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机构地区:[1]武汉市妇女儿童医疗保健中心妇产科,武汉430015 [2]湖北省中山医院神经科
出 处:《现代预防医学》2009年第19期3693-3694,共2页Modern Preventive Medicine
摘 要:[目的]探讨影响家庭成员放弃足月前胎膜早破期待治疗的社会心理因素。[方法]对放弃期待治疗的26例足月前胎膜早破病例进行回顾性研究,并分析其社会心理因素。[结果]家庭成员放弃期待治疗的社会心理因素有:担忧早产儿的健康(100%)、担忧药物的安全性(88.5%)、费用(65.4%)、期待治疗中躯体不适(57.7%)、其他孕妇的影响(26.9%)、重男轻女思想(7.7%)、迷信(3.8%)等。[结论]为促进足月前胎膜早破家庭正确看待期待治疗,临床上应加强医患沟通,完善知情同意过程,增加与儿科医生的合作,改善社会福利等。[Objective] To investigate the effect of psychological and social factors on the family decision to quit expectant treatment of patients with preterm premature rupture of membranes (PPROM). [ Methods] Clinical data of 26 PPROM which gave up expectrant treatment was retrospectively studied and social psychological factors were analyzed. [ Results] The following social psychological factors resuhed in these family members with PPROM patients quitting expeetant treatment: worrying about the health of premature (100%), fearing safety of drugs (88.5%), expenditure of treatment (65.4%), discomfort of body in expectant treatment (57.7%), influence of other pregnant women (26.9%), preference for son (7.7%) and fetish (3.8%). [Conclusion] For the right management of expectant treatment in the family with PPROM patients, the factors such as effective communication between doctor and patients, complete informed consent, good cooperation with pediatricians and better social welfare are indispensable.
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