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

Abstract

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). 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. Key words: Case management; Continuous nursing; Low birth weight infants; Growth and development