摘要
目的探讨中医特色护理在产后乳房胀痛初产妇中的应用效果。方法回顾性分析了常州市中医医院产科收治的100例产后乳房胀痛初产妇的临床资料,按护理方法的不同将初产妇分为对照组(51例)和观察组(49例)。对照组初产妇实施预见性护理,观察组初产妇在对照组护理方法的基础上实施中医特色护理,2组初产妇均护理至出院。比较2组初产妇的乳房胀痛程度、泌乳始动时间、泌乳量、母乳喂养自我效能及护理满意率。结果2组在干预1 d、2 d和3 d后的视觉模拟评分法(VAS)评分均低于干预前(P均<0.05),且观察组在上述时间点的VAS评分均低于同期对照组(P均<0.05)。观察组的泌乳始动时间早于对照组(P<0.05);观察组在干预1 d、3 d和5 d后的泌乳量均多于同期对照组(P均<0.05)。干预后,2组的母乳喂养自我效能量表各维度评分均高于干预前(P均<0.05),且观察组均高于对照组(P均<0.05)。观察组的护理总满意率为97.96%,明显高于对照组的84.31%(P<0.05)。结论对产后发生乳房胀痛的初产妇实施中医特色护理干预,可缓解其乳房胀痛,促使其泌乳时间提前,乳汁分泌量增加,且对提升其母乳喂养自我效能和护理满意率也具有积极意义。
Objective To explore the application effect of characteristic nursing of traditional Chinese medicine in the primiparas with postpartum breast distending pain.Methods The clinical data of 100 primiparas with postpartum breast distending pain in the Department of Obstetrics at Changzhou Hospital of Traditional Chinese Medicine were retrospectively analyzed.According to different nursing methods,the primiparas were divided into a control group(51 cases)and an observation group(49 cases).The primiparas in the control group were given predictive nursing,and the primiparas in the observation group were given characteristic nursing of traditional Chinese medicine on the basis of the nursing method of the control group.The primiparas in both groups were given nursing care until discharge.The degree of breast distending pain,onset time of lactation,milk volume,breastfeeding selfefficacy,and nursing satisfaction rate were compared between the two groups.Results The scores of Visual Analogue Scale(VAS)in both groups after 1,2,and 3 days of intervention were lower than those before the intervention(all P<0.05),and the VAS scores of the observation group were lower than those of the control group at the above time points(all P<0.05).The onset of lactation was earlier in the observation group than in the control group(P<0.05).The milk volumes of the observation group were greater than those of the control group after 1,3,and 5 days of intervention(all P<0.05).After the intervention,the scores of all dimensions of the Breastfeeding Self-Efficacy Scale in both groups were higher than those before the intervention(all P<0.05),and the observation group had higher scores than the control group(both P<0.05).The total satisfaction rate of nursing in the observation group was 97.96%,which was significantly higher than 84.31%in the control group(P<0.05).Conclusion The implementation of characteristic nursing intervention of traditional Chinese medicine can alleviate the pain of primiparas with postpartum breast distending pain,promote the onset of lactation,increase the breast milk secretion,and has positive significance in improving their breastfeeding self-efficacy and nursing satisfaction rate.
作者
蒋燕娟
曹云霞
巫山云
JIANG Yanjuan;CAO Yunxia;WU Shanyun(Department of Obstetrics,Changzhou Hospital of Traditional Chinese Medicine,Changzhou,Jiangsu,213003,China)
出处
《中西医结合护理（中英文）》
2022年第8期46-49,共4页
Journal of Clinical Nursing in Practice
关键词
产后乳房胀痛
初产妇
中医特色护理
泌乳
postpartum breast distending pain
primipara
characteristic nursing of traditional Chinese medicine
lactation
