平衡生存和痛苦:影响父母决策的因素经过常规咨询后的决策
Eric A Raynal1,2, Isabella K Pallotto3,4, Jennifer M Brady5,6
1Division of Neonatology and Pulmonary Biology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. eric.raynal@cchmc.org.
概括
产后的父母在决定可活婴儿的复苏时,将婴儿的活力与痛苦权衡起来. 产前咨询的信息对这些复杂的决策的影响很小.
科学领域:
- 产周医学 产周医学
- 新生儿重症监护室新生儿重症监护室
- 生物伦理学生物伦理学
背景情况:
- 经期婴儿 (22.0-24.6周妊娠期) 呈现复杂的复苏决策.
- 在这些场景中,父母的决策受多种因素的影响.
- 了解父母的观点对于改善围产期护理至关重要.
研究的目的:
- 确定影响分娩父母关于可存活婴儿复苏的决定的因素.
- 探索产前咨询对父母决策的影响.
主要方法:
- 半结构面试与分娩父母进行,他们接受了产前咨询.
- 如果他们的婴儿在22.0至24.6周妊娠年龄之间,参与者就有资格参加.
- 用专题内容分析来分析采访成绩单.
主要成果:
- 父母的决定主要是基于平衡婴儿感知到的活力与潜在的痛苦.
- 不同的个体因素影响了这个平衡点.
- 没有被采访的父母报告说,产前咨询信息显著影响了他们的决定.
结论:
- 产前咨询信息似乎对父母对可食婴儿的决定产生最小的直接影响.
- 研究结果表明,需要开发更好的围产阶段咨询模型.
- 进一步的研究可以改进沟通策略,以更好地支持父母的决策.
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