Curry Mary Ann, Durham Laurel, Bullock Linda, Bloom Tina, Davis Jan
School of Nursing at Oregon Health & Science University, Portland, OR 97239-2941, USA.
J Obstet Gynecol Neonatal Nurs. 2006 Mar-Apr;35(2):181-92. doi: 10.1111/j.1552-6909.2006.00027.x.
To determine whether individualized nursing case management can decrease stress among pregnant women at risk for or in abusive relationships.
A multisite randomized controlled trial.
Two prenatal clinics in the Pacific Northwest and rural Midwest.
1,000 women who spoke English and were 13 to 23 weeks pregnant at time of recruitment.
All intervention group women (N = 499) were offered an abuse video and had access to a nurse case manager 24/7. Additionally, participants at risk for or in abusive relationships received individualized nursing care management throughout the pregnancy.
The most frequent nursing care management activities were providing support (38%) and assessing needs (32%). The nursing care management group received an average of 22 contacts, most (80%) by telephone and had a significant reduction in stress scores as measured by the Prenatal Psychosocial Profile. Compared to the control group, the differences were in the predicted direction, but not statistically different. A major finding was the choice by abused women to focus on basic needs and their pregnancies rather than the abuse, although all received safety planning.
Pregnant women at risk for or in abusive relationships experience very stressful and complex lives. Nurses need to focus on the needs they identify, which may not be the abusive relationship.
确定个体化护理个案管理能否减轻处于受虐关系风险中或已处于受虐关系的孕妇的压力。
多中心随机对照试验。
太平洋西北部和中西部农村地区的两家产前诊所。
1000名讲英语且在招募时怀孕13至23周的女性。
所有干预组女性（N = 499）都观看了一部关于虐待的视频，并可随时联系护士个案管理员。此外，处于受虐关系风险中或已处于受虐关系的参与者在整个孕期都接受了个体化护理管理。
最常见的护理管理活动是提供支持（38%）和评估需求（32%）。护理管理组平均接受了22次联系，其中大部分（80%）通过电话进行，并且根据产前心理社会概况测量，其压力得分显著降低。与对照组相比，差异虽在预测方向，但无统计学差异。一个主要发现是，尽管所有受虐女性都接受了安全规划，但她们选择关注基本需求和自己的孕期情况，而非虐待问题。
处于受虐关系风险中或已处于受虐关系的孕妇经历着压力极大且复杂的生活。护士需要关注她们所确定的需求，这些需求可能并非受虐关系。
