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产后借助热珍珠对乳房进行热敷对母亲的母乳感知及产后母乳喂养自我效能的影响:一项随机对照研究。

The Effect of Hot Application Applied to the Breast with the Help of the Thera Pearl in the Postpartum Period on Mothers' Milk Perception and Postpartum Breastfeeding Self-Efficacy: A Randomized Controlled Study.

作者信息

Ozkan Hava, Uzun Ozer Betül, Arı Ozlem

机构信息

Department of Midwifery, Faculty of Health Science, Ataturk University, 25240 Erzurum, Türkiye.

Department of Midwifery, Faculty of Health Science, Amasya University, 05000 Amasya, Türkiye.

出版信息

Healthcare (Basel). 2024 May 8;12(10):968. doi: 10.3390/healthcare12100968.

DOI:10.3390/healthcare12100968
PMID:38786381
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11121602/
Abstract

Breastfeeding difficulties are often present in the first weeks of the postpartum period, and various factors can cause a mother's early cessation of breastfeeding. Such factors include mothers' self-efficacy and perception of insufficient milk. This study aimed to examine the effect of a hot application on the breast with the help of the Thera Pearl in the postpartum period on milk perception and breastfeeding self-efficacy. This was a randomized controlled trial. This study was completed with 64 puerperal mothers, 31 of whom were control and 33 were experimental. A Personal Information Form, Breastfeeding Observation Form, Breastfeeding Self-Efficacy Scale, and Insufficient Milk Perception Scale were used to collect data. The average breastfeeding self-efficacy scale scores of the experimental group were 42.46 and 62, respectively, at the first and last follow-up, while the control group's mean scores were 57.42 and 47. The average scores of the experimental group on the insufficient milk perception scale were 19, 28, and 48, respectively, from the first to the last follow-up, while those of the control group were 28, 24, and 34, respectively. As a result, self-efficacy and milk perception are important factors affecting breastfeeding. In this study, we found that Thera Pearl application increased breastfeeding self-efficacy but did not affect milk perception.

摘要

母乳喂养困难在产后的最初几周经常出现,多种因素可导致母亲过早停止母乳喂养。这些因素包括母亲的自我效能感和对乳汁不足的认知。本研究旨在探讨产后使用热敷贴(Thera Pearl)热敷乳房对乳汁认知和母乳喂养自我效能感的影响。这是一项随机对照试验。本研究共纳入64名产后母亲,其中31名为对照组,33名为试验组。使用个人信息表、母乳喂养观察表、母乳喂养自我效能量表和乳汁不足认知量表收集数据。试验组在首次和末次随访时母乳喂养自我效能量表的平均得分分别为42.46和62,而对照组的平均得分分别为57.42和47 。试验组在乳汁不足认知量表上从首次随访到末次随访的平均得分分别为19、28和48,而对照组分别为28、24和34。结果表明,自我效能感和乳汁认知是影响母乳喂养的重要因素。在本研究中,我们发现使用热敷贴(Thera Pearl)可提高母乳喂养自我效能感,但对乳汁认知没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/11121602/a723ea07013a/healthcare-12-00968-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/11121602/cd2bc803e4a2/healthcare-12-00968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/11121602/a723ea07013a/healthcare-12-00968-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/11121602/cd2bc803e4a2/healthcare-12-00968-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1044/11121602/a723ea07013a/healthcare-12-00968-g002.jpg

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本文引用的文献

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Maintenance of Maternal Breastfeeding up to 6 Months: Predictive Models.维持母乳喂养至6个月:预测模型
J Pers Med. 2021 May 11;11(5):396. doi: 10.3390/jpm11050396.
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Factors Associated with the Abandonment of Exclusive Breastfeeding before Three Months.与三个月前放弃纯母乳喂养相关的因素
Children (Basel). 2020 Dec 16;7(12):298. doi: 10.3390/children7120298.
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Mothers' Expectations and Factors Influencing Exclusive Breastfeeding during the First 6 Months.母亲对婴儿 6 个月内纯母乳喂养的期望及影响因素。
Int J Environ Res Public Health. 2019 Dec 20;17(1):77. doi: 10.3390/ijerph17010077.
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Does warming the breasts affect the amount of breastmilk production?热敷乳房会影响乳汁分泌量吗?
Breastfeed Med. 2012 Dec;7(6):487-8. doi: 10.1089/bfm.2011.0142. Epub 2012 Mar 16.
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CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials.CONSORT 2010 解释和说明:报告平行组随机试验的更新指南。
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Factors related to maternal perception of milk supply while in the hospital.与产妇在住院期间对乳汁分泌感知相关的因素。
J Nurs Res. 2009 Sep;17(3):179-88. doi: 10.1097/JNR.0b013e3181b25558.
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Maternal perceptions of insufficient milk supply in breastfeeding.母亲对母乳喂养中乳汁供应不足的认知。
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The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers.日本母亲的母乳喂养自我效能感与感知乳汁不足之间的关系。
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