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满足先天性心脏病诊断后家长的教育和准备需求:来自众包研究的建议。

Meeting Parents' Needs for Education and Preparation following Congenital Heart Disease Diagnosis: Recommendations from a Crowdsourced Study.

机构信息

Nemours Cardiac Center, Nemours Children's Hospital, Delaware, Wilmington, Delaware.

Department of Human Development and Family Sciences, Center for Research in Education and Social Policy, University of Delaware, Newark, Delaware.

出版信息

Am J Perinatol. 2024 May;41(S 01):e446-e455. doi: 10.1055/a-1906-8786. Epub 2022 Jul 21.

Abstract

OBJECTIVE

This article characterizes the educational needs of parents following fetal or neonatal congenital heart disease (CHD) diagnosis and generates recommendations for meeting these needs.

STUDY DESIGN

Online crowdsourcing methods were used to collect qualitative data from 95 parents of children with CHD regarding their needs for education and preparation following fetal or neonatal diagnosis. Data were analyzed using qualitative methods and themes were organized around the substructure of met and unmet needs.

RESULTS

Two themes represented consistently met needs, whereas 10 themes represented needs that were either inconsistently met or consistently unmet. Parents reported needing more information about social, emotional, and financial supports, preparation for long-term care, and guidance toward reputable online resources. Parents also provided recommendations for meeting these needs.

CONCLUSION

Parents' needs for education and preparation following CHD diagnosis are much broader in scope than what they currently receive. Addressing these may support parental coping and active participation in medical decision-making.

KEY POINTS

· CHD counseling after diagnosis may provide opportunities to promote parents' mental health.. · Guidelines recommend that this counseling should include emotional and decision-making support, however, it is unclear what parents actually receive.. · This study found that parents' needs for education and preparation following CHD diagnosis are much broader in scope than what they currently receive..

摘要

目的

本文描述了先心病(CHD)胎儿或新生儿诊断后家长的教育需求,并提出了满足这些需求的建议。

研究设计

采用在线众包方法,从 95 名先心病患儿家长处收集了有关其在胎儿或新生儿诊断后接受教育和准备的定性数据。使用定性方法分析数据,并围绕满足和未满足需求的亚结构组织主题。

结果

有两个主题代表了始终得到满足的需求,而 10 个主题则代表了不一致满足或始终未满足的需求。家长们表示需要更多有关社会、情感和经济支持、长期护理准备以及指向可靠在线资源的指导方面的信息。家长们还为满足这些需求提供了建议。

结论

先心病诊断后家长的教育和准备需求范围远远超出他们目前所获得的范围。满足这些需求可能有助于家长应对疾病和积极参与医疗决策。

要点

· 先心病诊断后的咨询可能为促进家长心理健康提供机会。· 指南建议,此类咨询应包括情绪和决策支持,但目前尚不清楚家长实际获得了什么。· 本研究发现,先心病诊断后家长的教育和准备需求范围远远超出他们目前所获得的范围。

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