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신생아 스크리닝이 부모에게 미치는 사회심리적 영향: 주제범위 문헌고찰

Psychosocial Impacts of Newborn Bloodspot Screening on Parents: A Scoping Review

김진선|유경은
대한산업경영학회 (Dae Han Society of Industrial Management)|2024.05|산업융합연구 (Journal of Industrial Convergence)|제22권 제5호|pp. 137-153|DOI https://doi.org/10.22678/JIC.2024.22.5.137

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부모문헌고찰Literature reviewParentPsychosocial신생아 스크리닝사회심리적아동 및 가족중심간호Newborn screeningChild & family-centered care
주제분류학제간연구

초록

본 연구는 신생아 스크리닝(newborn bloodspot screening, NBS) 과정이 부모에게 미치는 사회심리적 영향과 관련 요인을 파악하기 위한 연구이다. Arksey와 O’Malley (2005)가 제시한 방법론을 사용한 주제범위 문헌고찰을 시행하였다. 검색에 사용된 데이터베이스는 PubMed, CINAHL, RISS, KISS, DBpia였으며, 2000년부터 2023년까지 출판된 논문을 포함하였다. 총 749편이 검색되었으며, 32편이 최종분석에 포함되었다. 대부분의 연구는 설문지나 면담을 통한 서술적 조사연구였고, 부정적인 사회심리적 영향을 감소시키기 위한 중재연구는 거의 없었다. 연구결과 부모들은 특히 NBS 양성 결과 통보시 의사소통 방법 및 시기적절하고 신뢰할 만한 정보을 얻기 어려운 것과 관련하여 부정적인 사회심리적 영향을 받았다. NBS 에 대한 지식, 교육 및 의사소통의 질과 만족도, 정보의 근원 및 정보제공자의 역량이 NBS로 인한 부모의 사회심리적 영향의관련 요인이었다. 산전 및 산후의 반복적 교육, 시기적절하고 신뢰할만한 정보제공 및 건강관리제공자와 부모와의 효과적인의사소통이 NBS 과정의 부정적인 사회심리적 영향을 감소시키는데 중요하다. 간호사는 NBS의 질 향상을 위해 중요한 역할을 할 수 있다.

Abstract

This study synthesized the literature to identify parental psychosocial impact and related factors on newborn bloodspot screening (NBS) process. A scoping review, using the framework proposed by Arksey and O’Malley (2005), was conducted. A literature search was performed of electronic databases (PubMed, CINAHL, RISS, KISS, DBpia) from 2000 to 2023. In total 749 published articles were identified, and 32 articles were included for the final analysis. Almost studies were descriptive studies using survey or interviews and only one intervention study to reduce negative psychosocial impacts was identified. Parents were experiencing negative psychosocial impacts, particularly related to how positive results were initially communicated and had difficulties accessing timely and reliable information. Findings identified that knowledge, quality and satisfaction of education and communication, information sources and providers as related factors of parental psychosocial impacts. Prenatal and postpartum repeated education, providing timely and reliable information, effective communication between health care providers and parents were key to mitigate negative psychosocial impacts. Nurses can play important roles to improve quality on NBS.

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