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[针对青少年母亲及其子女的家访项目的有效性]

[Effectiveness of a home visit program for adolescent mothers and their children].

作者信息

Aracena Marcela, Leiva Loreto, Undurraga Consuelo, Krause Mariane, Pérez Carola, Cuadra Victoria, Campos María Silvia, Bedregal Paula

机构信息

Facultad de Ciencias Sociales/Escuela de Psicología, Escuelas de Medicina y Enfermería, Facultad de Medicina, Pontificia Universidad Católica de Chile, Av. Vicuña Mackenna 4860, Santiago, Chile.

出版信息

Rev Med Chil. 2011 Jan;139(1):60-5. Epub 2011 Apr 11.

PMID:21526318
Abstract

BACKGROUND

Home visiting is effective for the promotion and prevention of mother-child health in other countries, especially in vulnerable populations such as pregnant teenagers.

AIM

To evaluate the association between receiving a home visiting program during pregnancy and child development during the first year of life, maternal mental health, perception of social support and school attendance.

MATERIAL AND METHODS

Cross sectional assessment of 132 teenage mother-sibling pairs. Of these, 87 received home visits and 45 were randomly assigned to a control group. The assessed variables were maternal mental health, perception of social support, life satisfaction, incorporation of mothers to school after delivery, child development and frequency of child abuse and neglect.

RESULTS

Mothers that received home visits had a better mental health and went back to school in a higher proportion. No significant differences between groups were observed on perception of social support or child development.

CONCLUSIONS

These results suggest the effectiveness of domiciliary visits performed by non-professionals, to improve mental health and social integration of teenage mothers.

摘要

背景

在其他国家,家访对促进和预防母婴健康有效,尤其是对怀孕青少年等弱势群体。

目的

评估孕期接受家访计划与儿童一岁内发育、母亲心理健康、社会支持感知及上学情况之间的关联。

材料与方法

对132对青少年母婴进行横断面评估。其中,87对接受家访,45对随机分配到对照组。评估变量包括母亲心理健康、社会支持感知、生活满意度、产后母亲上学情况、儿童发育以及儿童虐待和忽视频率。

结果

接受家访的母亲心理健康状况更好,返校比例更高。两组在社会支持感知或儿童发育方面未观察到显著差异。

结论

这些结果表明非专业人员进行的家访对改善青少年母亲的心理健康和社会融入有效。

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