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从父母的视角理解基因检测对神经肌肉疾病的挑战。

Understanding Challenges of Genetic Testing on Neuromuscular Disorders from the Parental Lens.

作者信息

Hakim Zada Farheen, Ahmad Azahari Ahmad Hazim Syakir, Wong Sau Wei, Ali Adli, Ismail Noor Akmal Shareela

机构信息

Department of Pediatric, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Cheras, Kuala Lumpur 56000, Malaysia.

Research Centre, Hospital Tunku Ampuan Besar Tuanku Aishah Rohani, UKM Specialist Children's Hospital, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Cheras, Kuala Lumpur 56000, Malaysia.

出版信息

J Pers Med. 2023 Nov 27;13(12):1652. doi: 10.3390/jpm13121652.

Abstract

Neuromuscular disorders, characterized by progressive muscle degeneration and weakness, present substantial challenges to both affected individuals and their families. Genetic testing assumes a pivotal role in facilitating early diagnosis, intervention, treatment, and informed family planning for these conditions. The objective of this qualitative study is to delve into the knowledge, awareness, and perceptions surrounding genetic testing within the cohort of parents caring for individuals with neuromuscular disorders in Malaysia. A semi-structured interview approach was employed to elicit data from parents of individuals diagnosed with neuromuscular disorders, encompassing those with clinical diagnoses and those diagnosed through genetic testing. Examination of the interview responses yielded nine overarching themes, which furnish invaluable insights into the perspectives of Malaysian parents concerning genetic testing. The study discerned several challenges associated with genetic testing, notably encompassing the limited awareness among parents, the financial constraints associated with genetic testing, and the perceived significance of genetic testing in the context of neuromuscular disorders. The findings suggest that the level of knowledge and awareness pertaining to genetic testing for neuromuscular disorders among parents in Malaysia varies, with initial levels of awareness ranging from relatively low to reasonably sufficient prior to and following the birth of an affected child. However, the investigation revealed that parents tended to cultivate more favorable perceptions regarding genetic testing subsequent to their experience with genetic counseling. This underscores the potential for heightened awareness and comprehension as a consequence of the personal experience of parenting an affected child confirmed through genetic testing and genetic counseling, ultimately influencing parental awareness.

摘要

神经肌肉疾病以进行性肌肉退化和无力为特征,给患者及其家庭带来了巨大挑战。基因检测在促进这些疾病的早期诊断、干预、治疗以及明智的计划生育方面发挥着关键作用。这项定性研究的目的是深入探究马来西亚照顾神经肌肉疾病患者的父母群体对基因检测的知识、认知和看法。采用半结构化访谈方法从被诊断患有神经肌肉疾病患者的父母那里获取数据,包括临床诊断的患者和通过基因检测确诊的患者。对访谈回答的分析产生了九个总体主题,这些主题为马来西亚父母对基因检测的观点提供了宝贵见解。该研究发现了与基因检测相关的几个挑战,特别是包括父母认识有限、基因检测相关的经济限制以及基因检测在神经肌肉疾病背景下的感知重要性。研究结果表明,马来西亚父母对神经肌肉疾病基因检测的知识和认识水平各不相同,在受影响孩子出生前后,最初的认识水平从相对较低到相当充足不等。然而,调查显示,父母在经历基因咨询后往往对基因检测形成更积极的看法。这突出了通过基因检测和基因咨询确诊的养育患病孩子的个人经历可能提高认识和理解,最终影响父母的认知。

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