评估英格兰家庭护士伙伴关系的现实世界实施:数据链接研究
Francesca Cavallaro1, Amanda Clery1, Ruth Gilbert1
1UCL Great Ormond Street Institute of Child Health, London, UK.
Health and social care delivery research
|May 24, 2024
概括
家庭护士伙伴关系 (FNP) 显示,对虐待儿童没有任何好处. FNP与孩子进入学校时的发育改善和青少年母亲较少的快速重复怀孕有关.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 家庭护士伙伴关系 (FNP) 是一个专为青少年母亲设计的密集家庭访问计划.
- 评估FNP对儿童和母亲结果的长期有效性对于基于证据的实践至关重要.
研究的目的:
- 评估家庭护士伙伴关系 (FNP) 计划对儿童和母亲到7岁的结果的有效性.
- 分析行政数据,以评估FNP对虐待儿童,健康,发育和母亲福祉指标的影响.
主要方法:
- 一项使用英格兰卫生,教育和社会护理服务的国家行政数据的相关队列研究.
- 倾向性得分匹配被用来创建在FNP注册的母亲与常规护理相比较的组.
- 评估结果包括儿童虐待指标,儿童健康和发展,以及母亲的健康和教育程度到7岁.
主要成果:
- 没有证据表明FNP与儿童虐待减少有关,但由于虐待/伤害导致2岁以下的未计划入院人数略有增加.
- 较弱的证据表明,参加FNP的儿童在5岁时更有可能达到良好的发育水平.
- FNP的母亲在18个月内下次分娩的可能性降低,医疗保健利用率增加.
结论:
- 通过行政数据测量,FNP计划在减少虐待儿童方面没有显著的好处.
- 有限的证据表明,在进入学校时,儿童发育可能有所改善,并减少快速重复怀孕.
- 建议通过加强对干预忠实性和母性因素的数据收集进行进一步的研究.
关键词:
一个青春期的青少年.青春期的母亲们虐待儿童的行为儿童健康 儿童健康群组研究 群组研究健康状况的差异.医院 医院 医院 医院婴儿婴儿是一个婴儿.产妇的年龄 产妇的年龄新生儿 新生儿在怀孕期间在青春期怀孕.公共卫生 公共卫生在学校学校的学校.更多相关视频
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