PDF(Pubmed)
Abstract：
BACKGROUND: Breast engorgement is a common issue that affects breastfeeding initiation and continuation. Engorgement can cause exhaustion, making it difficult to care for and feed the infant, and it can cause a mother to wean her baby before she intends to initiate breastfeeding. This study aimed to determine the effectiveness of the alternating application of cold and hot compresses in reducing breast engorgement among lactating mothers. Design, sample size and setting: A quasi-experimental study design is used to conduct this study. A purposeful sample of 100 lactating mothers was screened in the postnatal ward for the presence of breast engorgement. The 100 mothers with engorgement were divided into two equal groups of 50 mothers each - the first group (the intervention) and the second group (the control) - at the postnatal ward of King Abdulaziz Hospital-National Guard in Alahsa City. Sampling and tools: The data collection was conducted over five months, from January 2023 until May 2023. Data collection was done through a structured interview questionnaire sheet. The questionnaire was divided into six parts: socio-demographic data, obstetric and initial women assessment, the six-point engorgement scale (SPES), the visual analog scale (VAS), the LATCH breastfeeding charting scale, and the Infant Breastfeeding Assessment Tool (IBFAT).
RESULTS: The present study found no statistically significant difference between the study intervention and control groups in breast engorgement, LATCH level, or overall level of breastfeeding assessment before the intervention. While, in terms of breast engorgement, pain level, attachment, and LATCH, the overall levels of infant breastfeeding assessment across study time had a statistically significant variance among the study and control groups after the intervention at p values=<0.001.
CONCLUSIONS: The alternating application of cold and hot compresses can have a significant role in reducing breast engorgement among lactating mothers. Women should be encouraged to use hot compresses and cold gel packs as an alternative treatment to reduce engorgement and promote comfort. In addition, the study results can be utilized to aid Saudi Arabian nurses and midwives in understanding the advantages of applying a cold gel pack and a hot compress and to decrease levels of engorgement, improve latch, and relieve discomfort.
RESULTS: The present study found no statistically significant difference between the study intervention and control groups in breast engorgement, LATCH level, or overall level of breastfeeding assessment before the intervention. While, in terms of breast engorgement, pain level, attachment, and LATCH, the overall levels of infant breastfeeding assessment across study time had a statistically significant variance among the study and control groups after the intervention at p values=<0.001.
CONCLUSIONS: The alternating application of cold and hot compresses can have a significant role in reducing breast engorgement among lactating mothers. Women should be encouraged to use hot compresses and cold gel packs as an alternative treatment to reduce engorgement and promote comfort. In addition, the study results can be utilized to aid Saudi Arabian nurses and midwives in understanding the advantages of applying a cold gel pack and a hot compress and to decrease levels of engorgement, improve latch, and relieve discomfort.
摘要：
背景：乳房充盈是影响母乳喂养开始和延续的常见问题。订婚会导致疲惫，使照顾和喂养婴儿变得困难，这可能会导致母亲在开始母乳喂养之前给婴儿断奶。这项研究旨在确定冷敷和热敷交替应用在减少哺乳期母亲乳房充血中的有效性。设计,样本量和设置：采用准实验研究设计进行本研究。在产后病房中对100名哺乳期母亲的有目的样本进行了筛查，以检查是否存在乳房充血。在阿拉萨市阿卜杜勒阿齐兹国王医院国民警卫队的产后病房，将100名患有充血的母亲分为两组，每组50名母亲，第一组（干预）和第二组（对照组）。抽样和工具：数据收集进行了五个月，从2023年1月到2023年5月。数据收集是通过结构化访谈问卷进行的。问卷分为六个部分：社会人口统计数据，产科和初始妇女评估，六点充血量表（SPES），视觉模拟量表(VAS)，LATCH母乳喂养图表量表，和婴儿母乳喂养评估工具（IBFAT）。
结果：本研究发现，研究干预组和对照组在丰胸方面没有统计学上的显著差异。锁闩液位,或干预前的整体母乳喂养水平评估。同时,在丰胸方面，疼痛程度,附件,还有闩,干预后,研究组和对照组之间的婴儿母乳喂养评估总体水平差异有统计学意义,p值=<0.001.
结论：冷敷和热敷的交替应用可以在减少哺乳期母亲的乳房充血方面发挥重要作用。应鼓励妇女使用热敷和冷凝胶袋作为替代疗法，以减少充血和促进舒适。此外,研究结果可用于帮助沙特阿拉伯护士和助产士了解应用冷凝胶袋和热敷的优势，并降低充血水平，改进闩锁，缓解不适。
结果：本研究发现，研究干预组和对照组在丰胸方面没有统计学上的显著差异。锁闩液位,或干预前的整体母乳喂养水平评估。同时,在丰胸方面，疼痛程度,附件,还有闩,干预后,研究组和对照组之间的婴儿母乳喂养评估总体水平差异有统计学意义,p值=<0.001.
结论：冷敷和热敷的交替应用可以在减少哺乳期母亲的乳房充血方面发挥重要作用。应鼓励妇女使用热敷和冷凝胶袋作为替代疗法，以减少充血和促进舒适。此外,研究结果可用于帮助沙特阿拉伯护士和助产士了解应用冷凝胶袋和热敷的优势，并降低充血水平，改进闩锁，缓解不适。
