Florida International University, University Park, Miami, FL 33199, USA.
J Clin Nurs. 2013 Jan;22(1-2):262-70. doi: 10.1111/j.1365-2702.2011.04065.x. Epub 2012 Jul 30.
To examine the effects of a low cost advanced practice nurse telephone intervention for 2 months postbirth in low-income first time mothers with healthy full term infants.
Currently women with non-complicated, healthy full term newborn deliveries receive little to no routine postpartum support. This is problematic if mothers are first time mothers, poor, have problems accessing health care, have language barriers and sparse social support.
A two group randomised clinical trial. This study was conducted in an inner city South Florida county hospital.
A control group (n = 69) received routine hospital discharge care. An intervention group (n = 70) received routine hospital discharge care plus APN follow up telephone calls for week 8 postdischarge. Comparison of outcomes included maternal health (stress, social support, physical health), infant health (routine medical visits, immunisations, weight gain), morbidity (urgent care visits, emergency room visits, re-hospitalisations), and health care charges (urgent care visits, emergency room visits, re-hospitalisations). Data were analysed using descriptive statistics and two-sample t-tests.
Intervention group mothers had significantly lower perceived stress, significantly greater perceived maternal health and social support; infants had healthier weight gain, fewer emergency room visits; significantly lower total health care charges ($14,333 vs. $70,834) compared to controls.
Study results indicate that APN follow up telephone calls to low-income first time mothers with healthy full term infants is an effective, safe, low cost, easy to apply intervention that improved mothers' and infants' health outcomes and reduced healthcare charges.
APNs are uniquely positioned to conduct follow up interventions aimed at providing continuity of care including APN telephone follow up. This is imperative for vulnerable populations especially during times of major budget cuts that affect health care services.
研究在低收入、首次生育且婴儿健康足月的产妇产后 2 个月期间，由初级保健护士进行低成本的高级实践电话干预的效果。
目前，对于非复杂、健康足月分娩的产妇，她们在产后很少或根本没有得到常规的支持。如果母亲是首次生育、经济贫困、难以获得医疗保健、存在语言障碍和社交支持匮乏，这就成了一个问题。
一项两组成组随机临床试验。本研究在佛罗里达州南部一个市区县医院进行。
对照组（n = 69）接受常规医院出院护理。干预组（n = 70）在常规医院出院护理的基础上，在产后第 8 周接受 APN 随访电话。比较结果包括产妇健康（压力、社会支持、身体健康）、婴儿健康（常规医疗访视、免疫接种、体重增加）、发病率（急诊就诊、急诊就诊、再住院）和医疗费用（急诊就诊、急诊就诊、再住院）。使用描述性统计和两样本 t 检验分析数据。
干预组母亲的感知压力显著降低，感知到的母亲健康和社会支持显著增加；婴儿体重增加更健康，急诊就诊次数更少；与对照组相比，总医疗费用显著降低（14333 美元比 70834 美元）。
研究结果表明，初级保健护士对健康足月的低收入首次生育母亲进行电话随访是一种有效、安全、低成本、易于实施的干预措施，可改善母亲和婴儿的健康结果，并降低医疗费用。
初级保健护士具有独特的地位，可以进行旨在提供连续性护理的后续干预，包括初级保健护士电话随访。对于弱势群体，尤其是在影响医疗保健服务的重大预算削减时期，这是至关重要的。
