护理干预对产后乳房胀痛的影响

The Effect of Nursing Intervention on Postpartum Distending Pains of Breast

目的探讨护理干预(热敷、按摩、挤奶)对产后乳房硬度和疼痛程度变化的影响。方法2007-02/04纳入产科正常足月顺产产妇30例,随机分为2组。实验组15例,给予护理干预(哺乳前进行乳房热敷、按摩,哺乳后挤奶)等措施。对照组15例,给予产科乳房护理常规,观察乳房硬度和疼痛程度变化。结果通过护理干预,2组产妇产后4d乳房硬度差异有统计学意义(实验组Ⅰ°11例,Ⅲ°4例,对照组Ⅰ°3例,Ⅲ°12例,χ2=6.21,P<0.01);疼痛程度评分产后4d实验组疼痛程度明显低于对照组(实验组0.567,对照组2.633,t=141,P<0.01)。结论对乳房进行护理干预,可使乳汁分泌时间提前,促使乳腺管通畅,使乳房胀痛明显减轻。

Objective To discuss the effect of nursing intervention （i. e. hot compress, massage and milking） on the changes of postpartum breast hardness and pain degrees. Methods 30 normal labor women brought into our obstetrical department during the period of Febrary to April, 2007, were divided into two groups randomly： the experimental group of 15 women was given the nursing intervention while the control group of 15 women was given the routine breast care from our maternity department. During this period, the changes of their breast hardness and pain degrees were observed and recorded. Results Four days after nursing intervention, there were significant differences in breast hardness of the two goups （ in the experimental group there were 11 cases of Ⅰ° and 4 cases of Ⅲ° while in the control group 3 cases of Ⅰ° and 12 cases of Ⅲ° （x^2 = 6.2, P 〈0. 01 ） ; and also four days after nursing intervention, the pain degree （0. 567） of the experimental group was signiticantly lower than that of the control group （2. 5633） （t = 141, P 〈 0. 01 ）. Conclusion The results indicate that the conduction of the breast nursing intervention measures can advance the lactation time, cause a free movement in the mammary vessels and thus obviously alleviate the postpartum distending pains of breasts.