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一项针对怀孕的西班牙裔青少年的公共卫生领域疗养院探访计划干预措施的比较试点研究。

A comparison pilot study of public health field nursing home visitation program interventions for pregnant Hispanic adolescents.

作者信息

Nguyen Jody Duong, Carson Michael L, Parris Kathleen M, Place Patricia

机构信息

Orange County Health Care Agency, Santa Ana, California 92706, USA.

出版信息

Public Health Nurs. 2003 Sep-Oct;20(5):412-8. doi: 10.1046/j.1525-1446.2003.20509.x.

DOI:10.1046/j.1525-1446.2003.20509.x
PMID:12930465
Abstract

OBJECTIVE

Improve pregnancy outcomes in first-time Hispanic adolescent mothers and their infants.

SETTING

Urban communities in Orange County, California.

DESIGN AND METHODS

A comparison of the Nurse-Family Partnership pilot study home visitation program with traditional Public Health Field Nursing (PHFN) home visitation.

PARTICIPANTS

Two hundred twenty-five Hispanic adolescent mothers and their infants.

INTERVENTIONS

Participants in the control group received the traditional PHFN services; the intervention group received interventions from advanced trained public health nurses The control group received a minimum of three home visits: one initial client assessment and family profile, one antepartum visit, and one postpartum visit, including newborn assessment. Participants in the intervention group received weekly home visits for the first 4 weeks, followed by visits every other week until delivery, weekly visits for the next 6 weeks, visits every other week until the child was 20 months, and monthly visits until the child was 24 months of age.

RESULTS

Preliminary results indicate that home visitation by public health nurses (PHNs) positively affected the health of adolescents mothers and their infants. The incidence of premature births to adolescent mothers in the intervention group was lower than that found in the California population of adolescent mothers.

CONCLUSION

Preliminary results from this program showed that PHN home visitation (control and intervention groups) positively affects the birth outcomes of adolescent mothers and their infants.

摘要

目的

改善首次生育的西班牙裔青少年母亲及其婴儿的妊娠结局。

地点

加利福尼亚州奥兰治县的城市社区。

设计与方法

将护士-家庭伙伴关系试点研究家访项目与传统公共卫生现场护理(PHFN)家访进行比较。

参与者

225名西班牙裔青少年母亲及其婴儿。

干预措施

对照组参与者接受传统的PHFN服务;干预组接受经过高级培训的公共卫生护士的干预。对照组至少接受三次家访:一次初始客户评估和家庭概况调查、一次产前访视和一次产后访视,包括新生儿评估。干预组参与者在头4周每周接受一次家访,之后每隔一周访视一次直至分娩,接下来的6周每周访视一次,在孩子20个月大之前每隔一周访视一次,在孩子24个月大之前每月访视一次。

结果

初步结果表明,公共卫生护士(PHNs)家访对青少年母亲及其婴儿的健康产生了积极影响。干预组青少年母亲的早产发生率低于加利福尼亚州青少年母亲群体中的发生率。

结论

该项目的初步结果表明,PHN家访(对照组和干预组)对青少年母亲及其婴儿的出生结局产生了积极影响。

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