期刊
BJU INTERNATIONAL
卷 119, 期 3, 页码 474-481出版社
WILEY-BLACKWELL
DOI: 10.1111/bju.13668
关键词
congenital abnormalities; prenatal diagnosis; posterior urethral valves; multicystic dysplastic kidney; counselling; parents
资金
- National Health and Medical Research Council of Australia (NHMRC) [1049238]
Objectives To explore parents' experiences of counselling after prenatal diagnosis of congenital anomalies of the kidney and urinary tract. Subjects and Methods Parents of a child born between September 2012 and March 2015 with posterior urethral valves (PUV) or multicystic dysplastic kidney (MCDK) completed a semi-structured telephone interview, demographic survey, and the 21-item self-report Depression, Anxiety and Stress Scales questionnaire. Qualitative data were analysed thematically using NVivo10 software. Results In all, 17 parents (PUV, eight; MCDK, nine) participated (response rate 40%), and most were offered counselling during pregnancy (14/17). Parents described feelings of shock, fear and uncertainty after diagnosis, and desired early information on all aspects of their child's condition. Most participants were satisfied with the information received; however, unmet information needs relating to treatment and prognosis were identified, particularly amongst fathers and parents in the PUV group. Some parents felt relieved after counselling (12/17); however, emotional distress often persisted long after diagnosis. Parents described a need for written and web-based information resources, specialised psychological services, and parent support groups. Conclusion While parents valued counselling, many continued to report unmet informational and psychological needs. Early counselling addressing topics important to parents and provision of additional resources and support services may improve parents' adjustment to their baby's diagnosis.
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