CHN INTERVENTIONS FOR NONORGANIC FAILURE TO THRIVE

本研究的主要目标是研究影响护理。 干预措施可能会对处于增长失败风险的人群产生影响 确定需要多大的护理干预力度 改善WIC儿童成长的目标。具体地说，目的是 是检查护理干预是否侧重于提高父母- 儿童纽带将导致这些父母的孩子成长。该项目是 与健康相关，因为研究人员将专注于 面临健康状况不佳的风险。非有机器官发育不全的儿童有 患病的天数比茁壮成长的孩子还多。一个不等价的控制组 将使用设计。WIC上的儿童将从随机选择的儿童中选择 县卫生部门，如果他们处于或低于5% 体重与身高之比。从县卫生部门的集群中 在德克萨斯州中部提供WIC服务，两个城市卫生部门将 选择，一个为实验样本，一个为对照样本。 同样，将选出两个农村卫生部门，一个负责 实验样品和对照样品各1个。世界上所有的孩子 实验样本将由研究人员进行家访。 在此期间，父母将学习儿童保育、营养和 养育孩子的技巧。对照样例中的子级将收到 WIC通常为儿童提供的以诊所为基础的护理。在 研究结论：实验样品和对照样品将分别为 比较看总体重是否有显著差异 增重、体重增重率、因疾病需要的病假天数 抗生素，丹佛二队的得分和主场得分。中国儿童的父母 将询问两个样本关于其对连续性的感知 或者他们认为他们的孩子在 学习。

The broad objectives for this research are to study the impact nursing interventions can have on a population at-risk for growth failure and to determine what intensity of nursing intervention is needed to accomplish the goal of improving the growth of children on WIC. Specifically, the aim is to examine if nursing interventions that focus on enhancing the parent- child bond will lead to growth in those parents' children. The project is health related because the researcher will focus on a population that is at-risk for poor health. Children with nonorganic failure to thrive have more days of illness than thriving children. A nonequivalent control-group design will be used. Children on WIC will be chosen from randomly selected county health departments if they are at or below the fifth percentile of weight for height. From the clusters of county health departments that provide WIC services in central Texas, two urban health departments will be chosen, one for the experimental sample and one for the control sample. Likewise, two rural health departments will be chosen, one for the experimental sample and one for the control sample. All children in the experimental sample will be followed by the researcher with home visits during which time the parents will be taught child care, nutrition, and parenting skills. The children in the control sample will receive the clinic-based care that is routinely given to children to WIC. At the conclusion of the study, the experimental sample and control sample will be compared to see if there is are significant differences in total weight gain, rate of weight gain, number of sick days from illnesses requiring antibiotics, Denver II scores, and HOME scores. The parents of children in both samples will be queried regarding their perceptions of the continuity or fragmentation of care they perceived their child received during the study.