運用刮痧協助產後脹奶婦女之照護經驗

An Experience Applying Gua-Sha to Help a Parturient Women with Breast Fullness

本文乃筆者運用刮痧協助一位產後婦女應對脹奶疼痛不適及促進舒適之護理經驗。筆者自個案產後第二天脹奶開始提供照護至出院，並於出院後第一、二週各電話訪問一次，主要之護理活動有四：(1)增強個案哺乳信心，並對其做得對的部分給予讚賞與支持；(2)提供正確哺乳之姿勢與技能；(3)教導刮痧法協助乳汁排出，減輕脹奶；及(4)持續追蹤哺乳及脹奶情形。最後個案能繼續哺乳，並對此次哺乳有相當滿意的經驗。

This paper was designed to describe the experience of nurses who applied Gua-Sha, a traditional Asian healing technique, in caring for a parturient woman suffering from breast fullness. The caring period ran from the second day postpartum through the mother's discharge from the hospital, and included telephone follow up during the first and second postpartum weeks. Main caring activities included: (1) supporting and reinforcing the mother's confidence to encourage continued breastfeeding; (2) making sure the baby suckled in a good position and that the mother mastered proper breastfeeding techniques; (3) applying Gua-Sha to help breast milk expression and reduce the breast fullness discomfort; and (4) following up regularly on breastfeeding and breast fullness conditions. As a result, the mother was able to continue breastfeeding and could eventually take care of herself, thus achieving a satisfactory breast feeding experience.