Carlsson Tommy, Bergman Gunnar, Melander Marttala Ulla, Wadensten Barbro, Mattsson Elisabet
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
PLoS One. 2015 Feb 18;10(2):e0117995. doi: 10.1371/journal.pone.0117995. eCollection 2015.
Prenatal screening of pregnant women in Sweden has improved the detection of major congenital heart defects (CHD). The aim was to explore parental experiences and need for information following a prenatal diagnosis of CHD.
Semi-structured interviews conducted with six fathers and five mothers to seven prenatally diagnosed children. Data were analyzed through content analysis.
Three themes and 9 categories emerged. Theme 1, Grasping the facts today while reflecting on the future, containing five categories: Difficulties sorting out information when in emotional chaos; Respectful information regarding termination of pregnancy; Early information is crucial; Understanding the facts regarding the anomaly; Preparing for the future. Theme 2, Personal contact with medical specialists who give honest and trustworthy information is valued, containing two categories: Trust in information received from medical specialists and Truth and honesty is valued. Theme 3, An overwhelming amount of information on the Internet, containing two categories: Difficulties in finding relevant information and Easy to focus on cases with a poor outcome when searching the Internet.
Early and honest information in line with individual preferences is crucial to support the decisional process regarding whether to continue or terminate the pregnancy. The use of illustrations is recommended, as a complement to oral information, as it increases comprehension and satisfaction with obtained information. Furthermore, the overwhelming amount of information on the Internet calls for compilation of easily accessible and reliable information sources via the Internet.
瑞典对孕妇进行的产前筛查改善了对主要先天性心脏缺陷(CHD)的检测。目的是探讨产前诊断出CHD后父母的经历及信息需求。
对7名产前诊断出患有CHD的儿童的6名父亲和5名母亲进行了半结构化访谈。通过内容分析对数据进行了分析。
出现了3个主题和9个类别。主题1,在反思未来的同时把握当下事实,包含5个类别:情绪混乱时难以整理信息;关于终止妊娠的尊重性信息;早期信息至关重要;了解异常情况的事实;为未来做准备。主题2,重视与提供诚实可靠信息的医学专家的个人接触,包含2个类别:对从医学专家处获得的信息的信任以及重视真实与诚实。主题3,互联网上信息过多,包含2个类别:难以找到相关信息以及在互联网搜索时容易关注结果不佳的案例。
符合个人偏好的早期和诚实信息对于支持关于继续妊娠还是终止妊娠的决策过程至关重要。建议使用插图作为口头信息的补充,因为它能提高对所获信息的理解和满意度。此外,互联网上大量的信息需要通过互联网汇编易于获取且可靠的信息来源。