The nurse-family partnership: An evidence-based preventive intervention
The nurse-family partnership: An evidence-based preventive intervention
复制标题
DOI：
10.1002/imhj.20077
复制
发表时间：
2006-01-01
影响因子：
2.4
通讯作者：
Olds, DL
中科院分区：
文献类型：
--
作者：
Olds, DL
怀孕和孩子生命的早期提供了一个适当的时机来预防一系列不利的孕产妇、儿童和家庭结果，这些结果本身很重要，但也反映了影响家庭形成和未来生活轨迹的儿童和家庭的生物学、行为和社会基础。本文总结了一项为期 27 年的研究计划，该计划试图通过护士进行产前和婴儿家访来改善早期孕产妇和儿童健康以及未来的生活选择。该计划是为以前没有过活产的低收入母亲而设计的。上门护士有三个主要目标：通过帮助妇女改善产前健康来改善妊娠结局；通过帮助父母为孩子提供更敏感和更有效的护理来改善孩子的健康和发育；通过帮助父母计划未来的怀孕、完成学业和找到工作来改善父母的生命历程。该计划已经在三项独立的大规模随机对照试验中进行了测试，试验对象是生活在不同环境中的不同人群。这些试验的结果表明，该计划成功地实现了两个最重要的目标：(a) 改善父母对儿童的照顾，这体现在减少了可能与虐待和忽视儿童有关的伤害和摄入，以及更好的婴儿情感和语言发展； (b) 孕产妇生活轨迹的改善，体现为后续怀孕次数减少、劳动力参与程度提高以及对公共援助和食品券的依赖减少。
Pregnancy and the early years of the child's life offer an opportune time to prevent a host of adverse maternal, child, and family outcomes that are important in their own right, but that also reflect biological, behavioral, and social substrates in the child and family that affect family formation and future life trajectories. This article summarizes a 27-year program of research that has attempted to improve early maternal and child health and future life options with prenatal and infancy home visiting by nurses. The program is designed for low-income mothers who have had no previous live births. The home-visiting nurses have three major goals: to improve the outcomes of pregnancy by helping women improve their prenatal health, to improve the child's health and development by helping parents provide more sensitive and competent care of the child, and to improve parental life course by helping parents plan future pregnancies, complete their education, and find work. The program has been tested in three separate large-scale, randomized controlled trials with different populations living in different contexts. Results from these trials indicate that the program has been successful in achieving two of its most important goals: (a) the improvement of parental care of the child as reflected in fewer injuries and ingestions that may be associated with child abuse and neglect and better infant emotional and language development; and (b) the improvement of maternal life course, reflected in fewer subsequent pregnancies, greater work-force participation, and reduced dependence on public assistance and food stamps.