Information following a Diagnosis of Congenital Heart Defect: Experiences among Parents to Prenatally Diagnosed Children

被引:38
作者
Carlsson, Tommy [1 ]
Bergman, Gunnar [2 ]
Marttala, Ulla Melander [3 ]
Wadensten, Barbro [1 ]
Mattsson, Elisabet [1 ,4 ]
机构
[1] Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden
[2] Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden
[3] Uppsala Univ, Dept Scandinavian Languages, Uppsala, Sweden
[4] Uppsala Univ, Dept Womens & Childrens Hlth, Uppsala, Sweden
关键词
DECISION-MAKING; HEALTH LITERACY; ULTRASOUND; PREGNANCY; INTERNET;
D O I
10.1371/journal.pone.0117995
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background Prenatal screening of pregnant women in Sweden has improved the detection of major congenital heart defects (CHD). The aim was to explore parental experiences and need for information following a prenatal diagnosis of CHD. Methods Semi-structured interviews conducted with six fathers and five mothers to seven prenatally diagnosed children. Data were analyzed through content analysis. Results Three themes and 9 categories emerged. Theme 1, Grasping the facts today while reflecting on the future, containing five categories: Difficulties sorting out information when in emotional chaos; Respectful information regarding termination of pregnancy; Early information is crucial; Understanding the facts regarding the anomaly; Preparing for the future. Theme 2, Personal contact with medical specialists who give honest and trustworthy information is valued, containing two categories: Trust in information received from medical specialists and Truth and honesty is valued. Theme 3, An overwhelming amount of information on the Internet, containing two categories: Difficulties in finding relevant information and Easy to focus on cases with a poor outcome when searching the Internet. Conclusion Early and honest information in line with individual preferences is crucial to support the decisional process regarding whether to continue or terminate the pregnancy. The use of illustrations is recommended, as a complement to oral information, as it increases comprehension and satisfaction with obtained information. Furthermore, the overwhelming amount of information on the Internet calls for compilation of easily accessible and reliable information sources via the Internet.
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页数:12
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