實證探討應用高麗菜葉對於哺乳婦女乳房充盈腫脹之改善

A Review of the Effect of Cabbage Leaf Packings on Breast Engorgement

李鳳雪(Feng-Hsueh Li) ； 莊秋萍(Chiu-Ping Chuang) ； 陳淑芬(Shun-Fen Chen)

《榮總護理》 28卷2期 (2011/06) Pp. 111-116

https://doi.org/10.6142/VGHN.28.2.111

摘要

乳房充盈脹痛是哺乳婦女常見的問題，並可能因為疼痛不適而中斷哺乳。以往常見冷熱敷、按摩等方法去緩解乳房充盈脹痛。本文應用電子資料庫檢索進行系統性文獻之回顧，去實際瞭解高麗菜葉方式緩解哺乳期間乳房充盈脹痛情形的相關文獻統整。結果共搜尋到系統性回顧文獻一篇、隨機對照試驗文獻兩篇及世代研究文獻一篇，共計四篇。文獻統整結果為乳房充盈腫脹常見於產後第72小時，可使用冷熱敷、冷敷墊或是以冰過、室溫的高麗菜敷乳房方法，皆能有效緩解乳房充盈腫脹及疼痛。高麗菜葉敷乳房使用方式為高麗菜葉置放冰箱冷藏室後，再將高麗菜葉敷於乳房30分鐘，一天三次，高麗菜葉便宜且容易取得，非侵入性且簡單易學，更能普遍應用於改善乳房充盈脹痛的問題。藉此結果可提供哺乳婦女多樣選擇方式，緩解乳房充盈脹痛，更能營造持續哺餵母乳，提升照護品質。

關鍵字

母乳哺餵 ； 高麗菜葉 ； 充盈

並列摘要

The pain of breast engorgement is a common problem among breast-feeding women, and it may interrupt breast-feeding. We used electronic database systematic review in our literature search, to actually understand the way of cabbage leaves that filled the breast pain. Four articles were chosen for critical review. Results: Postpartum breast engorgement always interferes with breast-feeding, and occurs most frequently in the first 72 hours. Cold or hot compress, cold or room temperature cabbage leaves packings can be used to decrease the pain of breast engorgement. The study showed that we put cabbage leaves in the refrigeration for 20 minutes and packed one of them on postpartum women's breast for 30minutes, then repeated the intervention three times a day. Cabbage leaves packings had a direct effect on breast engorgement and they were non-invasive, easy to learn procedure for postpartum women. The results provide a diverse method to the pain of breast engorgement, creating a more sustained breast-feeding and improving the quality of care.

並列關鍵字

breast-feeding ； cabbage ； breast engorgement