在为加利福尼亚农民工社区服务的诊所中解决不良童年经历:NACES试点项目评估项目
Rand health quarterly
|December 12, 2024
概括
"不再有不良童年经历" (NACES) 项目成功地在农村农民工社区实施了创伤知情护理. 这项试点研究表明,在例行医疗检查期间,不良童年经历 (ACE) 教育和查是可行的和可以接受的.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 农村卫生 农村卫生
背景情况:
- 童年不良经历 (ACE) 显著影响健康结果.
- 农村农业工人社区在获得医疗保健方面面临着独特的挑战.
- 需要具有文化敏感性和可访问性的ACE干预措施.
研究的目的:
- 评估农村农业工人社区基于临床的不良童年经历 (ACE) 干预措施的可行性和可接受性.
- 评估ACE教育和查对诊所工作人员和患者的影响.
- 收集农场工人社区成员对创伤信息护理的见解.
主要方法:
- 使用混合方法方法,结合行政数据,自我评估,调查和采访.
- 收集的数据包括ACE教育/查记录,临床准备性评估,员工培训反和患者/护理人员采访.
- 这项研究重点关注在例行医疗检查期间的成人和儿科患者.
主要成果:
- 临床工作人员报告说,他们对提供ACE教育和培训后查的信心增加了.
- 成年患者和护理人员发现ACE的教育在例行访问期间易于理解和接受.
- 该干预表明了目标社区的可行性和可接受性.
结论:
- 该NACES试点项目为可行和可接受的ACEs教育,查和响应模型提供了早期证据.
- 农业工人的参与对于开发有效的,社区知情的卫生干预措施至关重要.
- 这种模式有可能对服务不足的农村人口产生积极的健康影响.
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