Vandrevala Tushna, Barber Victoria, Mbire-Chigumba Evas, Calvert Anna, Star Caroline, Khalil Asma, Griffiths Paul, Book Alexander S, Book Gayle M, Heath Paul, Jones Christine E
Psychology, Kingston University, Kingston-Upon-Thames, UK.
Psychology, Kingston University, Kingston-Upon-Thames, London, UK.
BMJ Paediatr Open. 2020 Nov 12;4(1):e000844. doi: 10.1136/bmjpo-2020-000844. eCollection 2020.
Congenital cytomegalovirus (CMV) is the most common infectious cause of congenital disability, which can cause lifelong impairments including sensorineural hearing loss and developmental delay. This study aimed to explore the experiences of parenting a child with congenital CMV and the impact this has on families.
Ten parents living with a child with congenital CMV in the UK participated in semistructured interviews and data were analysed using thematic analysis.
The findings illustrate that delays in making the diagnosis of congenital CMV are associated with parental distress and lack of knowledge about CMV among medical professionals can exacerbate this distress. Parents expressed frustration about not knowing about CMV infection during their pregnancies and therefore not having the opportunity to take measures to reduce their risk of acquiring CMV while pregnant. The uncertainty about the long-term outcomes of children with congenital CMV adds additional emotional burden for parents. Family and wider societal networks have the potential to facilitate coping and alleviate stress, but the lack of awareness of CMV acts as a barrier to receiving support from family and friends.
There is a need to increase awareness of CMV among medical professionals, pregnant women and wider society to improve the diagnostic process and to provide better support for families caring for children with congenital CMV infection.
先天性巨细胞病毒(CMV)是先天性残疾最常见的感染原因,可导致包括感音神经性听力损失和发育迟缓在内的终身损伤。本研究旨在探讨抚养先天性CMV患儿的经历及其对家庭的影响。
英国10位抚养先天性CMV患儿的家长参与了半结构化访谈,并采用主题分析法对数据进行分析。
研究结果表明,先天性CMV诊断延迟与家长的痛苦相关,而医学专业人员对CMV缺乏了解会加剧这种痛苦。家长们表示,对孕期感染CMV一无所知,因此没有机会采取措施降低孕期感染CMV的风险,对此感到沮丧。先天性CMV患儿长期预后的不确定性给家长增加了额外的情感负担。家庭和更广泛的社会网络有促进应对和减轻压力的潜力,但对CMV缺乏认识成为从家人和朋友那里获得支持的障碍。
有必要提高医学专业人员、孕妇和更广泛社会对CMV的认识,以改善诊断过程,并为照顾先天性CMV感染患儿的家庭提供更好的支持。