父母对先天性心脏缺陷诊断的心理反应
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
概括
患有先天性心脏缺陷 (CHD) 的孩子的父母会经历严重的心理困扰,包括焦虑和抑郁. 早期查和多学科支持对于改善父母的福祉至关重要.
科学领域:
- 心理学
- 周围生理学
- 儿童心脏病学
背景情况:
- 在产前诊断先天性心脏缺陷 (CHD) 给父母带来了独特的心理挑战.
- 现有文献强调需要全面了解父母对产前冠状动脉疾病诊断的心理反应.
研究的目的:
- 系统地审查和综合近期关于产前诊断为心血管疾病的儿童对父母的心理影响的文献.
- 识别该群体中常见的心理结果,应对机制和痛苦预测因素.
主要方法:
- 在多个数据库 (PubMed,Science direct,Embase,Scopus,Medline,Clarivate) 进行了全面的文献搜索,截至2025年2月.
- 搜索词包括"先天性心脏缺陷"",心脏病"",产前诊断"",心理影响"",父母的痛苦"和"应对".
- 包括的研究包括定性和定量设计,分析了四大洲673名家长的数据.
主要成果:
- 在产前诊断后,18项研究显示,父母的焦虑率高 (高达65%) 和抑郁率高 (高达45.7%).
- 常见的心理结果包括压力,创伤后压力,各种应对策略 (适应性和不适应性),以及改变的母胎依恋.
- 患病的预测因素包括诊断时间,家长人口统计,社会支持和缺陷严重程度;建议的干预措施集中在查,沟通,咨询和支持上.
结论:
- 在产前被诊断为心血管疾病的父母面临心理痛苦的风险.
- 提供有关诊断,干预和结果的全面信息和支持的多学科方法至关重要.
- 综合心理护理对于提高这些家庭的护理质量至关重要.
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