Predictors of acceptance of a postpartum public health nurse home visit - Findings from an Ontario survey
Predictors of acceptance of a postpartum public health nurse home visit - Findings from an Ontario survey
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DOI：
10.1007/bf03405582
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发表时间：
2006-05-01
影响因子：
4.3
通讯作者：
Watt, M. Susan
中科院分区：
文献类型：
--
作者：
Sword, Wendy A.;Krueger, Paul D.;Watt, M. Susan
目的：确定1）通过安大略的普遍住院和产后家访计划提供的家访的提供率和接受率，以及2）接受家访的预测因素。如果妇女阴道分娩活产单胎婴儿，出院时婴儿由她们照顾，有能力表示同意，并且可以用四种学习语言中的一种进行交流。一个自我报告的问卷调查收集数据，从1,250名妇女从全省五家医院招募890（71.2%）妇女完成了结构化的电话采访4周后discharge.Results：大多数妇女（81.4%至97.8%）报告说，收到了一个电话从公共卫生护士，虽然不一定在48小时内出院。虽然据报道，各研究中心提供的家访机会很高，但接受率存在统计学显著差异（40.8%至76.2%）。接受的重要预测因素是第一个活产，较低的社会支持，产妇评分较低的服务，在劳动和交付，产妇自我报告的健康状况较差，产后抑郁症可能，产妇评分较低的服务产后单位，母乳喂养initiation.Conclusion：家访的组成部分，普遍计划是通过电话随访达到大多数妇女。然而，不同研究中心的家庭访视接受率差异很大。调查结果表明，接受访问的是有具体问题或需要的妇女。进一步的研究是必要的，以指导产后护士家访的循证计划和政策的发展。
Objectives: To determine 1) rates of offer and uptake of a home visit provided through Ontario's universal Hospital Stay and Postpartum Home Visiting Program, and 2) predictors of acceptance of a home visit.Methods: Women were eligible to participate if they had given birth vaginally to a live singleton infant, were being discharged with the infant to their care, were competent to give consent, and could communicate in one of the four study languages. A self-report questionnaire was used to collect data from 1,250 women recruited from five hospitals across the province; 890 (71.2%) women completed a structured telephone interview 4 weeks following discharge.Results: Most women (81.4% to 97.8%) reported having received a telephone call from a public health nurse, although not necessarily within 48 hours of discharge. While the offer of a home visit reportedly was high across sites, there were statistically significant differences in rates of acceptance (40.8% to 76.2%). Important predictors of acceptance were first live birth, lower social support, lower maternal rating of services in labour and delivery, poorer maternal self-reported health, probable postpartum depression, lower maternal rating of services on the postpartum unit, and breast feeding initiation.Conclusion: The home visiting component of the universal program is reaching most women through telephone follow-up. However, rates of acceptance of a home visit differed greatly across study sites. The findings suggest that it is women with specific problems or needs who are accepting a visit. Further research is necessary to guide the development of evidence-based programs and policies regarding postpartum nurse home visits.