1 郑州市中医院ICU，郑州 450000
2 郑州市中医院护理部，郑州 450000
目的：探讨新式助吸乳贴促进乳头凹陷初产妇母乳喂养的临床运用价值。方法：将2016年1月至2017年4月在我院产科住院治疗的183例乳头凹陷初产妇随机分为治疗组和对照组，其中对照组82例初产妇采用常规的护理方案，观察组101例初产妇采用新式助吸乳贴护理方案，分别在产后3 d，1个月及4个月后比较初产妇母乳喂养自我效能、纯母乳喂养率和产妇喂哺舒适度情况。结果：在自我效能感方面，对照组产后3 d，1个月及4个月后的评分分别为40.55±4.52，48.49±5.21和50.49±4.67，观察组分别为40.31±4.36，79.58±13.09和90.60±14.05；在舒适度方面，对照组产后3 d，1个月及4个月后的评分分别为7.96±1.09，7.22±0.96和6.22±0.94，观察组分别为8.08±1.07，6.16±0.94和2.91±0.49；产后3 d时两组初产妇母乳喂养自我效能和舒适度均无明显差异(P>0.05)，产后1个月和4个月后观察组母乳喂养自我效能和舒适度明显优于对照组(P<0.05)；重复测量方差分析显示：两组产妇在自我效能和舒适度维度的时间因素、组间因素及交互因素差异均有统计学意义(P<0.05)；观察组产后1个月和4个月纯母乳喂养率显著高于对照组。结论：新式助吸乳贴可有效促进乳头凹陷初产妇母乳喂养成功率，提升产妇母乳喂养自我效能感，改善喂哺舒适度，值得临床进一步推广。
Application of new type help pads in promoting breastfeeding in primipara of inverted nipple
This work was supported by the Special Subject of Scientific Research of Traditional Chinese Medicine in Henan Province, China (2016ZY3028).
Objective: To explore the value of new type pressure pads in promoting breastfeeding in primipara of inverted nipple. Methods: A total of 183 cases of inverted nipple primiparas from January 2016 to April 2017 in our hospital were randomly divided into a treatment group and a control group. Among them, 82 cases in the control group were treated with routine nursing program, 101 cases in the treatment group were treated by the new negative pressure pads. Breastfeeding self-efficacy, breast-feeding rate and maternal feeding comfort conditions in the postpartum 3 days, 1 month and 4 months were compared between the two groups. Results: The scores of self-efficacy in the control group after 3 days, 1 month and 4 months were 40.55±4.52, 48.49±5.21 and 50.49±4.67, while the observation group were 40.31±4.36, 79.58±13.09 and 90.60±14.05. The comfort scores of the control group after 3 days, 1 months and 4 months were 7.96±1.09, 7.22±0.96 and 6.22±0.94, While the observation group were 8.08±1.07, 6.16±0.94 and 2.91±0.49. The maternal breastfeeding self-efficacy and comfort of the two groups of were no significant difference at 3 days postpartum. The breastfeeding self-efficacy and comfort of the observation group were obviously better than that of the control group at 1 month and 4 months postpartum (P<0.05). Repeated measures analysis of variance showed that the time, group and interaction factors of self-efficacy and comfort dimension of the two groups were significantly different (P<0.05). The breast feeding rate of the observation group was significantly higher than that of the control group after 1 month and 4 months of postpartum. Conclusion: New type help pads can effectively promote the nipple breastfeeding success rate, can effectively improve maternal breastfeeding self-efficacy, improve feeding comfort, it is worthy of further promotion in clinical.
help suction pads; primipara; breastfeeding; inverted nipple