Swanson J M
Merritt Peralta Medical Center, Oakland, CA.
Int J Nurs Stud. 1988;25(1):11-21. doi: 10.1016/0020-7489(88)90031-4.
The findings of a study of the delivery of nursing care in noninstitutionalized settings in Cuba are presented. The study investigated factors associated with change in health status and the role of nursing in the community to bring about that change since the time of the 1959 revolution. Recommendations of the World Health Organization's 'Goal of Health For All by the Year 2000' provided guidelines for the study. In the pursuit of Health for All, the World Health Organization specifically called for universal coverage with primary health care to include the following essential elements: education covering the prevention and control of major health problems; adequate food, safe water and nutrition; maternal and child health including family planning; immunization against infectious disease; prevention and control of endemic diseases; and treatment of diseases and injuries. Findings of the study suggest that nursing can play an important role in the delivery of health care that meets the World Health Organization's goal of Health for All through universal coverage of primary health care to the defined population.
本文介绍了一项关于古巴非机构化环境下护理服务提供情况的研究结果。该研究调查了自1959年革命以来与健康状况变化相关的因素以及护理在社区中促使这种变化发生所起的作用。世界卫生组织“2000年人人享有健康目标”的建议为该研究提供了指导方针。在追求人人享有健康的过程中，世界卫生组织特别呼吁普及初级卫生保健，包括以下基本要素：涵盖主要健康问题预防和控制的教育；充足的食物、安全的饮用水和营养；包括计划生育在内的母婴健康；传染病免疫接种；地方病的预防和控制；以及疾病和伤害的治疗。研究结果表明，通过向特定人群普及初级卫生保健，护理在提供符合世界卫生组织人人享有健康目标的医疗保健方面可以发挥重要作用。
