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HEALTH PROMOTION OF THE PREGNANT ADOLESCENT

促进怀孕青少年的健康

基本信息

批准号：
2379447
负责人：
ADA K JACOX
金额：
$ 25.27万
依托单位：
WAYNE STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
1995
资助国家：
美国
起止时间：
1995-02-15 至 2000-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2379447
关键词：
adolescence (12-20) age at pregnancy behavioral /social science research tag female health behavior health care service utilization human subject infant mortality longitudinal human study model nursing intervention peer group prenatal care self care self concept social support network

项目摘要

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.

本研究的主要目的是检验掌握的效果妊娠期青少年同伴支持小组护理干预模式旨在提高自我效能和改善自我概念，影响短期和长期围产期结果。预计这一干预将减少并发症和重复怀孕率有可能节省大量的费用，社会研究的概念框架是基于班杜拉的社会认知理论（1986）。纵向设计的前/后测试干预研究包括增加怀孕知识的创造性计划;教授身体技能;准备劳动和交付的经验;评估年轻妇女的健康自我保健和婴儿的健康状况; 她在医疗保健系统工作。干预措施将包括建模和排练的技能：1）评估自己和他们的婴儿的健康，2）分娩准备，3）与诊所、医院、医生、助产士和护士。青少年谁满足资格标准将通过随机数字分配给以下两种人：控制或实验条件。在实验条件下的青少年将在同伴支持小组的范围内接受产前护理。他们将学习如何进行身体测量，如眼底高度，血压，并将接受产前教育的一组设置。该计划预计将帮助青少年建立同龄人的联系，获得对怀孕的控制感。对照组的青少年将接受产前护理个别从同一从业人员在他们所参加的健康中心。预计通过增加青少年参与她的全面保健，这种干预将减少因缺乏护理而引起的并发症。项目还将衡量产前护理在同伴支持下的影响不同发展水平和种族群体的人。