Oosterloo Mayke, Bijlsma Emilia K, Die-Smulders Christine de, Roos Raymund A C
Department of Neurology, Maastricht University Medical Center, 6202 AZ Maastricht, The Netherlands.
Department of Neurology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Brain Sci. 2020 Mar 7;10(3):155. doi: 10.3390/brainsci10030155.
To investigate the reasons for the diagnostic delay of juvenile Huntington's disease patients in the Netherlands. : This study uses interpretative phenomenological analysis. Eligible participants were parents and caregivers of juvenile Huntington's disease patients. : Eight parents were interviewed, who consulted up to four health care professionals. The diagnostic process lasted three to ten years. Parents believe that careful listening and follow-up would have improved the diagnostic process. Although they believe an earlier diagnosis would have benefited their child's wellbeing, they felt they would not have been able to cope with more grief at that time. : The delay in diagnosis is caused by the lack of knowledge among health care professionals on the one hand, and the resistance of the parent on the other. For professionals, the advice is to personalize their advice in which a conscious doctor's delay is acceptable or even useful.
调查荷兰青少年亨廷顿舞蹈症患者诊断延迟的原因。:本研究采用解释现象学分析方法。符合条件的参与者为青少年亨廷顿舞蹈症患者的父母和照顾者。:采访了八位父母,他们咨询过多达四位医疗保健专业人员。诊断过程持续了三到十年。父母们认为,仔细倾听和后续跟进本可改善诊断过程。尽管他们认为更早的诊断会有利于孩子的健康,但他们觉得当时自己无法承受更多的悲痛。:诊断延迟一方面是由于医疗保健专业人员知识的欠缺,另一方面是父母的抵触情绪。对于专业人员而言,建议是提供个性化建议,其中有意识的医生延迟是可以接受甚至是有益的。