个案管理在低出生体重儿出院后延续护理中的应用及对生长发育的影响  

Application of case management in the continuous nursing care of low birth weight infants after discharge and its influence on growth and development

作　　者：张萍[1] 冯敏容[1] Zhang Ping;Feng Minrong(Neonatology Department, Xiaogan Central Hospital, Hubei Province, Xiaogan 432000, China)

机构地区：[1]湖北省孝感市中心医院新生儿科,432000

出　　处：《国际护理学杂志》2019年第15期2489-2492,共4页international journal of nursing

摘　　要：目的探讨个案管理在低出生体重儿出院后延续护理中的应用及对生长发育的影响.方法选取2015年2月~2017年2月该院收治的低出生体重儿94例作为研究对象.按随机数字表法将患儿分为观察组和对照组,各47例.对照组新生儿出院后进行延续护理,观察组在对照组基础上实施个案管理方式.比较两组低出生体重儿6个月、12个月时身长、体重、头围、发育及矫正胎龄40周神经行为(Neonatal Behavioral Neuro-logical Assessment,NBNA)评分情况.结果两组低出生体重儿在6个月、12个月时体重、身长比较,差异均有统计学意义(均P<0.05),观察组显著高于对照组,差异有统计学意义(P<0.05),两组患儿头围比较,差异无统计学意义(P>0.05);观察组NBNA评分显著高于对照组,差异有统计学意义(P<0.05);观察组在大运动、适应性、精细运动、语言及社交等方面得分均显著优于对照组,差异有统计学意义(均P<0.05).结论个案管理在低出生体重儿延续护理中应用效果显著,可显著促进低出生体重儿的体格及智能发育.Objective To explore the application of case management in the continuous nursing of low birth weight infants after discharge and its influence on their growth and development. Methods A total of 94 infants with low birth weight admitted to this hospital from February 2015 to February 2017 were selected as the research objects.Children were divided into observation group and control group according to random number table method, with 47 cases each.The control group continued nursing after discharge, and the observation group implemented case management on the basis of the control group. Height, weight, head circumference and development quotient of the two groups at 6 and 12 months after birth and scores of neurological behavior at the corrected gestational age of 40 weeks(NBNA) were compared. Results There were statistically significant differences in weight and body length between the two groups at 6 months and 12 months (P<0.05). The observation group was significantly higher than the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in head circumference between the two groups(P>0.05). NBNA score in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). The scores of the observation group were significantly better than that of the control group in terms of macromotor, adaptability, fine motor, language and social interaction, and the differences were statistically significant(P<0.05). Conclusion The application of case management in the continuous care of low-birth-weight infants can significantly promote the physical and intellectual development of low-birth-weight infants.

关 键 词：个案管理 延续护理 低出生体重儿 生长发育 

分 类 号：R473.72[医药卫生—护理学]