Vauvaperhetyö keskosten äitien tukena:tuen sisällölliset piirteet, kustannukset ja vaikutukset keskosten ensimmäisen elinvuoden hoitokustannuksiin

• Main Author: Korhonen, A. (Anne)
• Format: Doctoral or Postdoctoral Thesis
• Language: Finnish
• Published: Oulun yliopisto 2003
• Subjects: costs and cost analysis; family health; family nursing; home care services; home nursing; infant; mothers; nursing evaluation research; preterm; social support; arviointitutkimus; keskoset; kustannukset; perhetyö; sosiaalinen tuki; vauvaperhetyö; äidit; äitiys; Northern Finland
• Online Access: http://urn.fi/urn:isbn:9514271912

Abstract The purpose of this study was to evaluate characteristics, the cost of the intervention and effects of participation on the first year preterm cost of care. Home-based intervention is a new preventive nursing intervention, which focuses mainly on early interaction between an infant and its mother. Many long-term advantages have been found in developmental issues of preterm infants, on mothers caring skills and the mother-child relationship. Even though those positive effects are well known, there still remains a gap of information concerning effective characteristics of the intervention as well as costs of such an intervention. The study focused on two main questions: 1) What are the characteristics of the intervention perceived by the mothers with preterm infants? 2) What are the costs of the intervention and what kind of effects did the intervention have on the first year cost of care of preterm infants? This was a retrospective evaluation study. The population consisted of preterm infants (≤ 32 gw), who were treated in eastern an northern Finland during 1996?1998. All infants received usual preterm care. In addition to this, the intervention group participated in the intervention. Data was gathered during 1998?1999. Two groups of mothers were interviewed. The first were mothers (N = 17), who described the care for a preterm infant at home. The other group of mothers (N = 7) evaluated the intervention. Content analysis was performed inductively and deductively. The last one was based on concept and characteristics of social support. Cost of the intervention was evaluated as salary, time and travelling cost for the nurse. Costs of preterm care were computed as direct and indirect social and family costs and compared the first year cost of intervention (N = 18) and control (N = 118) group of preterm infants. Data was gathered by a questionnaire and from hospital statistics and patient files. Descriptive statistical methods as well comparing the means were used. The results indicated an exceptional ...