摘要
目的探讨个案管理规范化随访在改善早产儿营养状态及体格智能发育水平中的积极影响。方法选择2015年1月～2016年12月海南省第三人民医院接收并在出院后接受随访1年以上的早产儿100例,采用随机数字表法分为对照组和观察组,每组各50例。对照组在出院后采取常规随访模式,观察组采取个案管理规范化随访模式,在出院时,随访后3、6、12个月分别测定和比较两组早产儿的体格发育、智能、营养状态相关指标。结果在出院时,两组早产儿的发育指标(体重、头围、身长)、智能评分(CDCC量表中的运动量表、智能量表评分)比较,差异无统计学意义(P> 0.05),在随访3、6、12个月,观察组的上述发育指标、CDCC量表评分均明显高于对照组,差异有统计学意义(P <0.05)。观察组早产儿在随访3、6、12个月时的营养状态指标血清前白蛋白、白蛋白、转铁蛋白和免疫指标(血清CD3+、CD4+、CD4+/CD8+)改善水平均显著优于对照组,差异有统计学意义(P <0.05)。结论应用个案管理规范化随访模式,有助于促进早产儿出院后的体格智能发育及提升营养状态,是一种值得应用的母婴管理、康复护理模式。
Objective To study the positive effects of standardized follow-up of case management in improving nutritional status and physical development of premature infants. Methods From January 2015 to December 2016, in the Third People's Hospital of Hainan Province, 100 premature infants followed up for more than one year after discharge were divided into control group and observation group by random number table method, with 50 cases in each group. The control group was given routine follow-up mode after discharge, the observation group was given standardized follow-up mode of case management. At discharge, 3, 6, 12 months after follow-up, the physical development, intelligence and nutritional status of premature infants in two groups were measured and compared. Results There were no significant differences in the developmental indexes (body weight, head circumference, body length), intelligent scores (the exercise scale in the CDCC scale, smart scale score) between preterm infants in two groups at dicharge(P > 0.05), at the follow-up of 3, 6, 12 months, the above developmental indexes and CDCC scale scores of the observation group were significantly higher than the control group, the differences were statistically significant (P < 0.05). The improvement of nutritional status indicators (serum PA, TRF, ALB) and immune indicators (serum CD3^+, CD4^+, CD4^+/CD8^+) in observation group at 3, 6, 12 months were also significantly better than control group, the differences were statistically significant (P < 0.05). Conclusion The standardized follow-up model of case management has advantages in improving the quality of family comprehensive nursing, promoting the physical, intellectual, nutritional status and immune function of premature infants.
作者
陈小冰
张雪梅
谢邦贵
陈求凝
卢玉朱
CHEN Xiaobing;ZHANG Xuemei;XIE Banggui;CHEN Qiuning;LU Yuzhu(Department of Neonatology, the Third People′s Hospital of Hainan Province, Hainan Province, Haikou 572000, China)
出处
《中国医药导报》
CAS
2019年第6期77-81,共5页
China Medical Herald
基金
海南省医药卫生科研项目(1801032034A2005)
关键词
个案管理规范化随访模式
早产儿
营养状态
体格智能发育
影响
Case management standardized follow-up mode
Premature infants
Nutritional status
Physical development
Impact
