青少年母亲的产后家庭访问:一个随机对照试验
Julie A Quinlivan1, Helen Box, Sharon F Evans
1Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia. julieq@unimelb.edu.au
Lancet (London, England)
|March 22, 2003
概括
青少年母亲的产后家庭访问减少了新生儿不良后果,并改善了避孕知识. 然而,这些访问并没有显著影响母乳养或婴儿疫苗接种知识.
科学领域:
- 孕产妇和儿童的健康
- 公共卫生干预 公共卫生干预
- 青少年健康 青少年健康
背景情况:
- 青少年怀孕带来了重大的社会经济负担.
- 新生儿不良后果是青少年母亲的一个担忧.
- 在这个人口群体中,关于婴儿护理和避孕的知识差距存在.
研究的目的:
- 评估18岁以下母亲的产后家庭访问服务的有效性.
- 为了确定家庭访问是否会减少新生儿不良后果.
- 评估对避孕,母乳养和婴儿疫苗接种知识的改进.
主要方法:
- 随机对照试验涉及139名青少年母亲.
- 干预组接受了护士助产士的五次结构化产后家庭访问.
- 对照组接受标准护理;产后6个月进行评估.
主要成果:
- 家庭访问与新生儿不良结果的减少有关 (RR 0.24).
- 在干预组中观察到对避孕知识的显著增加 (平均差异为0.92).
- 没有发现对母乳养或婴儿疫苗接种知识的显著改善.
结论:
- 产后家庭访问服务有效地减少了青少年母亲的新生儿不良事件.
- 这些服务提高了青少年母亲的避孕知识.
- 家庭访问并没有显著改善人们对母乳养或疫苗接种计划的了解或遵守.
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