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新生儿筛查结果呈阳性的告知与家长的苦恼

Communicating a Positive Result at Newborn Screening and Parental Distress.

作者信息

Lastrucci Elisa, Daniotti Marta, Procopio Elena, Scaturro Giusi, Tubili Flavia, Martin Rosanna, la Marca Giancarlo

机构信息

Department of Experimental and Clinical Biomedical Sciences, University of Florence, 50019 Florence, Italy.

Metabolic Diseases Unit, Neuroscience Department, Meyer Children's Hospital IRCCS, 50139 Florence, Italy.

出版信息

Int J Neonatal Screen. 2023 Jul 14;9(3):38. doi: 10.3390/ijns9030038.

DOI:10.3390/ijns9030038
PMID:37489491
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10366888/
Abstract

The assumption of this study is strictly connected to the need to focus and to know more about the impact on the psychological state of the parents whose newborn babies get a positive result at Expanded Newborn Screening (ENS). As clinical experience shows us, this aspect seems to have a potentially lasting resonance on the way the disease will be managed and handled in the family, leading to potential negative effects and repercussions on the child's wellbeing and on the quality of life within the family. On the basis of this and on the evidence emerging from a review of the literature, this study aims to investigate and objectify possible distress indicators elicited at the moment of the communication of a positive result at ENS. Questionnaires containing the Beck Depression Inventory-II, the State-Trait Anxiety Inventory-Y, and the Short Form 36 Health Survey tests were administered to the parents of 87 newborns who received positive results at ENS. The parents of 32 babies expressed the presence of discomfort potentially related to the communication of a positive result at ENS.

摘要

本研究的假设与聚焦并深入了解新生儿在扩大新生儿筛查(ENS)中结果呈阳性对其父母心理状态的影响这一需求紧密相关。正如临床经验所示,这方面似乎会对家庭中疾病的管理和处理方式产生潜在的长期影响,进而对孩子的幸福以及家庭生活质量产生潜在的负面影响和后果。基于此以及文献综述中出现的证据,本研究旨在调查并客观确定在告知新生儿筛查结果呈阳性时可能引发的痛苦指标。对87名在ENS中结果呈阳性的新生儿的父母进行了包含贝克抑郁量表第二版、状态-特质焦虑量表-Y以及简明健康调查36项测试的问卷调查。32名婴儿的父母表示存在可能与告知ENS结果呈阳性相关的不适。

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本文引用的文献

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Expanded Newborn Screening in Italy Using Tandem Mass Spectrometry: Two Years of National Experience.意大利使用串联质谱法进行扩大新生儿筛查:两年全国经验。
Int J Neonatal Screen. 2022 Aug 9;8(3):47. doi: 10.3390/ijns8030047.
2
Parents' experience with positive newborn screening results for cystic fibrosis.家长对囊性纤维化阳性新生儿筛查结果的体验。
Eur J Pediatr. 2019 Jun;178(6):803-809. doi: 10.1007/s00431-019-03343-6. Epub 2019 Mar 9.
3
Psychosocial impact on mothers receiving expanded newborn screening results.接受扩大新生儿筛查结果的母亲的心理社会影响。
Eur J Hum Genet. 2018 Apr;26(4):477-484. doi: 10.1038/s41431-017-0069-z. Epub 2018 Jan 29.
4
Newborn Sequencing in Genomic Medicine and Public Health.基因组医学与公共卫生中的新生儿测序
Pediatrics. 2017 Feb;139(2). doi: 10.1542/peds.2016-2252. Epub 2017 Jan 17.
5
A Population-Based Genomic Study of Inherited Metabolic Diseases Detected Through Newborn Screening.一项基于人群的通过新生儿筛查发现的遗传性代谢疾病基因组研究。
Ann Lab Med. 2016 Nov;36(6):561-72. doi: 10.3343/alm.2016.36.6.561.
6
Potential Psychosocial Risks of Sequencing Newborns.新生儿测序的潜在社会心理风险。
Pediatrics. 2016 Jan;137 Suppl 1(Suppl 1):S24-9. doi: 10.1542/peds.2015-3731F.
7
Parental Experience of Information and Education Processes Following Diagnosis of Their Infant With Cystic Fibrosis Via Newborn Screening.通过新生儿筛查诊断出婴儿患有囊性纤维化后,家长在信息及教育过程中的体验。
J Pediatr Nurs. 2016 May-Jun;31(3):e233-41. doi: 10.1016/j.pedn.2015.11.010. Epub 2015 Dec 15.
8
"It was an overwhelming thing": parents' needs after infant diagnosis with congenital adrenal hyperplasia.“这是一件让人难以承受的事”:婴儿被诊断出患有先天性肾上腺皮质增生症后父母的需求
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Screening parents of high-risk infants for emotional distress: rationale and recommendations.为高风险婴儿的父母进行情绪困扰筛查:基本原理和建议。
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