Ziemer M M, Cooper D M, Pigeon J G
Villanova University, PA, USA.
Nurs Res. 1995 Nov-Dec;44(6):347-51.
This study was designed to evaluate whether maintenance of a moist environment on the nipple skin during the first week of breast-feeding would improve damaged nipple skin condition, as indicated by the presence of eschar, erythema, and fissures, and reduce pain. Fifty White women applied a polyethylene film dressing with a perimeter adhesive system to a randomly determined nipple. The dressing was present at all times except during feeding. Subjects were assessed every 48 hours (four times) over 7 days. Serial photographic slides were obtained and assessed for skin characteristics. Nipple pain was self-rated with a verbal descriptor scale. Use of an occlusive film dressing on nipple skin during the first week of breast-feeding appeared to have limited influence on improvement in damaged skin condition. Summary scores indicated significant reduction in the amount of eschar on the surface of the nipple. There were no differences in erythema intensity or fissure severity. Use of a dressing significantly reduced nipple pain during the study period.
本研究旨在评估母乳喂养第一周保持乳头皮肤湿润环境是否会改善乳头皮肤损伤状况（表现为焦痂、红斑和皲裂）并减轻疼痛。50名白人女性将带有周边粘贴系统的聚乙烯薄膜敷料应用于随机确定的一侧乳头。除喂奶期间外，敷料始终保持在位。在7天内每48小时（共4次）对受试者进行评估。获取系列摄影幻灯片并评估皮肤特征。乳头疼痛采用言语描述量表进行自评。母乳喂养第一周在乳头皮肤上使用封闭性薄膜敷料似乎对改善受损皮肤状况的影响有限。汇总评分表明乳头表面焦痂量显著减少。红斑强度或皲裂严重程度无差异。在研究期间使用敷料显著减轻了乳头疼痛。
