Silberberg Agustín, Castro Méndez Josefina, Torres Silvio F, Fraire Rafael, Siaba Serrate Alejandro, Kreutzer Christian, López Daneri Mariana, Iolster Thomas
Hospital Universitario Austral, Pilar, Buenos Aires, Argentina.
Cardiol Young. 2023 Dec;33(12):2553-2558. doi: 10.1017/S1047951123000677. Epub 2023 Apr 3.
To investigate the opinion and personal experience of parents of children born with Hypoplastic Left Heart Syndrome and what advice they would give to other parents who have to decide between treatment options.
We conducted a qualitative, descriptive and retrospective study by means of a survey directed to parents of children born with Hypoplastic Left Heart Syndrome in a tertiary hospital in Buenos Aires (Argentina). Their answers and data regarding medical procedures were analysed.
Parents of thirteen out of sixteen patients with Hypoplastic Left Heart Syndrome were surveyed. Norwood surgery had been performed in all the patients, many had received other procedures, and five had died. In relation to the decision-making process, sixty-one percent of parents would recommend other parents to remain at peace after having done everything possible and 54% would suggest to not feel guilt despite the final result. None of the parents would recommend rejecting surgical treatment and choosing comfort care.
The majority of parents of children with Hypoplastic Left Heart Syndrome would recommend continuing with the therapeutic effort in order to feel at peace and reduce feelings of guilt.
调查患有左心发育不全综合征患儿的家长的看法和个人经历,以及他们会给其他必须在治疗方案之间做出抉择的家长提供什么建议。
我们通过对布宜诺斯艾利斯(阿根廷)一家三级医院中患有左心发育不全综合征患儿的家长进行调查,开展了一项定性、描述性和回顾性研究。分析了他们关于医疗程序的回答和数据。
对16例左心发育不全综合征患者中的13例患者的家长进行了调查。所有患者均接受了诺伍德手术,许多患者还接受了其他治疗,5例患者死亡。关于决策过程,61%的家长会建议其他家长在尽一切可能后保持平静,54%的家长会建议无论最终结果如何都不要感到内疚。没有家长会建议拒绝手术治疗而选择舒适护理。
大多数患有左心发育不全综合征患儿的家长会建议继续进行治疗努力,以便感到安心并减少内疚感。