Yeşilçinar İlknur, Şahin Eda, Tutar Sadettin Oğuzhan
Nursing Department, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey.
Nursing Department, Faculty of Health Sciences, Giresun University, Giresun, Turkey.
J Genet Couns. 2025 Apr;34(2):e1951. doi: 10.1002/jgc4.1951. Epub 2024 Jul 16.
Understanding the prenatal screening and diagnostic tests performed during pregnancy and making a decision in line with the test results can be a complex process for pregnant individuals and their families. Therefore, this study examined pregnant individuals' genetic literacy and decisional conflict regarding prenatal screening tests. The study was conducted with 328 pregnant individuals who applied to a training and research hospital to receive antenatal care between April 05 and September 30, 2021. Research data were collected by using the "Decisional Conflict Scale," "SURE Scale," and "Genetic Literacy and Comprehension Measure." The mean age of the participants was 28.69 ± 5.48, and the mean gestational week was 25.90 ± 10.43. A statistically significant difference was found between the educational levels of the pregnant individuals and the genetic literacy and comprehension scales (p < 0.001). A statistically significant difference was found between getting information about prenatal screening tests, having a screening test and decisional conflict scale, SURE Scale, and genetic literacy and comprehension scales (p < 0.001). A weak, negative, statistically significant correlation was found between the genetic literacy and comprehension familiarity and decision conflict scales (r = -0.177, p = 0.001). It is well known that pregnant individuals have difficulty understanding and interpreting test results due to prenatal screening tests that include genetic information. In our study, approximately half of the pregnant individuals received information about prenatal screening tests. Therefore, prenatal care must include the necessary information about prenatal screening tests. The study found that as the genetic literacy of pregnant individuals increased, the conflict of decisions they experienced decreased. Accordingly, it is suggested that interventions to increase genetic literacy among pregnant individuals may be effective in reducing decisional conflict regarding prenatal screening tests.
对于孕妇及其家人来说，了解孕期进行的产前筛查和诊断测试并根据测试结果做出决定可能是一个复杂的过程。因此，本研究调查了孕妇在产前筛查测试方面的基因知识水平和决策冲突。该研究对2021年4月5日至9月30日期间到一家培训和研究医院接受产前护理的328名孕妇进行。研究数据通过使用“决策冲突量表”、“SURE量表”和“基因知识与理解测量量表”收集。参与者的平均年龄为28.69±5.48岁，平均孕周为25.90±10.43周。发现孕妇的教育水平与基因知识和理解量表之间存在统计学上的显著差异（p<0.001）。在获取产前筛查测试信息、进行筛查测试与决策冲突量表、SURE量表以及基因知识和理解量表之间发现了统计学上的显著差异（p<0.001）。基因知识和理解熟悉度与决策冲突量表之间发现了微弱的、负向的、统计学上的显著相关性（r=-0.177，p=0.001）。众所周知，由于包含基因信息的产前筛查测试，孕妇在理解和解释测试结果方面存在困难。在我们的研究中，约一半的孕妇获得了产前筛查测试的信息。因此，产前护理必须包括有关产前筛查测试的必要信息。研究发现，随着孕妇基因知识水平的提高，她们经历的决策冲突减少。据此，建议提高孕妇基因知识水平的干预措施可能有助于减少产前筛查测试方面的决策冲突。
