Shanazi Mahnaz, Farshbaf Khalili Azizeh, Kamalifard Mahin, Asghari Jafarabadi Mohammad, Masoudin Kazhal, Esmaeli Fariba
Department of Midwifery, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Midwifery, Tabriz Health Services Management Research Centre, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
J Caring Sci. 2015 Dec 1;4(4):297-307. doi: 10.15171/jcs.2015.030. eCollection 2015 Dec.
Traumatic nipple is among the most common problems of the breastfeeding period which leads to early cessation of breastfeeding. The study aimed to compare the effects of the lanolin, peppermint, and dexpanthenol creams on the treatment of traumatic nipples.
This double-blind randomized controlled trial was carried out on 126 breastfeeding mothers. The mothers had visited at the health centers and children's hospitals in Sanandaj City. The selected participants were randomly divided into the following three groups of lanolin, peppermint, and dexpanthenol cream groups. Nipple pain was measured using the Store scale while trauma was measured with the Champion scale. Analyses were carried out through the Kruskal-Wallis test, Chi-square, ANOVA, and repeated measures ANOVA by using SPSS software ver. 13.
The result showed that the mean score of nipple pain and nipple trauma at the prior to intervention stage, third, seventh, and fourteenth days of intervention was not significantly different between three groups. But, repeated measures ANOVA showed a significant difference in comparison of the four time periods of intervention in each group.
RESULTS of this study revealed that the lanolin, peppermint, and dexpanthenol medicines had similar therapeutic effects on traumatic nipple.
乳头创伤是哺乳期最常见的问题之一，会导致过早停止母乳喂养。本研究旨在比较羊毛脂、薄荷和泛醇乳膏对乳头创伤的治疗效果。
本双盲随机对照试验对126名母乳喂养的母亲进行。这些母亲在萨南达杰市的健康中心和儿童医院就诊。所选参与者被随机分为羊毛脂、薄荷和泛醇乳膏三组。使用斯托尔量表测量乳头疼痛，用冠军量表测量创伤程度。通过使用SPSS软件版本13进行的克鲁斯卡尔 - 沃利斯检验、卡方检验、方差分析和重复测量方差分析进行分析。
结果表明，三组在干预前阶段、干预第三天、第七天和第十四天的乳头疼痛和乳头创伤平均得分无显著差异。但是，重复测量方差分析显示每组干预的四个时间段之间存在显著差异。
本研究结果表明，羊毛脂、薄荷和泛醇药物对乳头创伤具有相似的治疗效果。
