Baker T J
Haywood Women's Medical Center, Clyde, NC, USA.
Nurse Pract. 1996 Feb;21(2):26, 29-32, 42. doi: 10.1097/00006205-199602000-00003.
The purpose of this cross-sectional descriptive study was to explore factors that influence the timing of the first prenatal care visit of pregnant adolescents. Although researchers agree that barriers to prenatal care need to be identified and interventions formulated, barriers have not been well defined for any specific population. Increased availability and adequacy of health care resources, more family system support, and higher self-care agency scores are hypothesized to predict earlier prenatal care. A convenience sample of 51 pregnant adolescents from a university clinic was surveyed. The study found that the availability/adequacy of health care resources was the most significant predictor of the initiation of prenatal care (p = .03). Of the various health care resources assessed, only the ease in attaining a medical card was positively related to the onset of prenatal care. Practitioners can be instrumental in disseminating information about the availability of health care resources and in easing access to those resources through local and national political involvement.
这项横断面描述性研究的目的是探究影响怀孕青少年首次产前检查时间的因素。尽管研究人员一致认为需要识别产前护理的障碍并制定干预措施，但尚未针对任何特定人群明确界定这些障碍。假设增加医疗保健资源的可及性和充足性、更多的家庭系统支持以及更高的自我护理能力得分能够预测更早开始产前护理。对来自大学诊所的51名怀孕青少年进行了便利抽样调查。研究发现，医疗保健资源的可及性/充足性是产前护理开始的最显著预测因素（p = .03）。在评估的各种医疗保健资源中，只有获得医疗卡的便利性与产前护理的开始呈正相关。从业者可以通过地方和国家层面的政治参与，在传播有关医疗保健资源可及性的信息以及简化获取这些资源的途径方面发挥作用。
