運用按摩球減輕產後婦女乳房腫脹之效果

The Effects of Relieving Breast Engorgement with Massage Balls in Postpartum Women

李琇蓉(Hsiu-Jung Lee) ； 林惠美(Huay-May Lin) ； 陳蓓蓓(Pei-Pei Chen)

《北市醫學雜誌》 15卷2期 (2018/06) Pp. 49-58

https://doi.org/10.6200/TCMJ.201806_15(2).0006

摘要

目的：探討乳房按摩球對改善產後婦女乳房腫脹之效果。方法：採實驗研究法，以隨機分派方式將研究對象分實驗組與控制組各30名，實驗組接受乳房球按摩方案30分鐘，控制組為常規乳房護理方案30分鐘。兩組在介入研究前、後各填寫脹奶症狀自覺評量表作為前後測結果指標。資料收集結果以SPSS22.0版進行統計分析，以廣義估計方程式（GEE）評估兩組間的差異。結果：在介入措施後，兩組均可減輕脹奶症狀，惟乳房腫脹的改善程度，實驗組顯著高於控制組。經GEE統計分析，顯示兩組前後測之交互作用達顯著水準（p ＜ 0.001）。結論：運用乳房按摩球更能減輕乳房疼痛、腫脹、發熱與不適程度，進而營造持續哺餵母乳以達到成功哺乳，亦可提升照護品質。

關鍵字

乳房腫脹 ； 乳房護理 ； 按摩球 ； 產後

並列摘要

Objective: We aimed to explore the efficacy of breast balls massage on breast engorgement in postpartum women. Methods: This is an experimental-design study in which participants were randomly assigned to intervention and control groups, each with participants. The intervention group received a 30-minute balls massage each day while the control group received usual standard postpartum breast care. All participants were asked to fill in a self-rating breast engorgement scale before and after the intervention. The SPSS version 22.0 software was used to manage and analyze the data. A generalized estimating equation model was used to assess the differences between groups. Results: Both intervention and control groups had improvement on breast engorgement. GEE model evaluation showed significant difference (p ＜ .001) between pre-intervention and post-intervention scores in both groups. However, the improvement in the intervention group was significantly greater than that in the control group. Conclusion: Breast pain, engorgement, hotness, and discomfort can be relieved by breast balls massage. It increases the quality of care and promotes continuing breast feeding.

並列關鍵字

breast engorgement ； breast care ； massage ball ； postpartum