与随机对照试验中的分组产前护理参与相关的患者特征
Emily A Doherty1, Sarah Griffin1, Kathleen B Cartmell1
1Department of Public Health Sciences, Clemson University, Clemson, South Carolina.
概括
患者的特征对产前照顾小组 (GPNC) 的出席产生影响. 教育和住房不稳定等因素与较少的会议有关,这表明需要适应GPNC模型来改善所有孕妇的访问和结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生 公共卫生
- 医疗保健提供 医疗保健提供
背景情况:
- 团体产前护理 (GPNC) 是个人产前护理 (IPNC) 的替代方案,有可能改善产前结果.
- 更高的GPNC会议出席率与更好的围产期结果有关.
- 了解与GPNC出席相关的患者特征对于优化其有效性至关重要.
研究的目的:
- 识别与在组产前护理中更高或更低的出勤率相关的患者特征.
- 为了解决GPNC模型的潜在调整,以解决出席障碍.
主要方法:
- 来自一项随机对照试验数据的二次分析,将GPNC与IPNC进行比较.
- 专注于被分配到GPNC手臂的患者 (n = 1,068).
- 用于评估患者特征和GPNC会议出席率之间的关联的零膨胀波桑回归.
主要成果:
- 年龄较大,外国出生和产前困境与更高的GPNC会议出席率有关.
- 出勤率较低与未婚,低于高中教育,抑郁症状,住房不稳定,住房问题,生活压力因素,妊娠糖尿病和吸烟有关.
- 研究样本多样化,大部分符合医疗补助资格.
结论:
- 患者的特征显著影响了团体产前护理的出席率.
- 特定群体,包括受教育程度较低,精神健康挑战,住房不稳定和某些健康状况等,面临参加GPNC会议的障碍.
- 建议对GPNC模型进行调整,以减少出席障碍,并改善弱势群体的公平访问.
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