Family home visiting outcomes for Latina mothers with and without mental health problems.
Family home visiting outcomes for Latina mothers with and without mental health problems.
复制标题
有或没有心理健康问题的拉丁裔母亲的家庭家访结果。
作者：
C. García;D. McNaughton;D. Radosevich;Joan K. Brandt;K. Monsen
目的
评估有和没有心理健康问题的拉丁裔母亲的公共卫生护理家庭家访（FHV）干预的结果。
设计和样本
去识别FHV数据的回顾性队列分析。拉丁裔客户服务的公共卫生护士（PHNS）在城市中西部公共卫生机构（2007-2010年）。在680名来访者中，有158人有心理健康问题（n = 30，14-17奥尔兹; n = 128，18-52奥尔兹），522人没有心理健康问题（n = 100，14-17奥尔兹; n = 422，18-52奥尔兹）。
措施
客户年龄，问题数量，访问次数，服务年限，存在心理健康问题，以及奥马哈系统知识，行为和所有客户问题的状态评分。分析包括针对协变量调整的一般线性混合模型（即，年龄、合并症）。
结果
所有小组都提高了知识、行为和地位。知识的提高在各组之间没有显著差异。有心理健康问题的成年人的行为改善更多（p = 0.013）。有心理健康问题的青少年的状况改善更多（p = .012）。
结论
拉丁裔母亲，特别是那些有心理健康问题的母亲，在PHN FHV服务后有所改善。进一步的研究应检查与这些结果相关的干预模式，并寻求结果差异的解释。
OBJECTIVE
To evaluate outcomes of a public health nursing family home visiting (FHV) intervention for Latina mothers with and without mental health problems.
DESIGN AND SAMPLE
Retrospective cohort analysis of de-identified FHV data. Latina clients served by public health nurses (PHNS) in an urban Midwest public health agency (2007-2010). Of the 680 clients there were 158 with mental health problems (n = 30, 14-17 year olds; n = 128, 18-52 year olds) and 522 without mental health problems (n = 100, 14-17 year olds; n = 422, 18-52 year olds).
MEASURES
Client age, number of problems, number of visits, length of service, presence of mental health problem, and Omaha System knowledge, behavior, and status scores for all client problems. Analysis included general linear mixed models adjusted for co-variables (i.e., age, comorbidities).
RESULTS
All groups improved knowledge, behavior, and status. Knowledge improvement was not significantly different across groups. Behavior improved more among adults with mental health problems (p = .013). Status improved more among adolescents with mental health problems (p = .012).
CONCLUSIONS
Latina mothers, particularly those with mental health problems, improve after PHN FHV services. Further study should examine intervention patterns associated with these outcomes, and seek explanations for differences in outcomes.
更好的母女关系可以减少拉丁裔企图自杀的机会吗？
影响因子：
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作者：
Zayas,LuisH;Hausmann-Stabile,Carolina;Kuhlberg,Jill
通讯作者：
Kuhlberg,Jill
护士进行产前和婴儿期家访对妊娠结局、儿童期伤害和重复生育的影响。
DOI：
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发表时间：
1997
期刊：
JAMA
影响因子：
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作者：
Kitzman,H;Olds,DL;HendersonJr,CR;Hanks,C;Cole,R;Tatelbaum,R;McConnochie,KM;Sidora,K;Luckey,DW;Shaver,D;Engelhardt,K;James,D;Barnard,K
通讯作者：
Barnard,K