HEALTH PROMOTION OF THE PREGNANT ADOLESCENT

这项研究的主要目的是检验掌握技能的效果。 孕期青少年同伴支持团体护理干预模式研究 旨在提高自我效能感和改善自我概念，并 影响短期和长期围产期结局。预计这将是一次 干预将导致并发症的减少和复发。 怀孕率有可能节省大量成本 社会。这项研究的概念框架基于班杜拉的 社会认知理论(1986)。 纵向设计的前/后测验干预研究包括 增加关于怀孕的知识的创造性的计划；教授 体能；为分娩和分娩的经历做准备；评估 年轻妇女的健康自我护理和她的婴儿的健康状况；并教导 她需要在医疗保健系统内工作。干预措施将包括 建模和排练技能：1)评估他们自己和他们的 婴儿健康，2)分娩准备，3)与 诊所、医院、医生、助产士和护士。青少年谁遇到了 资格标准将以随机数字的方式分配给 对照或实验条件。处于实验条件下的青少年 将在同伴支持小组的背景下进行产前护理。他们 将学习如何进行体格测量，如脚底高度和 血压，并将在小组环境中接受产前教育。 该计划预计将帮助青少年建立同伴关系，并 获得对怀孕的控制感。控制组中的青少年将 从同一医生那里单独接受产前护理 他们所在的健康中心。预计通过增加 青少年参与她的全面保健，这一干预措施 将减少因缺乏护理而引起的并发症。该项目 还将在同伴支持范围内衡量产前护理的影响 不同的发展水平和种族群体。

The primary purpose of this study is to examine the effects of a mastery modeling peer support group nursing intervention for pregnant adolescents that is designed to increase self efficacy and improve self concept and to affect short and long term perinatal outcomes. It is expected that this intervention will lead to a reduction in complications and in repeat pregnancy rates having the potential to save tremendous amounts in cost to society. The conceptual framework for the study is based on Bandura's Social Cognitive theory (1986). The longitudinally designed pre/post test intervention research involves a creative program that will increase knowledge about pregnancy; teach physical skills; prepare for the experience of labor and delivery; assess the young woman's health self care and her baby's health status; and teach her to work within the health care system. The intervention will include modeling and rehearsal of skills for: 1) assessing their own and their infant's health, 2) preparation for childbirth, and 3) working with clinics, hospitals, physicians, midwives and nurse. Teens who meet the eligibility criteria will be assigned by means of random numbers to either a control or experimental condition. Teens in the experimental condition will have prenatal care within the context of a peer support group. They will learn how to take physical measurements such as fundal heights and blood pressures and will receive prenatal education in a group setting. This program is expected to help teens establish peer connections and to gain a sense of control over pregnancy. Teens in the control groups will receive prenatal care individually from the same practitioners at the health center that they attend. It is expected that by increasing involvement of the adolescent in her total health-care, this intervention will reduce the complications associated with lack of care. The project will also measure the impact of prenatal care within the peer support group across developmental levels and racial groups.