論文

査読有り
2022年10月14日

Clinical trial of a birth and parenting planning program for women diagnosed with fetal anomalies: A feasibility study.

Japan journal of nursing science : JJNS
  • Maki Kitazono Chiba
  • ,
  • Shigeko Horiuchi
  • ,
  • Naoko Arimori

20
1
開始ページ
e12511
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/jjns.12511

AIM: We assessed the feasibility of the Birth and Parenting Planning (BPPing) program we developed to support women diagnosed with fetal anomalies. METHODS: We conducted a feasibility study using a quasi-experimental, post-test only, non-equivalent groups design. We assessed feasibility from four aspects: (1) Demand: birth plan submitting rate (primary outcome); (2) Acceptability: woman's satisfaction of care scale (SATISFACTION) and Visual Analog Scale for care satisfaction; (3) Preliminary efficacy: women's recognition of being able to express and share her hopes scale (HOPES); and (4) Safety: obstetric/neonatal outcomes and frequency of women's referral to a psychological counselor. Fisher's exact test and Mann-Whitney U-test were used for data analysis. RESULTS: We enrolled 62 women with fetal anomalies attending a perinatal medical center for antenatal check-ups. Of these, 51 women (median age: 34 years) received either the BPPing program (intervention group: n = 25) or the usual care (control group: n = 26). The birth plan submitting rates were 96% (intervention group, 24/25) and 7.7% (control group, 2/26). The intervention group had a significantly higher total score on HOPES at postpartum (U = 441.5, p = 0.027). Upon subgroup analysis based on parity, in the intervention group only, the multiparas had a higher score on the SATISFACTION item, "I would recommend the care I received to someone in a similar situation". There were no adverse events in either group. CONCLUSION: The BPPing program was feasible in supporting women diagnosed with fetal anomalies in terms of demand, acceptability, preliminary efficacy, and safety.

リンク情報
DOI
https://doi.org/10.1111/jjns.12511
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/36239037
ID情報
  • DOI : 10.1111/jjns.12511
  • PubMed ID : 36239037

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