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基于循证医学的中医特色护理模式在产后乳房胀痛中的应用

Application of Traditional Chinese Medical Science Characteristic Nursing Mode Based on Evidence-Based Medicine to Puerperal Breast Tenderness and Pain.

作者信息

Liu Jingying, Chen Hua, Wang Wei, Zhao Dan

机构信息

Department of Traditional Chinese Medicine, Taizhou First People's Hospital, Taizhou 318020, Zhejiang, China.

Department of Obstetrics and Gynecology, Taizhou First People's Hospital, Taizhou 318020, Zhejiang, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jun 30;2022:7527890. doi: 10.1155/2022/7527890. eCollection 2022.

Abstract

OBJECTIVE

To explore the effects of traditional Chinese medicine (TCM) characteristic nursing mode based on evidence-based medicine on parturients with breast tenderness and pain.

METHOD

100 parturients with postpartum breast pain treated at Taizhou First People's Hospital from January 2020 to December 2021 were selected. Among them, 51 cases received routine nursing intervention (general group, GG) and 49 cases received TCM characteristic nursing based on evidence-based medicine (comprehensive group, CG). The pain number (NRS) score, lactation effect, breastfeeding self-efficacy (BSES-SF) score, anxiety and depression, and nursing satisfaction of the two groups were compared. In addition, the pregnant women were followed up after discharge to investigate the rate of exclusive breastfeeding.

RESULT

Three days after intervention, NRS score, SAS score, and SDS score in the CG were significantly lower than those in the GG. The level of serum prolactin and total breast lactation yield in the GG were better than those in the CG. BSES-SF score, nursing satisfaction, and exclusive breastfeeding rate in the CG were higher than those in the GG.

CONCLUSION

Evidence-based TCM care can significantly reduce postpartum breast tenderness, increase milk production, improve exclusive breastfeeding, and help relieve emotional distress.

摘要

目的

探讨基于循证医学的中医特色护理模式对产后乳房胀痛产妇的影响。

方法

选取2020年1月至2021年12月在泰州市第一人民医院治疗的100例产后乳房疼痛产妇。其中,51例接受常规护理干预(常规组,GG),49例接受基于循证医学的中医特色护理(综合组,CG)。比较两组的疼痛数字评分法(NRS)评分、泌乳效果、母乳喂养自我效能量表(BSES-SF)评分、焦虑和抑郁情况以及护理满意度。此外,对孕妇出院后进行随访,调查纯母乳喂养率。

结果

干预3天后,CG组的NRS评分、SAS评分和SDS评分显著低于GG组。GG组的血清催乳素水平和总泌乳量优于CG组。CG组的BSES-SF评分、护理满意度和纯母乳喂养率高于GG组。

结论

循证中医护理可显著减轻产后乳房胀痛,增加乳汁分泌,提高纯母乳喂养率,并有助于缓解情绪困扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8209/9262500/1358892b3b8b/ECAM2022-7527890.001.jpg

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