Public health nursing care for adolescent mothers: Impact on infant health and selected maternal outcomes at 1 year postbirth
Public health nursing care for adolescent mothers: Impact on infant health and selected maternal outcomes at 1 year postbirth
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DOI：
10.1016/s1054-139x(01)00330-5
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发表时间：
2002-01-01
影响因子：
7.6
通讯作者：
Kim, S
中科院分区：
文献类型：
--
作者：
Koniak-Griffin, D;Anderson, NLR;Kim, S
目的：比较公共卫生护士强化家访的早期干预方案(EIP)与传统公共卫生护理(TPHN)对婴儿健康和青春期母亲妊娠结局的影响。方法：对102名EIP青少年进行孕期准备班和个别家访(从孕期到产后1年)。参与者主要是拉美裔(%)和非裔美国人(11%)，来自贫困家庭。婴儿的健康结果是基于病历数据、访谈和评估其他项目效果(例如，母亲的教育成就和心理状况)的标准化问卷确定的。数据分析采用卡方检验和重复测量方差分析。结果：EIP组婴儿出生后1年住院总天数(n=74)和实际住院次数(n=14)均显著少于TPHN组(n=154，n=24)。同样，在免疫接种率方面也发现了积极的计划效果。在急诊室就诊或重复妊娠率方面，两组之间没有差异。在两组中，酒精、烟草和大麻的使用率从怀孕到产后一年都显著增加，但仍然明显低于怀孕前的比率(终身率)。结论：这些发现表明PHN家访计划对青春期母亲的孩子的健康结局有积极的影响。在EIP母亲的孩子出生第一年期间，婴儿住院天数大幅减少，免疫接种率提高。需要做出更大的努力，防止高危青少年母亲再次怀孕并在分娩后恢复使用物质。(C)青春期医学会，2001年。
Purpose: To compare effects of an early intervention program (EIP) of intense home visitation by public health nurses (PHNs) with effects of traditional public health nursing care (TPHN) on infant health and selected maternal outcomes of adolescent mothers.Methods: EIP adolescents (N = 102) received preparation-for-motherhood classes and individual home visits (from pregnancy through 1 year postpartum) from PHNs employed in a county health department. Participants were predominantly Latina (64%) and African-American (11%) and from impoverished backgrounds. Infant health outcomes were determined based on medical record data, interviews and standardized questionnaires evaluated other program effects (e.g, maternal educational achievement and psychological status). Data were analyzed using Chi-square and repeated measures ANOVA.Results: Infants of EIP mothers experienced significantly fewer total days (n = 74) and actual episodes (n = 14) of hospitalization during the first year of life than those receiving TPHN (n = 154, n = 24, respectively). Similarly, positive program effects were found for immunization rates. There were no group differences in emergency room visits or repeat pregnancy rates. Alcohol, tobacco, and marijuana use significantly increased from pregnancy through 1 year postpartum in both groups but remained markedly lower than rates prior to pregnancy (lifetime rates).Conclusions: These findings demonstrate the positive effects of a PHN home visitation program on health outcomes for children of adolescent mothers. Days of infant hospitalization were substantially reduced and immunization rates increased during the first year of life for children of EIP mothers. Greater efforts need to be directed toward preventing repeat pregnancy and return to substance use following childbirth in at-risk adolescent mothers. (C) Society for Adolescent Medicine, 2001.