评估在极度早产后后悔的决定
Laura Belden1, Joseph Kaempf2, Amy Mackley3
1ChristianaCare, Newark, Delaware, USA beldenl1@chop.edu.
Archives of disease in childhood. Fetal and neonatal edition
|August 20, 2024
概括
在极度早产后后悔的决定是很常见的. 诸如产前咨询,积极护理决策和婴儿存活率等因素与更低的遗憾相关.
科学领域:
- 产周医学 产周医学
- 孕产妇和胎儿的医学
- 新生儿科学 新生儿科学
背景情况:
- 非常早产后的决定遗憾并没有得到很好的理解.
- 这项研究调查了影响极度早产婴儿母亲决定后悔的因素.
研究的目的:
- 为了评估极度早产婴儿 (怀孕22-25周) 的妇女的决策后悔.
- 根据复苏决策 (主动护理与舒适护理) 进行决策遗憾评分比较.
主要方法:
- 使用经过验证的决策遗憾工具对母亲进行电子调查.
- 2004-2019年间从两个医院收集的数据.
- 在不同的护理群体和决策角色中比较决策遗憾得分.
主要成果:
- 在所有护理群体中,决策后悔的程度都很高.
- 与"安慰护理"相比,在"积极护理"组观察到较低的决策遗憾 (14对39).
- 与较低后悔相关的因素包括产前咨询,主要决策者角色和婴儿存活率.
结论:
- 对于极度早产婴儿的父母来说,决定后悔是一个很大的担忧.
- 通过产前咨询和共同决策来赋予父母权力,可能会减少遗憾.
- 婴儿的积极结果与较低的父母决策遗憾有关.
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