CHN INTERVENTIONS FOR NONORGANIC FAILURE TO THRIVE

本研究的主要目的是研究影响护理 干预措施可能对处于生长失败风险的人群产生的影响， 确定需要何种强度的护理干预来完成 促进儿童在WIC上的成长的目标。 具体而言，目标 是检查是否护理干预，重点是提高父母- 孩子之间的纽带会让父母的孩子成长。 该项目 健康相关，因为研究人员将重点放在人口， 健康状况不佳的风险。 非器质性发育不良的儿童 生病的日子比茁壮成长的孩子多。 非等效控制组 设计将被使用。 WIC的儿童将从随机选择的 县卫生部门，如果他们在或低于第五百分位数， 身高体重 从县卫生部门的集群， 在德克萨斯州中部提供WIC服务，两个城市卫生部门将 一个用于实验样品，一个用于对照样品。 同样，将选择两个农村卫生部门， 一个用于实验样品，一个用于对照样品。 所有儿童 研究者将对实验样本进行家访 在此期间，父母将学习儿童保育，营养， 为人父母的技巧 对照组的儿童将接受 以诊所为基础的护理，这是常规给予儿童到WIC。 在 研究结束后，将实验样品和对照样品 比较是否有显着差异，总重量 体重增加、体重增加率、因需要治疗的疾病而请病假的天数 抗生素、Denver II评分和HOME评分。 儿童的父母在 两个样本都将被问及他们对连续性的看法， 或者说，他们认为孩子在上学期间所接受的照顾是支离破碎的。 study.

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.