混合型I随机对照试验的协议,评估青少年怀孕护士家庭访问计划对母婴结果的有效性和实施
Natália Becker1,2, Vinícius Nagy Soares1, Débora Tseng Chou1,3
1National Center for Research and Innovation in Mental Health (CISM), São Paulo, Brazil.
Frontiers in psychiatry
|August 25, 2025
概括
这项研究评估了巴西的Primeiros Laços护士家庭访问计划. 结果将指导这些计划的整合,以改善弱势群体的母亲和儿童健康结果.
科学领域:
- 公共卫生
- 母婴健康
- 医疗实施科学
背景情况:
- 青少年怀孕带来了重大公共卫生挑战,尤其是在脆弱和缺乏资源的环境中.
- 护士家访计划显示有改善母亲和儿童健康的潜力.
- 这些计划与初级医疗保健的整合尚不清楚.
研究的目的:
- 评估将Primeiros Laços护士家访计划整合到初级医疗保健服务中的有效性和可行性.
- 评估巴西圣保罗两个城市的临床结果和实施因素.
主要方法:
- 这是一项混合型I随机对照试验,涉及200名怀孕青少年 (年龄在14-24岁之间).
- 干预组接受结构化的护士家庭访问;对照组接受标准的护理.
- 数据收集包括对母亲心理健康,婴儿发育,母婴互动和家庭环境质量的验证工具,以及定性访谈和实施框架.
主要成果:
- 据推测,这种干预措施可以改善产前护理,母乳养率和儿童发育.
- 积极的育儿实践和安全的母婴依恋是预期的结果.
- 将确定项目整合的主要障碍和促进因素.
结论:
- 这项研究将提供关于护士家访计划在初级保健中对青少年怀孕的好处的证据.
- 调查结果将为全球母亲和儿童健康计划的整合,扩大和调整提供信息.
- 结果旨在指导决策者和医疗保健提供者解决青少年怀孕问题,并改善贫困地区的健康状况.
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