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男性包皮环切术中的父母决策

Parental decision making in male circumcision.

作者信息

Sardi Lauren, Livingston Kathy

机构信息

Lauren Sardi is an Assistant Professor of Sociology, Quinnipiac University, Hamden, CT. She can be reachedvia e-mail at

出版信息

MCN Am J Matern Child Nurs. 2015 Mar-Apr;40(2):110-5. doi: 10.1097/NMC.0000000000000112.

Abstract

PURPOSE

To study which healthcare professionals (HCPs) firstasked parents about their decision regarding circumcision; whether parents felt they were given enough information by their HCP; and what reasons parents cited for their decision.

STUDY DESIGN AND METHODS

Bilingual questionnaires were administered to parents and expecting parents of boys (N = 60). Close-ended survey responses were analyzed through factor analysis to ascertain what types of beliefs parents used in their decision making, whether they felt they had enough information, and who first asked them about their decision.

RESULTS

Nurses were most likely to be the first HCPs to ask parents about circumcision. Parental personal and cultural beliefs played an equal or more important role in influencing decision making than medical information received. However, some parents noted that there was a lack of access to accurate information regarding risks and benefits of male circumcision.

CLINICAL NURSING IMPLICATIONS

Nurses continue to play a critical role in acquisition of knowledge surrounding male circumcision and serve as important liaisons between parents and the proxy consent process. Nurses, as well as other HCPs, should discuss circumcision early in pregnancy so parents have ample time to ask questions, gather information, and make an appropriate decision.

摘要

目的

研究哪些医疗保健专业人员(HCP)首先询问父母关于他们对包皮环切术的决定;父母是否觉得HCP为他们提供了足够的信息;以及父母为他们的决定给出了哪些理由。

研究设计与方法

对男孩的父母及准父母(N = 60)进行双语问卷调查。通过因子分析对封闭式调查回答进行分析,以确定父母在决策中使用了哪些类型的信念,他们是否觉得自己有足够的信息,以及谁首先询问他们的决定。

结果

护士最有可能是首先询问父母关于包皮环切术的HCP。父母的个人和文化信念在影响决策方面比所获得的医学信息发挥着同等或更重要的作用。然而,一些父母指出,缺乏关于男性包皮环切术风险和益处的准确信息。

临床护理启示

护士在获取有关男性包皮环切术的知识方面继续发挥关键作用,并作为父母与代理同意过程之间的重要联络人。护士以及其他HCP应在怀孕早期讨论包皮环切术,以便父母有足够的时间提问、收集信息并做出适当的决定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/711d/4418772/44a7b985adbf/ajmcn-40-110-g001.jpg

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