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首页> 外文期刊>Journal of transcultural nursing: official journal of the Transcultural Nursing Society >Using an Optimality Index to Understand Perinatal Health Disparities: A Pilot Study With Latina Immigrants
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Using an Optimality Index to Understand Perinatal Health Disparities: A Pilot Study With Latina Immigrants

机译：使用最优指数来理解围产期健康差异：拉丁美洲移民的一项初步研究

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Purpose: This study demonstrates preliminary evidence of the utility of an optimality index as a simple tool for monitoring complications across the perinatal period. Method: The medical records of 147 Latina women participating in a preventive randomized controlled trial for perinatal depression were reviewed for outcomes across the perinatal period. Results: Application of the optimality index found optimality scores ranging from 77.3% to 97.7% in a Latina immigrant population known to have low rates of low–birthweight infants and preterm birth. Optimality scores were significantly lower among women who had a preterm birth or low–birthweight infant. Discussion: The ability of optimality indices to capture within-group variability will allow for a more nuanced understanding of the antecedents and sequelae of negative birth outcomes. Implications for Practice: Increasing reliance on electronic medical records will facilitate the calculation of optimality scores that can be used to track patterns of perinatal health disparities.
机译：目的：本研究证明了最佳指数作为监测围产期并发症的简单工具的实用性的初步证据。方法：对参加围产期抑郁症预防性随机对照试验的147名拉丁裔妇女的病历进行了回顾，以了解围产期的结局。结果：最佳指数的应用发现，在已知的低出生体重儿和早产率较低的拉丁裔移民人群中，最佳分数在77.3％至97.7％之间。早产或低体重婴儿的女性的最优分数明显较低。讨论：最佳指数捕捉组内变异性的能力将使人们对不良出生结局的前因和后遗症有更细致的了解。实践的意义：越来越依赖电子病历将有助于计算最佳评分，该评分可用于追踪围产期健康差异的模式。

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