Di Xi, Ge Xu-Ling, Wang Dan
Postpartum Ward, Liyang People's Hospital of Jiangsu Province, Liyang 213300, Jiangsu Province, China.
Health Management Center, Liyang People's Hospital of Jiangsu Province, Liyang 213300, Jiangsu Province, China.
World J Clin Cases. 2024 Aug 6;12(22):5059-5066. doi: 10.12998/wjcc.v12.i22.5059.
Breastfeeding not only meets the nutritional needs of newborn growth and development but also promotes uterine contraction and discharge of lochia, which helps in maternal recovery. However, some mothers experience abnormal lactation and breast swelling due to a lack of breastfeeding knowledge, painful cesarean incisions, anesthesia, negative emotions, and other factors, resulting in a reduced breastfeeding rate, which adversely affects neonatal and maternal health.
To explore the effects of care intervention with a health education form for breastfeeding on breastfeeding-related conditions.
In this study, 207 mothers with postpartum breast pain and difficulty lactating were selected and divided into intervention and control groups using a random number table. Both groups of mothers were provided with basic nursing and related treatment measures after delivery. The intervention group additionally received care intervention with a health education form for breastfeeding. The scores of lactation volume, breast distension and pain, breastfeeding rate, breastfeeding self-efficacy, treatment effect, and complication rate of the two groups were compared.
After treatment, the breast pain score of the intervention group was significantly lower than that of the control group, while the lactation score, score of Breastfeeding Self-Efficacy Scale Short Form scale, parent-child communication score, maternal-infant interaction score, total score of maternal-infant communication, and breastfeeding rate of the intervention group were significantly higher than those of the control group. After intervention, the overall therapeutic effect of the intervention group was better than that of the control group, and the complication rate of the intervention group was lower than that of the control group.
Breastfeeding health education and nursing intervention combined with basic clinical treatment have good clinical effects in managing postpartum breast distension and pain and increasing lactation yield.
母乳喂养不仅能满足新生儿生长发育的营养需求，还能促进子宫收缩及恶露排出，有助于产妇恢复。然而，部分母亲由于缺乏母乳喂养知识、剖宫产切口疼痛、麻醉、负面情绪等因素，出现泌乳异常及乳房胀痛，导致母乳喂养率降低，对新生儿及产妇健康产生不利影响。
探讨采用健康教育形式的护理干预对母乳喂养相关情况的影响。
本研究选取207例产后乳房疼痛及泌乳困难的母亲，采用随机数字表法分为干预组和对照组。两组母亲产后均给予基础护理及相关治疗措施。干预组额外接受采用健康教育形式的护理干预。比较两组的泌乳量、乳房胀痛及疼痛评分、母乳喂养率、母乳喂养自我效能感、治疗效果及并发症发生率。
治疗后，干预组的乳房疼痛评分显著低于对照组，而干预组的泌乳评分、母乳喂养自我效能量表简表评分、亲子沟通评分、母婴互动评分、母婴沟通总分及母乳喂养率均显著高于对照组。干预后，干预组的总体治疗效果优于对照组，且干预组的并发症发生率低于对照组。
母乳喂养健康教育及护理干预联合基础临床治疗，在处理产后乳房胀痛及增加泌乳量方面具有良好的临床效果。
