ANXIETY, KNOWLEDGE AND SATISFACTION IN WOMEN RECEIVING FALSE-POSITIVE RESULTS ON ROUTINE PRENATAL SCREENING - A RANDOMIZED CONTROLLED TRIAL
ANXIETY, KNOWLEDGE AND SATISFACTION IN WOMEN RECEIVING FALSE-POSITIVE RESULTS ON ROUTINE PRENATAL SCREENING - A RANDOMIZED CONTROLLED TRIAL
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DOI：
10.3109/01674829309084441
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发表时间：
1993-09-01
影响因子：
3.1
通讯作者：
SHAW, RW
中科院分区：
文献类型：
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作者：
MARTEAU, TM;KIDD, J;SHAW, RW
大多数接受常规产前筛查结果不正常的妇女随后会生下未受影响的孩子。以前的研究已经证明，收到这种假阳性结果的女性会有高度的焦虑。为了减少这种焦虑，比较了两种准备妇女接受这种测试的方法：提供关于孕妇血清甲胎蛋白测试的详细书面信息；以及焦虑管理培训。符合条件的女性被随机分配到五组中的一组。85名妇女随后在常规甲胎蛋白检测中得到假阳性结果。有一些证据表明，填写研究问卷有降低焦虑的效果。与之前的研究结果相比，没有证据表明接受异常的甲胎蛋白结果会导致焦虑加剧。在甲胎蛋白结果异常后，单独或联合使用这两种干预措施都不会对焦虑产生影响。然而，收到详细的书面信息会使妇女拥有更多的知识，并对她们所拥有的信息量更满意。三分之一的班级小组报告说，这些班级影响了他们处理焦虑的方式。尽管在这项研究中这些干预措施并没有减少焦虑，但考虑将其纳入常规临床实践还有其他原因。
The majority of women receiving an abnormal result on routine prenatal screening subsequently give birth to unaffected children. Previous studies have documented high levels of anxiety in women receiving such false positive results. In an attempt to reduce this anxiety, two methods of preparing women for undergoing such testing were compared: provision of detailed written information about maternal-serum alpha-fetoprotein testing; and anxiety management training. Eligible women were randomly allocated to one of five groups. Eighty-five women subsequently received false positive results on routine alpha-fetoprotein testing. There was some evidence that completing the study questionnaires had an anxiety-reducing effect. In contrast with the results of previous studies, there was no evidence that receipt of an abnormal alpha-fetoprotein result resulted in raised anxiety. Neither of the interventions, alone or in combination, had an effect upon anxiety following an abnormal alpha-fetoprotein result. Receipt of detailed written information however, led to women having, more knowledge and being more satisfied with the amount of information that they had. One in three of the class groups reported that the classes had influenced the way they had dealt with worries. Although the interventions did not reduce anxiety in this study, there are other reasons for considering their incorporation into routine clinical practice.