Goulet C, Gévry H, Gauthier R J, Lepage L, Fraser W, Aita M
Faculté des sciences infirmières, Université de Montréal, Centre de recherche, Hôpital Sainte-Justine, 9175 Côte Ste-Catherine, Montréal, H3T 1C5, Québec, Canada.
Int J Nurs Stud. 2001 Jun;38(3):259-69. doi: 10.1016/s0020-7489(00)00077-8.
Prenatal hospitalisation has not been shown to reduce perinatal morbidity and mortality, yet it is still the treatment of choice for women who experience preterm labour. Home care management may be an alternative means of delivering safe, efficacious and care for these women. The objectives of this controlled clinical trial were to examine differences in neonate's gestational age and birthweight, and antenatal stress, social support satisfaction, and family functioning among pregnant women receiving home care and those receiving hospital care management. Pregnant women experiencing preterm labour (N=250) were randomly assigned to home care management (the experimental group [EG]) or hospital care management (the control group [CG]). A Perinatal Information Form was used to collect data on sociodemographic and pregnancy variables. The High-Risk Pregnancy Stress Scale, Brown's Social Behaviors Inventory, and the Family Assessment Measure III Dyadic Relationships Scale were administered to the women at randomisation (T1) and at 1-week (T2) and 2-weeks (T3) after randomisation. Gestational age and birthweight were similar in the two groups of neonates. Women in the EG reported that antenatal stress was significantly lower at T3 than at T1 and T2, while for those in the CG, antenatal stress was significantly lower at T3 than at T1, and significantly lower at T2 than at T1. Women in the EG were more satisfied with support from the male partner at T3 than women in the CG. There was no significant difference between the two groups in family functioning at T1, T2 and T3. These findings indicate that home care management is a safe and efficacious mode of health care delivery for women experiencing preterm labour.
产前住院治疗尚未被证明能降低围产期发病率和死亡率，但它仍是早产孕妇的首选治疗方式。家庭护理管理可能是为这些妇女提供安全、有效护理的另一种方式。这项对照临床试验的目的是检查接受家庭护理和接受医院护理管理的孕妇在新生儿胎龄和出生体重、产前压力、社会支持满意度以及家庭功能方面的差异。经历早产的孕妇（N = 250）被随机分配到家庭护理管理组（实验组[EG]）或医院护理管理组（对照组[CG]）。使用围产期信息表收集社会人口统计学和妊娠变量的数据。在随机分组时（T1）、随机分组后1周（T2）和2周（T3），对这些妇女进行高危妊娠压力量表、布朗社会行为量表和家庭评估量表III二元关系量表的测试。两组新生儿的胎龄和出生体重相似。实验组的妇女报告说，T3时的产前压力明显低于T1和T2，而对照组的妇女，T3时的产前压力明显低于T1，T2时明显低于T1。实验组的妇女在T3时对男性伴侣支持的满意度高于对照组的妇女。两组在T1、T2和T3时的家庭功能没有显著差异。这些发现表明，家庭护理管理是为经历早产的妇女提供安全、有效医疗服务的一种方式。
