Edwards N C, Sims-Jones N
School of Nursing, University of Qttawa, ON.
Can J Public Health. 1997 Mar-Apr;88(2):123-8. doi: 10.1007/BF03403875.
This three-group randomized controlled trial assessed the effectiveness of a postpartum public health nurse telephone visit on infant-care behaviours of primiparous women in Ottawa-Carleton. The impact of a clerk call on recruiting mothers to parent-baby groups was also described. Low risk primiparas were randomized into telephone visit, clerk call and control groups. At three months postpartum, there were no significant differences in infant-care behaviour scores among the study groups. Women who received the telephone visit had the highest parent-baby group attendance rates and among attenders, the highest rates of smoking during pregnancy, the least education, and lowest incomes. Analysis of variance revealed a significant interaction term between attendance at parent-baby groups and assigned study group. This effect disappeared after adjusting for age and education. The telephone visit was no more effective in producing the desired infant-care behaviour changes than a mailed out information package with or without a clerk phone call. However, the intervention did increase the utilization of parent-baby support groups by women who were more socioeconomically disadvantaged.
这项三组随机对照试验评估了产后公共卫生护士电话访视对渥太华-卡尔顿地区初产妇婴儿护理行为的有效性。还描述了办事员电话回访对招募母亲参加母婴小组的影响。低风险初产妇被随机分为电话访视组、办事员电话回访组和对照组。产后三个月时，各研究组之间的婴儿护理行为得分无显著差异。接受电话访视的女性母婴小组出勤率最高，在出勤者中，孕期吸烟率最高、受教育程度最低且收入最低。方差分析显示，母婴小组出勤率与指定研究组之间存在显著的交互项。在调整年龄和教育程度后，这种效应消失。与有无办事员电话回访的邮寄信息包相比，电话访视在产生预期的婴儿护理行为改变方面并不更有效。然而，该干预确实提高了社会经济地位较低的女性对母婴支持小组的利用率。
