探索披露47岁,XXY身份的偏好和支持需求:对XXY成年人的定性研究
Cassandra Oeckinghaus1, Kimberly Zayhowski2,3, Kayla Horowitz4
1Master's Program in Genetic Counseling, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.
Journal of genetic counseling
|November 19, 2024
概括
患有克莱因费尔特综合征 (XXY) 的成年人希望对他们的遗传状况进行个性化,适合年龄的披露. 改善医疗保健支持和开放的沟通对于管理耻辱和提高终身福祉至关重要.
科学领域:
- 遗传学 遗传学 是一个
- 内分泌学 在内分泌学.
- 心理学 心理学 心理学
背景情况:
- 对于在医疗保健和家庭环境中披露克莱因菲尔特综合征 (XXY) 有限制的指导方针.
- 越来越多地使用无细胞DNA (cfDNA) 查需要为医疗保健专业人员 (HCP) 和家长提供更好的XXY披露信息.
- 了解患者的偏好是改善XXY患者护理的关键.
研究的目的:
- 探索XXY成年人在一生中的披露偏好.
- 告知Klinefelter综合征患者护理的临床和社会方面.
- 为了确定XXY个人的支持需求.
主要方法:
- 定性研究涉及15个半结构面试与成年人诊断出XXY.
- 从社会建设主义的角度分析采访数据,使用反射主题分析.
- 探索医疗保健经验,自我认知,接受XXY和披露偏好.
主要成果:
- 缺乏医疗保健支持对XXY个人的护理质量产生负面影响.
- 耻辱和耻辱影响了关于披露XXY身份的决定.
- 对儿童进行深思熟虑,适合年龄的基因结果传播至关重要.
- 心理社会需求是Klinefelter综合征综合护理的组成部分.
结论:
- 负面的披露经验会对与医疗人员的关系和自我认同产生不利影响.
- 需要专门的终身支持,最好是通过跨学科的诊所.
- 对XXY身份的同情传递和关于性/性别的讨论可以减轻羞耻感.
- 个性化的童年披露,与医疗保健工作者合作,赋予孩子权力,并保持信任.
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