Information, knowledge and expectations of the routine ultrasound scan
Information, knowledge and expectations of the routine ultrasound scan
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DOI：
10.1016/j.midw.2006.02.001
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发表时间：
2007-03-01
期刊：
影响因子：
2.7
通讯作者：
Devane, Declan
中科院分区：
文献类型：
--
作者：
Lalor, Joan G.;Devane, Declan
目的：了解妇女超声前信息的提供现状；确定所提供的信息是否与妇女对常规妊娠中期超声的了解有关；并描述了女性对扫描的期望。设计：设计前后的描述性调查。背景：爱尔兰共和国三级转诊中心。参与者：方便的孕妇样本参加常规孕中期超声扫描。测量方法：使用自我报告问卷来调查有关考试信息的可得性、妇女对考试的了解程度和期望以及期望达到的程度。调查结果：大多数妇女从卫生专业人员那里得到的关于扫描能力和局限性的信息很少，她们的期望超出了检查的目的和能力。然而，大多数妇女表示，在大多数情况下，她们的期望得到了满足。虽然研究地点的常规超声检查不是针对胎儿解剖的调查，但大多数妇女都关心这方面的检查。关键结论：如果妇女对常规超声扫描有现实的期望，那么在提供超声前信息方面需要改进，特别是在检查的技术限制方面。当无法实现的期望据报已得到满足时，应考虑到对妇女进行胎儿可视化的高度呼吁。对实践的影响：任何将发现胎儿异常的产前筛查规划的发展都需要结合具体情况加以考虑，特别是在司法管辖范围内无法终止妊娠的情况下。由于技术上的限制，妇女对考试的期望无法达到，但她们认为已经达到了。对常规妊娠中期超声扫描的目的、能力和局限性的了解不受信息提供方式的影响。(c) 2006 Elsevier Ltd.版权所有。
Objective: to examine the current provision of pre-ultrasound information to women; to determine if the information provided was related to women's knowledge of the routine second trimester ultrasound; and to describe women's expectations of the scan.Design: a descriptive survey, before and after design.Setting: tertiary referral centre in the Republic of Ireland.Participants: a convenience sample of pregnant women attending for routine second trimester ultrasound scan. Measurements: self-report questionnaires were used to explore the availability of information about the test, the extent of women's knowledge and expectations of the examination, and the degree to which expectations were achieved.Findings: most women received little information from health professionals about the capability and limitations of the scan, and had expectations that exceeded the purpose and ability of the examination. Most women, however, stated that their expectations were met in most cases. Although the routine ultrasound in the study site is not a targeted fetal anatomical survey, most women were concerned with this aspect of the test.Key conclusions: if women are to have realistic expectations of the routine ultrasound scan, then improvements are required in the provision of pre-ultrasound information, particularly in relation to the technological limitations of the examination. Consideration should be given to the context of the high appeal associated with visualising the fetus for women when unachievable expectations are reported as having been met.Implications for practice: any development of prenatal screening programmes that will uncover fetal abnormalities needs to be considered in context, in particular when termination of pregnancy is not available within the jurisdiction. Women had expectations of the examination that could not, because of technological limitations, have been met by the examination, but which they perceived to have been met. Knowledge of the purpose, capabilities and limitations of the routine second trimester ultrasound scan was not influenced by the mode of information provision. (c) 2006 Elsevier Ltd. All rights reserved.