摘要
目的 探究综合护理干预在降低产后乳房胀痛发生率中的临床应用效果。方法 在2023年4月-2023年6月期间，选择我院产科收治的36例乳房胀痛产妇作为研究组，行综合护理干预，同时选择2023年1月-2023年3月期间，36例乳房胀痛产妇作为对照组，行常规护理干预，对比护理效果。结果 研究组乳房胀痛原因中，产妇母乳喂养知识缺乏占比77.78%，哺乳姿势不当占比66.67%，乳头皲裂或乳腺炎占比52.78%，乳腺管堵塞占比36.11%；研究组患者乳房胀痛发生率为19.44%，对照组乳房胀痛发生率为61.11%（P＜0.05）；护理后研究组乳房胀痛评分为（1.75±1.25）分，低于对照组（3.86±1.35）分，数据对比有统计学差异（P＜0.05）；研究组焦虑评分为（51.42±4.61）分，抑郁评分为（50.87±3.42）分，低于对照组，数据对比有统计学差异（P＜0.05）。结论 对乳房胀痛患者行综合护理干预，可降低乳房胀痛发生率，降低焦虑抑郁情绪，提升护理水平，应用价值显著。
关键词： 产后乳房胀痛；综合护理干预；应用效果；乳房胀痛发生率
Abstract
Objective To explore the clinical effect of comprehensive nursing interventions in reducing the incidence of postpartum breast engorgement. Methods From April to June 2023, 36 mothers with breast engorgement admitted to our hospital’s obstetrics department were selected as the study group and received comprehensive nursing interventions. At the same time, from January to March 2023, 36 mothers with breast engorgement were selected as the control group and received routine nursing care. The nursing effects were compared. Results In the study group, the causes of breast engorgement were as follows: lack of breastfeeding knowledge accounted for 77.78%, incorrect breastfeeding posture accounted for 66.67%, nipple cracking or mastitis accounted for 52.78%, and blocked milk ducts accounted for 36.11%. The incidence of breast engorgement in the study group was 19.44%, compared to 61.11% in the control group (P<0.05). After nursing, the breast engorgement score in the study group was 1.75±1.25, lower than the control group’s 3.86±1.35, with a statistically significant difference (P<0.05). The study group’s anxiety score was 51.42±4.61 and depression score was 50.87±3.42, both lower than the control group, showing statistically significant differences (P<0.05). Conclusion Comprehensive nursing interventions for patients with breast engorgement can reduce the incidence of breast engorgement, relieve anxiety and depression, improve nursing quality, and have significant practical value.
Key words： Postpartum breast engorgement; Comprehensive nursing intervention; Clinical effect; Incidence of breast engorgement
参考文献 References
[1] 徐秀元,张静.早期乳房按摩护理干预对产后泌乳及乳房胀痛的影响[J].中国冶金工业医学杂志,2025,42(4):429-430.
[2] 李艳平,朱翡翡,毛清芬,等.乳房热敷包联合穴位按摩对产妇产后早期乳房胀痛的预防效果及影响因素分析[J].新中医,2025,57(11):181-186.
[3] 屈敏娟,从静.营养护理联合乳房穴位按摩对产妇产后乳房胀痛、泌乳效果及喂养质量的影响[J].临床医学研究与实践,2024,9(34):163-166.
[4] 潘琴.产后康复治疗仪联合乳房按摩对产妇产后乳房胀痛及泌乳的影响[J].医疗装备,2022,35(8):132-134.
[5] 郑丽萍,刘先芬,尹小群,等.中药热敷联合按摩在产后乳房胀痛中的应用[J].中国中医药现代远程教育,2024, 22(8):159-161.
[6] 鄢余艳.协同护理模式对产妇产后乳房胀痛乳汁分泌及母乳喂养的影响[J].基层医学论坛,2023,27(30):136-138.
[7] 杨方伟,洪婷,周朗.产后康复治疗仪联合针对性护理对产妇产后乳汁分泌及乳房胀痛的影响[J].医疗装备,2022, 35(24):164-166.
[8] 吕莉.早期定时乳房护理在减轻产后乳房胀痛及促进泌乳中的临床效果[J].基层医学论坛,2022,26(14):133-135.
[9] 林和钦,谢玉容,邱燕,等.穴位按摩护理对产后泌乳及乳房胀痛的影响[J].黑龙江中医药,2024,53(4):246-247.