An early intervention program for adolescent mothers: a nursing demonstration project.
An early intervention program for adolescent mothers: a nursing demonstration project.
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针对青春期母亲的早期干预计划：护理示范项目。
DOI：
10.1111/j.1552-6909.1999.tb01964.x
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Verzemnieks,I
中科院分区：
文献类型：
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作者：
Koniak-Griffin,D;Mathenge,C;Anderson,NL;Verzemnieks,I
目的：改善青少年母亲及其婴儿这一弱势群体的健康状况。设计：比较强化早期干预计划和传统公共卫生护理护理的效果。背景：加利福尼亚州一个大县，有城乡社区，人口多元化，青少年出生率高。参与者：121名来自贫困和以少数族裔背景为主的年轻母亲和她们的孩子。干预：在怀孕期间和产后1年，参加强化早期干预计划的63名参与者由受过专门培训的公共卫生护士为他们提供4节产前班和大约17次家访。干预措施涉及健康问题、性和计划生育、生活技能、产妇作用和社会支持系统。TPHN(n=58)的参与者接受了三次家访(关于摄取、产前护理和产后/婴儿护理信息)。主要观察指标：产前、产中和新生儿的医疗记录；母亲对书面问卷的回答；以及护士访谈。结果：早期计划结果显示，与国家关于青少年母亲的数据相比，两组的早产率都有所降低，EIP参与者在产后前6周的婴儿住院天数减少。结论：公共卫生护理(传统和强化护理)显著改善了围产期结局；强化干预显著减少了婴儿住院天数。
Objective:To improve health outcomes in a vulnerable population of adolescent mothers and their infants.Design:Effects of an intensive early intervention program (EIP) are compared with those of traditional public health nursing (TPHN) care.Setting:A large California county with urban and rural communities, an ethnically diverse population, and a high teen birth rate.Participants:One hundred twenty‐one young mothers and their children from impoverished and predominantly minority backgrounds.Interventions:During pregnancy and through 1 year postpartum, participants (n= 63) in the EIP were provided with 4 prenatal classes and approximately 17 home visits by specially trained public health nurses. Interventions addressed health issues, sexuality and family planning, life skills, the maternal role, and social support systems. Participants in TPHN (n= 58) received three home visits (for intake, prenatal care, and postpartum/well‐baby care information).Main Outcome Measures:Antepartum, intrapartum, and newborn medical records; maternal responses to written questionnaires; and nurse interviews.Results:Early program outcomes indicate reduced premature birth rates for both groups compared with national data on adolescent mothers, and fewer days of infant hospitalization during the first 6 weeks postpartum for the EIP participants.Conclusion:Public health nurse care (both traditional and intensive) significantly improved perinatal outcomes; the intensive intervention significantly reduced the number of infant hospitalization days.