OBJECTIVE:To determine the relationship of social support from partners and others to the adequacy of prenatal care and to the prenatal health behaviors of low-income women. DESIGN:Descriptive, correlational study using self-reports and medical record review. SETTING:Data were collected in five metropolitan prenatal clinics serving low-income women. PARTICIPANTS:Ethnically diverse, primarily single, low-income pregnant women (N = 101) between 28 and 40 weeks of pregnancy. MAIN OUTCOME MEASURES:Subjects completed the Norbeck Social Support Questionnaire, the Prenatal Health Questionnaire, and the Demographic/Pregnancy Questionnaire. RESULTS:Social support provided by the partner correlated positively with adequacy of prenatal care, whereas social support from others (excluding partner relationships) correlated positively with prenatal health behaviors. Professionals such as health care providers and counselors were not considered sources of social support by women. CONCLUSIONS:Nurses who work with low-income pregnant women in a variety of settings should assist partners in recognizing their potential positive contributions, teach women to communicate their expectations to their partners, acknowledge the importance of other family members as providers of social support, and when needed, refer women to programs that increase available social support.

译文

目的:确定伴侣和其他人的社会支持与产前保健充分性以及低收入妇女的产前健康行为之间的关系。
设计:使用自我报告和病历审查进行描述性,相关性研究。
地点:数据是在为低收入妇女服务的五个大都会产前诊所中收集的。
参与者:怀孕28到40周之间的种族多样化,主要是单身,低收入孕妇(N = 101)。
主要观察指标:受试者完成了《诺贝克社会支持问卷》,《产前健康问卷》和《人口/怀孕问卷》。
结果:伴侣提供的社会支持与产前保健的充分性呈正相关,而其他人(不包括伴侣的关系)的社会支持与产前健康的行为呈正相关。妇女不认为卫生保健提供者和咨询师等专业人员是社会支持的来源。
结论:在各种情况下与低收入孕妇一起工作的护士应帮助伴侣认识其潜在的积极贡献,教导妇女将其期望传达给伴侣,承认其他家庭成员作为社会支持提供者的重要性,以及必要时,请妇女参加增加可用社会支持的计划。

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