Community health nursing visits for at-risk women and infants.
Community health nursing visits for at-risk women and infants.
复制标题
对高危妇女和婴儿进行社区健康护理访问。
DOI：
10.1207/s15327655jchn0902_5
复制
发表时间：
1992
影响因子：
1
通讯作者：
J. Starn
中科院分区：
文献类型：
--
作者：
J. Starn
本研究的目的是利用巴纳德模型的父母-婴儿的互动和仪器从巴纳德新生儿护理模式的研究，以评估30怀孕的客户，并帮助确定适当的干预措施。在同意后，30名研究参与者被随机分配到三组之一：未生育，未婚或其他社会风险。33%的参与者年龄在19岁以下。一名医生准备的社区卫生护士（CHN）完成了所有干预措施，包括全面评估。超过20%的参与者承认在怀孕早期轻度到中度滥用酒精，香烟和/或街头毒品。咨询/支持性干预措施建立了融洽关系，并鼓励妇女发展和保持健康的生活方式。对照组10名婴儿在6个月时接受评估。第二组在怀孕期间进行跟踪，然后在6个月时进行评估。第三组10名妇女在怀孕和婴儿出生后的前6个月接受了随访。结果表明，药物滥用停止或大幅减少干预期间。干预组的母亲比对照组有更少的围产期并发症和更好的亲子互动评分。这项研究支持了以前的报告，即家访计划促进了更健康的怀孕，并改善了儿童的发育结果。
The purpose of this study was to utilize the Barnard Model of parent-infant interaction and instruments from the Barnard Newborn Nursing Models study to assess 30 pregnancy clients and to help determine appropriate interventions. Upon consent, the 30 study participants were randomly assigned to one of three groups: primiparous, unmarried, or otherwise socially at-risk. Thirty-three percent of the participants were under 19 years of age. A doctorally prepared community health nurse (CHN) completed all interventions, including a comprehensive assessment. Over 20% of participants admitted mild to moderate abuse of alcohol, cigarettes, and/or street drugs during early pregnancy. Counseling/supportive interventions established rapport and encouraged women to develop and maintain healthy life-styles. The control group of 10 were evaluated when their infant reached 6 months. A second group was followed during pregnancy, then evaluated at 6 months. A third group of 10 women were followed through pregnancy and the first 6 months of their babies' lives. Results indicated that substance abuse stopped or substantially decreased during intervention. Mothers in the intervention groups had fewer perinatal complications and better parent-infant interaction scores than the controls. This research supports previous reports that home visitor programs foster more healthy pregnancies and improve child developmental outcomes.