通过团体产前护理提高声音,解决抑郁症,有毒压力和公平:试点研究
Shannon N Lenze1, Kelly McKay-Gist2, Rachel Paul3
1Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA.
Health equity
|January 30, 2024
概括
专为黑人分娩个人设计的EleVATE组产前护理模型显示,它有望减少早产早产和增加产后访问出席率. 需要进一步的研究来证实其对健康公平的影响.
科学领域:
- 围产期健康 围产期健康
- 健康 公平 卫生 公平
- 基于社区的参与式研究
背景情况:
- 黑人分娩的人在怀孕结果和心理健康方面面临着显著的差异.
- 现有的群体产前护理模式可能无法充分满足这一群体的独特需求.
- 为了解决这些差距,开发了EleVATE (提升声音,解决抑郁症,有毒压力和公平) 模型.
研究的目的:
- 概述EleVATE组产前护理模型的社区参与的开发过程.
- 试行EleVATE模型并将其结果与个人护理和CenteringPregnancyTM进行比较.
- 评估EleVATE的可行性和初步有效性,以改善围产期健康和促进黑人分娩人群的公平.
主要方法:
- 基于社区的参与性研究原则和弗格森委员会报告指导了EleVATE的发展.
- 该干预措施整合了创伤知情护理,反种族主义和行为健康策略.
- 一项试点研究比较了三个护理模式的结果 (早产,怀孕年龄小,抑郁症得分):个人护理 (IC),中心怀孕TM (CP) 和EleVATE GC.
主要成果:
- 在分组产前护理 (EleVATE GC或CP) 中的参与者在34周之前出现早产的可能性显著降低.
- 怀孕年龄相对较小的早产率,37周之前的早产率和抑郁症得分在所有组中都相似.
- 与IC相比,EleVATE GC和CP参与者的产后诊所出席率和出院时母乳养率较高.
结论:
- 该EleVATE模型提供了一个可行的,以患者为中心,以社区为基础,以创伤为基础和反种族主义的方法来进行团体产前护理.
- 研究结果表明,黑人分娩对产后参与和母乳养有潜在的好处.
- 需要进一步的研究来确定EleVATE对围产期结果和健康公平的影响.
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