参与进来，有利于鼓励他们对未出生的孩子的责任感，并让他们支持伴侣。
医疗保健专业人员需要与那些表现出参与意愿的男性接触。然而，试图让那些不参与筛查的男性参与进来，如果没有明确界定他们的角色，可能会使他们与妊娠之间产生更多的距离。因此，需要寻找其他方法来让这些男性参与妊娠。
