半躺式哺乳联合乳头保护贴对哺乳期乳头皲裂患者母乳喂养的成效研究

doi:10.3760/cma.j.issn.1007-1245.2024.18.031

国际医药卫生导报 ›› 2024, Vol. 30 ›› Issue (18): 3137-3141.DOI: 10.3760/cma.j.issn.1007-1245.2024.18.031

半躺式哺乳联合乳头保护贴对哺乳期乳头皲裂患者母乳喂养的成效研究

王华¹ 王金香² 范李静³

¹空军军医大学第二附属医院妇产科，西安　710000；²西安国际医学中心医院产一科，西安　710000；³西安市第三医院妇产科，西安　710000

收稿日期:2023-11-10 出版日期:2024-09-15 发布日期:2024-09-24
通讯作者: 王金香，Email：wangjingxiang0610@163.com
基金资助:
陕西省重点研发计划（2020SF-054）

Effect of semi lying breastfeeding combined with nipple protection patch on improving breastfeeding rate in patients with nipple cracking during lactation

Wang Hua¹, Wang Jinxiang², Fan Lijing³

¹Department of Obstetrics and Gynecology, The Second Affiliated Hospital of Air Force Military Medical University, Xi'an 710000, China; ²No.1 Department of Obstetrics, Xi'an International Medical Center Hospital, Xi'an 710000, China; ³Department of Obstetrics and Gynecology, Xi'an Third Hospital, Xi'an 710000, China

Received:2023-11-10 Online:2024-09-15 Published:2024-09-24
Contact: Wang Jinxiang, Email: wangjingxiang0610@163.com
Supported by:
Shaanxi Province Key R&D Program (2020SF-054)

摘要/Abstract

摘要：

目的　探究半躺式哺乳联合乳头保护贴对提高哺乳期乳头皲裂患者母乳喂养的成效。方法　前瞻性选取2020年12月至2022年1月西安国际医学中心医院住院的97例哺乳期乳头皲裂患者为研究对象，均为已婚妊娠女性。依据入院时间先后顺序分为两组，研究组49例，年龄23～35（28.35±1.32）岁，采取半躺式哺乳联合乳头保护贴；对照组48例，年龄22～37（28.27±1.33）岁，采取传统喂养。比较两组4周内母乳喂养率、新生儿自主含接乳头成功率，哺乳7 d乳头疼痛不同时间自评，入院时及7 d后母乳喂养自我效能简式量表（BSES）评分及非精神科住院患者心理状态评定量表（MSSNS）得分。统计学方法采用χ²检验、t检验。结果　研究组4周内母乳喂养率、新生儿自主含接乳头成功率均高于对照组［87.76%（43/49）比64.58%（31/48）、83.33%（40/49）比58.33%（28/48）］，差异均有统计学意义（χ²=4.45、3.88，均P<0.05）。研究组入院第3天、第7天乳头疼痛自评分均低于对照组［（4.24±0.77）分比（5.20±0.58）分、（0.91±0.29）分比（2.57±0.53）分］，差异均有统计学意义（t=7.01、19.19，均P<0.05）。研究组哺乳7 d后BSES和MSSNS评分均优于对照组［（118.49±15.03）分比（107.52±14.86）分、（64.35±8.74）分比（70.29±7.93）分］，差异均有统计学意义（t=3.61、3.50，均P<0.05）。结论　针对哺乳期乳头皲裂患者，以半躺式哺乳联合乳头保护贴措施可提高母乳喂养率，值得应用。

关键词:

母乳喂养, 哺乳期, 乳头皲裂, 半躺式哺乳, 乳头保护贴

Abstract:

Objective　To explore the effect of semi lying breastfeeding combined with nipple protection patch on improving breastfeeding rate in patients with nipple cracking during lactation. Methods　A total of 97 hospitalized patients with nipple cracking during lactation from Xi'an International Medical Center Hospital from December 2020 to January 2022 were prospectively selected as the study subjects, all of whom were married pregnant women. They were divided into two groups according to the order of admission. In the study group, 49 cases aged 23-35 (28.35±1.32) years were treated with semi-lying breastfeeding combined with nipple protection patch. In the control group, 48 cases aged 22-37 (28.27±1.33) years received traditional feeding. The breast-feeding rate within 4 weeks, the success rate of neonatal spontaneous nipple insertion, the self-evaluation of nipple pain at different time points after 7 days of lactation, the scores of Breastfeeding Self-Efficacy Scale (BSES) and Mental Status Scale in Non-Psychiatric Settings (MSSNS) at admission and 7 days later were analyzed in the two groups. Statistical methods used were χ² test and t test. Results　The breast-feeding rate and the success rate of neonatal spontaneous nipple insertion in the study group were higher than those in the control group [87.76% (43/49) vs. 64.58% (31/48), 83.33% (40/49) vs. 58.33% (28/48)], with statistically significant differences (χ²=4.45 and 3.88, both P<0.05). The self-evaluation scores for nipple pain in the study group on the 3rd and 7th day after admission were lower than those in the control group [(4.24±0.77) points vs. (5.20±0.58) points, (0.91±0.29) points vs. (2.57±0.53) points], with statistically significant differences (t=7.01 and 19.19, both P<0.05). The BSES and MSSNS scores of the study group were better than those of the control group after 7 days of lactation [(118.49±15.03) points vs. (107.52±14.86) points, (64.35±8.74) points vs. (70.29±7.93) points], with statistically significant differences (t=3.61 and 3.50, both P<0.05). Conclusion　For patients with nipple cracking during lactation, semi-lying breastfeeding combined with nipple protection patch can improve the breastfeeding rate, and is worthy of application.

Key words:

Breastfeeding, Lactation period, Nipple cracking, Semi-lying breastfeeding, Nipple protection patch

王华王金香范李静.

半躺式哺乳联合乳头保护贴对哺乳期乳头皲裂患者母乳喂养的成效研究 [J]. 国际医药卫生导报, 2024, 30(18): 3137-3141.

Wang Hua, Wang Jinxiang, Fan Lijing.

Effect of semi lying breastfeeding combined with nipple protection patch on improving breastfeeding rate in patients with nipple cracking during lactation [J]. International Medicine and Health Guidance News, 2024, 30(18): 3137-3141.

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半躺式哺乳联合乳头保护贴对哺乳期乳头皲裂患者母乳喂养的成效研究

Effect of semi lying breastfeeding combined with nipple protection patch on improving breastfeeding rate in patients with nipple cracking during lactation

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