Bray M L, Edwards L H
DuPage County Health Department, Rush University College of Nursing, Chicago, IL 60612.
Public Health Nurs. 1994 Feb;11(1):7-11. doi: 10.1111/j.1525-1446.1994.tb00383.x.
In an effort to improve the health of Hispanic families, particularly prenatal women and infants, the county health department instituted a program of intensified home visits using bilingual, bicultural nurse extenders within a framework of primary health care. The outreach workers offer basic health information to improve families' skills and knowledge, and to assist with linkages to community resources. Public health nurses provide assessment, establish a plan of care, evaluate progress, and supervise the workers. The program has resulted in increased numbers of individuals receiving services, more women registering earlier for prenatal care and the Women, Infants, and Children's (WIC) program, and increased numbers of infants receiving WIC services and regular medical supervision. Public health nurses report increased knowledge and positive changes in families' health behaviors. In addition, the program has strengthened relationships between the health department and Hispanic families.
为了改善西班牙裔家庭的健康状况，尤其是孕妇和婴儿的健康，县卫生部门制定了一项强化家访计划，在初级卫生保健框架内利用会双语、了解两种文化的护士助理开展工作。外展工作人员提供基本的健康信息，以提高家庭的技能和知识，并协助与社区资源建立联系。公共卫生护士进行评估、制定护理计划、评估进展情况并监督工作人员。该计划使接受服务的人数增加，更多的妇女更早地登记接受产前护理以及加入妇女、婴儿和儿童（WIC）计划，接受WIC服务和定期医疗监督的婴儿数量也有所增加。公共卫生护士报告称，家庭的健康知识有所增加，健康行为也有积极变化。此外，该计划加强了卫生部门与西班牙裔家庭之间的关系。
