影响进行侵袭性产前检测的决策过程的因素
Panagiota Tzela1, Panagiotis Antsaklis2, Dimitrios Kanellopoulos1
1Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC.
Cureus
|April 24, 2024
概括
侵袭性产前检测的决定受到母亲的年龄,教育,种族和对终止怀孕的态度的影响. 医疗保健提供者应提供全面,公正的信息,以支持知情选择.
科学领域:
- 产科和妇科 产科和妇科
- 医学遗传学 医学遗传学
- 生物伦理学生物伦理学
背景情况:
- 侵袭性产前检测 (IPT) 像羊膜切割和胆膜取样本,有助于评估胎儿的健康状况,但会带来风险.
- 父母对IPT的决策是复杂的,受到各种人口,临床和心理因素的影响.
- 知情选择至关重要,要求医疗保健提供者提供与父母价值观一致的公正信息.
研究的目的:
- 系统地审查和综合有关影响家长关于侵入性产前检测决定的因素的文献.
- 提供基于证据的结论,以协助产前保健提供者支持夫妇的知情决策.
- 突出以患者为中心的护理在导航IPT选择中的重要性.
主要方法:
- 在PubMed和PsycInfo数据库中进行系统的文献搜索.
- 使用相关关键词对检索的研究进行深入评估.
- 收录了17篇文章,调查了侵入性产前检测的决策过程.
主要成果:
- 母亲的年龄,教育程度和种族显著影响IPT决策.
- 高风险怀孕和生育治疗史与偏好IPT相关.
- 受心理,道德和宗教立场影响,愿意考虑终止怀孕是一个关键因素.
结论:
- 社会人口统计学,临床,情感和宗教因素极大地影响夫妇对IPT的同意.
- 医疗保健专业人员必须确定每个病例的关键因素,以提供均衡的信息.
- 倡导以患者为中心的多学科方法,通过IPT决策来支持夫妇.
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