Herrmann M M, Van Cleve L, Levisen L
School of Nursing, Loma Linda University, California 92350, USA.
Public Health Nurs. 1998 Dec;15(6):432-9. doi: 10.1111/j.1525-1446.1998.tb00370.x.
The purpose of this descriptive study was to determine whether self-esteem, parenting competence, and social support for teenage mothers changed over the first 18 months of parenting when case managed by a public health nurse (PHN). A sample of 56 first-time teen mothers from a health department parenting project agreed to participate in the study. PHN case managers collected data close to the birth of the infants and at 6, 12, and 18 months. Demographic findings of teen mothers showed that the majority were below expected grade level, over half lived with parents, and over half were children of teen mothers. Outcome findings related to the infants revealed no delays in development as measured on the Denver Development Screening Test, adequate follow-up for identified health problems, and a high percentage of the children with up-to-date with immunizations. The research question findings showed a statistically significant drop in self esteem for the teens between birth and 6 months, and in social support between 6 and 18 months. No other findings were significant, but some trends appeared when the sample was divided by ethnicity, suggesting a need for closer follow-up for certain groups. Implications for public health nursing and nursing education are included.
这项描述性研究的目的是确定，由公共卫生护士（PHN）进行个案管理时，青少年母亲的自尊、育儿能力和社会支持在育儿的头18个月里是否发生了变化。来自一个卫生部门育儿项目的56名首次生育的青少年母亲样本同意参与该研究。PHN个案管理人员在婴儿出生时以及6个月、12个月和18个月时收集数据。青少年母亲的人口统计学调查结果显示，大多数人的年级水平低于预期，超过一半的人与父母同住，超过一半的人是青少年母亲的孩子。与婴儿相关的结果显示，根据丹佛发育筛查测试，发育没有延迟，对已确定的健康问题有足够的随访，并且很大比例的儿童接种了最新的疫苗。研究问题的结果显示，青少年在出生至6个月期间自尊有统计学上的显著下降，在6至18个月期间社会支持有显著下降。没有其他结果是显著的，但按种族对样本进行划分时出现了一些趋势，这表明需要对某些群体进行更密切的随访。文中还包括了对公共卫生护理和护理教育的启示。
