农村服务协调计划为使用物质的妇女及其家人提供服务
Lesley Cottrell1,2, Charlotte Workman2, Melina Danko2
1Department of Pediatrics, West Virginia University, Morgantown, WV, USA.
Women's health (London, England)
|October 8, 2024
概括
一个病人导航程序改善了母亲与物质使用障碍和他们的婴儿的结果. 这种协调护理模式解决了基本需求,暴力,婴儿发育和母亲抑郁症,在农村环境中证明是可行的.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 在怀孕期间或产后使用物质障碍的妇女面临着耻辱和护理障碍,担心失去孩子.
- 服务障碍包括重复的信息共享和详细的物质使用历史记录,导致不合规.
- 现有的护理模式往往无法全面解决这些家庭的复杂需求.
研究的目的:
- 评估一项服务协调计划,针对有物质使用障碍的孕妇/产后妇女,她们的孩子和照顾者.
- 检查利益相关者的利益,计划的可行性和最初的有效性.
- 评估协调护理对母亲和婴儿结果的影响.
主要方法:
- 这是一项为期四年的混合方法研究,涉及三个地点:分娩医院,团聚计划和家庭访问计划.
- 数据收集包括需求评估,健康调查,培训评估和预算记录.
- 单变量差异分析检查了母亲和婴儿特征对结果的影响.
主要成果:
- 182名妇女和家庭参加;患者导航员提供了直接援助,培训和服务协调.
- 家庭平均在该计划中停留655天,并报告满意度;该模型在农村环境中是可行的.
- 该计划显著改善了基本需求,减少暴力 (p < 0.001),婴儿发育 (p < 0.02) 和母亲抑郁症 (p < 0.05) 的结果.
结论:
- 对于农村家庭来说,与患者导航员合作的服务协调模式是可行的,可取的和有效的.
- 这种方法成功地满足了有物质使用障碍的母亲及其婴儿的多方面的需求.
- 协调护理对选择的母亲和婴儿的结果产生了重大影响,突出了它的价值.
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