Lancet：家庭护士可以提高少龄妈妈照顾好宝宝的技能吗

2015-10-18 Mechront 译 MedSci原创

越来越多的国家为青少年妈妈提供帮助，使其能够获得长期的社会经济稳定，同时给孩子一个成功的开始。FNP（家庭护士伙伴）开始于美国，是一个有执照的家访干预，英国将其引入。从孕早期到孩子2岁，会有专门招募和训练的家庭护士对其进行密集的家访。研究者打算评估该项目对第一次做妈妈的少龄母亲的有效性。研究者在英国进行了一项务实、破盲、随机对照、平行对照试验。研究对象为≤19岁的未生育过、孕周≤25周的女性。研究

越来越多的国家为青少年妈妈提供帮助，使其能够获得长期的社会经济稳定，同时给孩子一个成功的开始。FNP（家庭护士伙伴）开始于美国，是一个有执照的家访干预，英国将其引入。从孕早期到孩子2岁，会有专门招募和训练的家庭护士对其进行密集的家访。研究者打算评估该项目对第一次做妈妈的少龄母亲的有效性。

研究者在英国进行了一项务实、破盲、随机对照、平行对照试验。研究对象为≤19岁的未生育过、孕周≤25周的女性。研究者将其按1：1随机分为FNP+日常照顾（公共资金资助的卫生社会保健）组和只有日常照顾。研究者还根据以下条件将研究对象分层：地点、孕周（<16周vs ≥16周）、吸烟、语种（英语、非英语）。原始结局指标：孕晚期生物标志物、婴儿出生体重、产后2年内再次妊娠百分比、后代出生后2年内急诊和住院情况。

2009-6-16至2010-7-28，研究者共筛选了3251名女性，最终823名分到了FNP+日常照顾组，822名在日常照顾组。截至2014-4-25对随访数据进行处理。FNP组304/547（56%）的女性、对照组306/545（56%）的女性孕晚期吸烟（aOR-0.9097.5% CI 0.64-1.28）.FNP组742名婴儿平均出生体重3217.4 g (SD 618.0)，对照组768名婴儿平均出生体重 3197.5 g (SD 581.5）（aMD 20.75 g, 97·5% CI -47.73 to 89.23）。FNP组587/725(81%) 的后代、对照组577/753(77%)的后代出生后2年内，有急诊或住院治疗情况 (AOR 1.32, 97.5% CI 0.99-1.76)。FNP组426/643(66%) 的女性、对照组427/646(66%) 的女性产后2年内再次妊娠 (AOR 1.01, 0.77-1.33)。FNP组357/810(44%) 的母儿、对照组310/808(38%) 的母儿发生了不良反应事件，且与研究干预无关。

研究结果表明，在日常照顾的基础上，使用FNP（家庭护士伙伴）并没有显著改善初始结局指标。

原始出处：

Robling M, Bekkers MJ,et al.Effectiveness of a nurse-led intensive home-visitation programme for first-time teenage mothers (Building Blocks): a pragmatic randomised controlled trial.Lancet. 2015 Oct 13. pii: S0140-6736(15)00392-X.

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2016-01-13 howi

#Lancet#

28 0
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2015-11-07 1ddcfa8bm07(暂无匿称)

学习啦

116 0
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2015-10-25 slicer

赞

96 0
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2015-10-22 三三五五

有意思

103 0
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2015-10-19 Guoxj3234

赞一点

118 0
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2015-10-19 sunlong28

赞一个~

101 0
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2015-10-19 sunlong28

感谢分享~

107 0
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2015-10-19 sunlong28

为了积分我也是拼了~

64 0
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2015-10-18 杏林小小

#宝宝#

28 0

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