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杜氏肌营养不良症的诊断:患者父母的经历

Diagnosis of Duchenne muscular dystrophy: experiences of parents of sufferers.

作者信息

Firth M A

出版信息

Br Med J (Clin Res Ed). 1983 Feb 26;286(6366):700-1. doi: 10.1136/bmj.286.6366.700.

Abstract

Sixty nine parents of boys suffering from Duchenne muscular dystrophy were interviewed at home. The interview explored the parents' experiences at the time of their son's diagnosis. Many families had experienced distressing delays (average 2.5 years) between the time they first became aware of symptoms and the time of the diagnosis. On only 18 occasions were both parents told of the diagnosis together. One third of the parents were "not satisfied" with the way the diagnosis had been communicated. Parents want to know as soon as possible if there is something wrong with their child. They should be told the diagnosis together and in private. Full information should be given and a series of contacts should be arranged.

摘要

对69位患有杜氏肌营养不良症男孩的家长进行了家访。此次访谈探讨了家长们在儿子确诊时的经历。许多家庭在首次意识到症状出现到确诊之间经历了令人痛苦的延迟(平均2.5年)。只有18次是父母双方同时被告知诊断结果。三分之一的家长对诊断结果的告知方式“不满意”。家长们希望尽快知道孩子是否有问题。应该同时私下告知他们诊断结果。应提供全面信息并安排一系列后续联系。

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本文引用的文献

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MONGOLISM: WHEN SHOULD PARENTS BE TOLD?唐氏综合征:何时应告知父母?
Br Med J. 1964 Nov 21;2(5420):1306-7. doi: 10.1136/bmj.2.5420.1306.
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"Twenty years a-growing.二十年的成长历程。
Br J Psychiatry. 1969 Jan;115(518):1-8. doi: 10.1192/bjp.115.518.1.
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Mongolism: telling the parents.
Dev Med Child Neurol. 1970 Apr;12(2):213-21. doi: 10.1111/j.1469-8749.1970.tb01892.x.

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