産前先天性心臓病の診断に対する親の心理的反応
Cristina Tecar1,2, Lacramioara Eliza Chiperi3, Dafin Fior Muresanu1,2
1RoNeuro Institute for Neurological Research and Diagnostic, 400364 Cluj-Napoca, Romania.
Children (Basel, Switzerland)
|August 28, 2025
まとめ
産前先天性心不全 (CHD) を患っている子供の親は,不安やうつ病を含む重大な心理的苦痛を経験します. 早期のスクリーニングと多分野支援は 両親の福祉の改善に不可欠です
科学分野:
- 心理学
- 生理学
- 小児心臓科
背景:
- 生まれつきの心臓障害 (CHD) の胎児診断は 両親にとって 独特の心理的課題を 抱えています
- 既存の文献は,出産前のCHD診断に対する親の心理的反応の包括的な理解の必要性を強調しています.
研究 の 目的:
- 子宮内臓病と診断された子供の親に対する心理的影響に関する最近の文献を体系的にレビューし,統合する.
- この集団における一般的な心理的結果,対処メカニズム,および苦痛の予測要因を特定する.
主な方法:
- 2025年2月までの複数のデータベース (PubMed,Science direct,Embase,Scopus,Medline,Clarivate) で包括的な文献検索が行われました.
- 検索語には"先天性心不全""心血管疾患""胎児診断""心理的影響""親の苦悩""対処"が含まれていました
- 4つの大陸から673人の親から得られたデータを分析した研究も含まれています.
主要な成果:
- 18件の研究では,産前慢性疾患の診断を受けた親の不安率 (最大65%) と鬱率 (最大45. 7%) が高いことが示された.
- 一般的な心理的アウトカムには,ストレス,トラウマ後ストレス,様々な対処戦略 (適応的および不適応的),および母親と胎児の結合の変化が含まれています.
- 苦痛の予測には診断のタイミング,親の人口統計,社会的支援,欠陥の重症度が含まれていました.推奨された介入はスクリーニング,コミュニケーション,カウンセリング,サポートに焦点を当てました.
結論:
- 産前 心臓病と診断された親は 心理的苦痛のリスクが高くなります
- 診断,介入,結果に関する包括的な情報と支援を提供するために,多学科的なアプローチが不可欠です.
- 統合された心理的社会支援は,これらの家族の医療の質を高めるために不可欠です.
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