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| Effect of standardized follow-up of case management on nutritional status and physical development of premature infants |
| 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 |
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Abstract 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.
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