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唐氏综合征患儿母亲在诊断时的经历。

Experience of mothers with Down syndrome children at the time of diagnosis.

作者信息

Buyukavci Mehmet A, Dogan Derya G, Canaloglu Sinem K, Kivilcim Meltem

机构信息

Inonü Üniversitesi, Centro Médico Turgut Ozal, Departamento de Pediatría, Unidad de Pediatría del Desarrollo y el Comportamiento, Malatya, Turkey.

出版信息

Arch Argent Pediatr. 2019 Apr 1;117(2):114-119. doi: 10.5546/aap.2019.eng.114.

Abstract

INTRODUCTION

Down's syndrome (DS) is a common genetic disorder. The families of children with DS generally do not receive sufficient information at the time of the diagnosis. They are dissatisfied with the manner of healthcare professionals. The objective was to evaluate the experiences of mothers of children with DS at the time of the diagnosis and the communicative attitudes of healthcare professionals.

POPULATION AND METHODS

Mothers who had children with Down syndrome were included. The experiences of the mothers at the time of diagnosis and the attitudes of the healthcare professionals were evaluated by a semistructured interview.

RESULTS

The study sample was 43 mothers. Eight children had been diagnosed with DS prenatally, and 35 had been diagnosed postnatally. Eighteen of the mothers had received the diagnosis in a pediatric clinic, and 16 had been told of the diagnosis in an obstetric clinic. More than half the mothers had received the first information about their child's diagnosis from a pediatrician. Only five of the 43 mothers had received detailed information. Twenty-three of 32 mothers said that they were met with a negative attitude. Generally, the time put aside to inform the families about the diagnosis was less than 5 min.

CONCLUSIONS

Mothers of DS children want more information about DS from healthcare professionals. Furthermore, they want this information to be delivered in a supportive and sensitive manner. Healthcare professionals, especially pediatricians need to allocate sufficient time to discuss DS and its challenges with the family.

摘要

引言

唐氏综合征(DS)是一种常见的遗传性疾病。唐氏综合征患儿的家庭在诊断时通常得不到足够的信息。他们对医护人员的沟通方式不满意。本研究的目的是评估唐氏综合征患儿母亲在诊断时的经历以及医护人员的沟通态度。

研究对象与方法

纳入有唐氏综合征患儿的母亲。通过半结构化访谈评估母亲在诊断时的经历以及医护人员的态度。

结果

研究样本为43位母亲。8名儿童在产前被诊断为唐氏综合征,35名在产后被诊断。18位母亲在儿科诊所得到诊断,16位在产科诊所被告知诊断结果。超过半数的母亲从儿科医生那里获得了关于孩子诊断的首个信息。43位母亲中只有5位得到了详细信息。32位母亲中有23位表示她们遭遇了负面态度。总体而言,用于告知家庭诊断结果的时间不到5分钟。

结论

唐氏综合征患儿的母亲希望从医护人员那里获得更多关于唐氏综合征的信息。此外,她们希望这些信息能以支持和体贴的方式传达。医护人员,尤其是儿科医生需要留出足够的时间与家庭讨论唐氏综合征及其带来的挑战。

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