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[接受唐氏综合征的诊断:父母怎么看?]

[Receiving the diagnosis of Down syndrome: what do the parents think?].

作者信息

Paul María A, Cerda Jaime, Correa Catalina, Lizama Macarena

机构信息

Centro de Especialidades Pediátricas, Red de Salud UC, Santiago, Chile.

Departamento de Salud Pública, Red de Salud UC, Santiago, Chile.

出版信息

Rev Med Chil. 2013 Jul;141(7):879-86. doi: 10.4067/S0034-98872013000700007.

Abstract

BACKGROUND

Having a child with Down syndrome (DS) is usually unexpected and stressful.

AIM

To describe the experiences of parents of children with DS at the time of diagnosis.

MATERIAL AND METHODS

A self-administered survey was answered by 345 parents (62% women) with an offspring with DS.

RESULTS

Eighty four percent of parents received a postnatal diagnosis of DS, 32.3% were informed of the diagnosis in the presence of his or her partner and 19.3%o received some form of printed material regarding DS. Fifty six percent of respondents considered that the delivery of the diagnosis was inadequate. Factors associated with an overall positive experience were prenatal diagnosis (Odds Ratio (OR) 3.91 (95% Confidence Intervals (CI) 2.06-7.44)) and the presence of both parents at the time of the delivery of the diagnosis (OR 1.84 (95%> CI 1.16-2.91)). Fifty three percent of respondents believe that prenatal diagnosis of DS is preferable.

CONCLUSIONS

The majority of parents are unsatisfied with the way the diagnosis of DS is delivered. Efforts should be made to educate health personnel regarding the delivery of the diagnosis of SD, to foster opportunities for prenatal diagnosis and to improve the delivery of printed material.

摘要

背景

生育一个患有唐氏综合征(DS)的孩子通常是出乎意料且令人压力巨大的。

目的

描述唐氏综合征患儿父母在诊断时的经历。

材料与方法

345名有唐氏综合征患儿的父母(62%为女性)回答了一份自行填写的调查问卷。

结果

84%的父母在产后得到了唐氏综合征的诊断结果,32.3%是在伴侣在场的情况下被告知诊断结果的,19.3%收到了某种形式的关于唐氏综合征的印刷材料。56%的受访者认为诊断结果的告知方式不够恰当。与总体积极体验相关的因素包括产前诊断(优势比(OR)3.91(95%置信区间(CI)2.06 - 7.44))以及诊断结果告知时父母双方都在场(OR 1.84(95% CI 1.16 - 2.91))。53%的受访者认为唐氏综合征的产前诊断更可取。

结论

大多数父母对唐氏综合征诊断结果的告知方式不满意。应努力对卫生人员进行关于唐氏综合征诊断结果告知的培训,增加产前诊断的机会,并改进印刷材料的提供。

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