与母乳喂养相关的乳头疼痛或损伤管理的循证实践-国际护理学研究-CSCIED科技核心评价数据库-手机版

与母乳喂养相关的乳头疼痛或损伤管理的循证实践

Evidence based practice in managing nipple pain or injury related to breastfeeding

ES评分 0 浏览量：722 下载量：0

DOI	10.12208/j.ijnr.20230271
刊名	国际护理学研究 International Journal of Nursing Research
年，卷(期)	2023, 5(8)
作者	张露尹*,李红,何伟玲,方大俊,邵红梅,梁琪琪,
作者单位	广州市妇女儿童医疗中心广东广州 ;
摘要	将与母乳喂养相关的乳头疼痛或损伤管理的循证实践应用于临床护理实践中，以质量审查促进临床护理实践的改进。方法应用JBI临床证据应用模式，在某三级甲等医院爱婴区按照证据获取、现状审查、证据引入、效果评价4个阶段实施循证实践方案。比较循证实践方案前后护士对乳头疼痛或损伤的专业知识掌握和产妇乳头疼痛或损伤的发生率等指标。结果通过循证实践，护士的知识、技能，产妇认识程度、母乳喂养知识、技巧有很大程度的提升，中重度乳头疼痛发生率下降至2.86%，差异有统计学意义（P＜0.05）。
Abstract	Objective: To apply evidence-based practices in the management of nipple pain or injury related to breastfeeding to clinical nursing practice, and promote the improvement of clinical nursing practice through quality review. Method: Using the JBI clinical evidence application model, an evidence-based practice plan was implemented in the baby friendly area of a tertiary A hospital in four stages: evidence acquisition, current situation review, evidence introduction, and effectiveness evaluation. Compare indicators such as nurses professional knowledge of nipple pain or injury before and after evidence-based practice programs, and the incidence of nipple pain or injury in pregnant women. Result: Through evidence-based practice, nurses knowledge and skills, maternal awareness, and breastfeeding knowledge and skills have greatly improved, and the incidence of moderate to severe nipple pain has decreased to 2.86%, with a statistically significant difference (P<0.05).
关键词	母乳喂养；乳头疼痛；乳头损伤；循证实践；持续性质量改进
KeyWord	Breastfeeding; Nipple pain; Nipple injury; Evidence based practice; Continuous quality improvement
基金项目
页码	13-17

参考文献
相关文献

[1] Jeanne Spencer, MD，et al.Total Common problems of breastfeeding and weaning
[EB/OL].(2020-01-28)
[2020-04].https://www.uptodate.cn/contents/zh-Hans/common-problems-of-breastfeeding-and-weaning?search=%E6%AF%8D%E4%B9%B3%E5%96%82%E5%85%BB&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1

[2] Richard J Schanler, MD，Debra C Potak, RN, BSN, IBCLC，et al.Total Initiation of breastfeeding
[EB/OL].(2020-01-01)
[2020-04].https://www.uptodate.cn/contents/zh-Hans/initiation-of-breastfeeding?search=%E6%AF%8D%E4%B9%B3%E5%96%82%E5%85%BB&source=search_result&selectedTitle=4~150&usage_type=default&display_rank=4

[3] Morland-Schultz, K. and P.D. Hill, Prevention of and therapies for nipple pain: a systematic review. J Obstet Gynecol Neonatal Nurs, 2005. 34(4): p. 428-37.

[4] 张俊平等, 提高与母乳喂养相关的乳头疼痛或损伤管理的循证实践. 中华护理杂志, 2014. 49(9).

[5] Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA, et al. Nipple Pain in Breastfeeding Mothers: Incidence, Causes and Treatments. International Journal of Environmental Research and Public Health. 2015; 12(10): 12247–12263. doi: 10.3390/ijerph121012247.

[6] Page T, Lockwood C, Guest K. Management of nipple pain and/or trauma associated with breast-feeding. JBI Libr Syst Rev. 2003;1(3):1‐33. doi:10.11124/01938924-200301030-00001

[7] 周英凤,胡雁,顾莺,朱政,邢唯杰.基于证据的持续质量改进模式图的构建
[J].中国循证医学杂志,2017,17(5):603-606.

[8] Dr Ashley Whitehorn BAppSc BHlthSc (Hons) PhD. Evidence Summary. Breastfeeding: Nipple Pain/Trauma Prevention. The Joanna Briggs Institute EBP Database, JBI@Ovid. 2019; JBI22241.

[9] Dr Ashley Whitehorn BAppSc BHlthSc (Hons) PhD. Evidence Summary. Breastfeeding: Nipple Pain/Trauma Management. The Joanna Briggs Institute EBP Database, JBI@Ovid. 2019; JBI680.

[10] Dr Ashley Whitehorn BAppSc BHlthSc (Hons) PhD. Evidence Summary. Breastfeeding: Nipple Pain/Trauma Assessment. The Joanna Briggs Institute EBP Database, JBI@Ovid. 2019; JBI22240.

[11] Lochner, J.E., C.J. Livingston and D.Z. Judkins, Clinical inquiries: Which interventions are best for alleviating nipple pain in nursing mothers? J Fam Pract, 2009. 58(11): p. 612a-612c.

[12] Kronborg, H. and M. Vaeth, How are effective breastfeeding technique and pacifier use related to breastfeeding problems and breastfeeding duration? Birth, 2009. 36(1): p. 34-42.

[13] Vieira, F., et al., A systematic review of the interventions for nipple trauma in breastfeeding mothers. J Nurs Scholarsh, 2013. 45(2): p. 116-25.

[14] Hjermstad, M.J., et al., Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage, 2011. 41(6): p. 1073-93.

[15] Jensen, D., S. Wallace and P. Kelsay, LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs, 1994. 23(1): p. 27-32.

[16] Registered Nurses Association of Ontario (RANO). Breastfeeding: best practice guidelines for nurses．Nursing Best Practice Guideline：Shaping the Future of Nursing
[M]. Toronto, Canada:Registered Nurses Association of Ontario，2003．

[17] Pamela Berens, MD，et al.Total Overview of the postpartum period: Normal physiology and routine maternal care
[EB/OL]. (2023-05-31)
[2023-07].https://www.uptodate.cn/contents/zh-Hans/overview-of-the-postpartum-period-normal-physiology-and-routine-maternal-care.

引用本文

张露尹*,李红,何伟玲,方大俊,邵红梅,梁琪琪. 与母乳喂养相关的乳头疼痛或损伤管理的循证实践 [J]. 国际护理学研究. 2023; 5; (8). 13 - 17.

文献评论

相关学者

相关机构