Wells R D, McDiarmid J, Bayatpour M
Department of Pediatrics, University of California, San Francisco.
J Adolesc Health Care. 1990 Mar;11(2):119-24. doi: 10.1016/0197-0070(90)90020-3.
This study was designed to test two different methods for predicting pregnant teenagers at risk for failing to keep appointments for comprehensive prenatal care. Sixty-three pregnant adolescents completed psychological questionnaires assessing depression, social support, and life events. They and their primary health care provider also completed the Perinatal Health Belief Scales (PHBS) measuring the respondent's perception of risk and need for services. Following their infant's birth, adolescents completed a measure of health care satisfaction. Chart reviews provided data regarding birth weight, gestational age, Apgar scores, and appointment-keeping information. The results suggest that adolescents who failed to keep the most appointments were likely to have significantly lower levels of concern regarding their risks during pregnancy than their primary health care provider. Adolescents were more likely to keep appointments if they expressed levels of concern on the PHBS that were similar to their health care provider. The psychological measures and PHBS when applied individually, were not successful in predicting those with the greatest likelihood for nonadherence to appointments.
本研究旨在测试两种不同方法，以预测有错过全面产前护理预约风险的怀孕青少年。63名怀孕青少年完成了评估抑郁、社会支持和生活事件的心理问卷。他们及其初级医疗保健提供者还完成了围产期健康信念量表（PHBS），该量表用于衡量受访者对风险和服务需求的认知。在其婴儿出生后，青少年完成了一项医疗保健满意度测量。病历审查提供了有关出生体重、胎龄、阿氏评分和预约遵守情况的信息。结果表明，错过最多预约的青少年在孕期对自身风险的担忧程度可能显著低于其初级医疗保健提供者。如果青少年在PHBS上表达的担忧程度与其医疗保健提供者相似，他们更有可能遵守预约。单独应用心理测量方法和PHBS时，未能成功预测出最有可能不遵守预约的人群。
