孕婦接受台南市某二區域醫院羊膜腔穿刺術諮詢前後之認知與擔憂研究

Exploration of Women's Knowledge and Concerns before and after Amniocentesis Counseling in Tainan

黃美智(Mei-Chin Huang) ； 吳翠雲(Tuesy-Yun Wu) ； 林秀娟(Shio-Jean Lin)

《中華公共衛生雜誌》 15卷6期 (1996/12) Pp. 546-552

https://doi.org/10.6288/CJPH1996-15-06-06

摘要

本研究以自填結構性問卷追蹤40名孕婦，發現研究對象於台南市某二區域醫院接受羊膜腔穿刺術諮詢前，對此檢查之認知不足且與其擔心程度成負相關。經諮詢後呈現擔心程度減輕、認知情形大幅增加；於得知檢查結果援其認知情形則呈現有知識保留的情形。個案於接受諮詢前、後主要擔心事項包括檢查會傷及胎兒、流產、結果異常及怕痛，做完檢查後則怕傷及胎兒及擔心結果異常。
本研究之結果有助於臨床上提供給孕婦更合宜之遺傳諮詢，並更能掌握其情緒變化及考量。

關鍵字

羊膜腔穿刺術 ； 擔憂 ； 諮詢

並列摘要

Forty women who underwent amniocentesis were administered three self-development questionnaires to explore their knowledge, concerns toward amniocentesis by genetic counseling.
Subjects' knowledge about amniocentesis improved after pre-amniocentesis counseling and maintained till the results of the procedure were communicated to the women. The concern scores of subjects were significantly reduced after counseling although the items that they concerned were increased. The major concerns about amniocentesis prior to the counseling were fear of fetal injury, abnormal result of amniocentesis, miscarriage and the during the procedures performed. However, after the counseling they changed to fear of fetal injury and the results of amniocentesis.
From the correlation analysis, The subjects' knowledge toward amniocentesis was related to concern level prior to counseling.
The findings of this study have important implications for the delivery of pre-amniocentesis counseling for clinical practice.

並列關鍵字

amniocentesis ； concerns ； pre-amniocentesis counseling