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创新型产后风险评估在儿童预防保健中的应用:研究方案
Author(s) -
Minde Minke R. C.,
Remmerswaal Marianne,
Raat Hein,
Steegers Eric A. P.,
Kroon Marlou L. A.
Publication year - 2020
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14547
Subject(s) - medicine , intervention (counseling) , risk assessment , health care , multidisciplinary approach , postnatal care , protocol (science) , family medicine , cohort study , pregnancy , nursing , alternative medicine , social science , computer security , pathology , sociology , biology , computer science , economics , genetics , economic growth
Aim To introduce the rationale and design of a postnatal risk assessment study, which will be embedded in Preventive Child Health Care. This study will evaluate: (a) the predictive value of an innovative postnatal risk assessment, meant to assess the risk of growth and developmental problems in young children; and (b) its effectiveness in combination with tailored care pathways. Design This study concerns a historically controlled study design and is designed as part of the Healthy Pregnancy 4 All‐2 program. We hypothesize that child growth and developmental problems will be reduced in the intervention cohort due to the postnatal risk assessment and corresponding care pathways. Methods The study was approved in August 2016. Children and their parents, visiting well‐baby clinics during regular visits, will participate in the intervention ( N = 2,650). Additional data of a historical control group ( N = 2,650) in the same neighbourhoods will be collected. The intervention, consisting of the risk assessment and its corresponding care pathways, will be executed in the period between birth and 2 months of (corrected) age. The predictive value of the risk assessment and its effectiveness in combination with its corresponding care pathways will be assessed by Preventive Child Health Care nurses and physicians in four Preventive Child Health Care organisations in three municipalities with adverse perinatal outcomes. A total risk score above a predefined threshold, which is based on a weighted risk score, determines structured multidisciplinary consultation. Discussion The successful implementation of this innovative postnatal risk assessment including corresponding care pathways has potential for further integration of risk assessment and a family‐centred approach in the work process of Preventive Child Health Care nurses and physicians. Impact This study introduces a systematic approach in postnatal health care which may improve growth and developmental outcomes of children and even future generations.