Flynn Linda, Budd Marilyn, Modelski Julie
Rutgers College of Nursing, Rutgers, The State University of New Jersey, Newark, New Jersey 07102, USA.
Public Health Nurs. 2008 Mar-Apr;25(2):140-8. doi: 10.1111/j.1525-1446.2008.00690.x.
The purpose of this study was to test the impact of a home visitation intervention on resource utilization and birth outcomes among pregnant adolescents.
This study used a quasiexperimental design that included repeated measures and a comparison group to evaluate the intervention.
The intervention sample consisted of 83 low-income, pregnant adolescents. The comparison sample was constructed from 216 deidentified electronic birth certificate records. MEASUREMENT AND INTERVENTION: Each month, during their prenatal period, participating teens received 1 home visit by a public health-registered nurse and 1 home visit by a medical social worker for the purpose of assisting teens to access community resources, select a prenatal care provider, and make and schedule appointments. Health education and transportation to medical appointments were also provided.
There were significant increases in resource utilization, including prenatal care appointments, among intervention teens during program participation. Intervention teens made significantly more visits to their prenatal care providers than did comparison group teens. There were no significant differences, however, in mean infant birth weight between the 2 groups.
The findings indicate that the intervention may be effective in enhancing resource utilization among pregnant adolescents.
本研究旨在测试家访干预对青少年孕妇资源利用和分娩结局的影响。
本研究采用了准实验设计，包括重复测量和一个对照组来评估干预措施。
干预样本包括83名低收入青少年孕妇。对照样本由216份匿名电子出生证明记录构成。测量与干预：在孕期的每个月，参与研究的青少年接受一次由公共卫生注册护士进行的家访和一次由医疗社会工作者进行的家访，目的是帮助青少年获取社区资源、选择产前护理提供者以及安排预约。还提供了健康教育和前往医疗预约的交通服务。
在项目参与期间，干预组青少年的资源利用显著增加，包括产前护理预约。干预组青少年比对照组青少年去产前护理提供者处就诊的次数显著更多。然而，两组之间的平均婴儿出生体重没有显著差异。
研究结果表明，该干预措施可能在提高青少年孕妇的资源利用方面有效。
