不同姿位乳房護理對產後婦女乳房腫脹成效評估

The Effects of Breast Care Positioning on Breast Engorgement

本研究目的在探討比較不同姿位對於產後乳房腫脹處置之成效。研究對象為中部某醫學中心產後乳房腫脹之婦女共60名，採類實驗研究設計，以隨機分派法將婦女分派至平躺組或半坐臥組各30名，並由研究員進行乳房護理，每次執行時間約90分鐘，在乳房護理介入前後使用『脹奶症狀自覺評量表』，進行前測與後測之感受調查。研究結果顯示兩組婦女，在介入措施前基本資料無統計上顯著差異。在介入乳房護理措施後，兩組均可減輕脹奶症狀(疼痛、腫脹、發熱，及不適程度)，但平躺組比半坐臥組更能減輕脹奶症狀（t=-3.135,p<.01）。研究建議臨床上護理人員運用平躺姿勢執行乳房護理，可減輕乳房疼痛、腫脹、發熱與不適程度，並促進早期成功母乳哺餵。

The purpose of this study was to compare the effect of two positions-one with semi-fowler's　position and the other with supine position in the treatment of breast engorgement. This was a quasiexperimental　study conducted in the postpartum ward of a medical center in central Taiwan. The study recruited 60 mothers; 30 in the supine position group and 30 in the semi-fowler's position group. The semi-fowler's position group and the supine position group received breast care about 90minutes for relieving breast engorgement. The pre-and post breast engorgement scale which includes experience of breast pain, engorgement, hotness and discomfort were recorded. The data were analyzed using descriptive and inferential statistical methods and using the statistical software SPSS 18.0 version. Study results showed no statistical differences between the two groups at baseline. The subjective experience of breast pain, engorgement, hotness and discomfort were statistically different between the two groups at 90 minutes after intervention, whereas the supine position group was found to be more effective than the semi-fowler's position group in relieving engorgement. The findings provided empirical evidence supporting that supine position may be used as an effective position in the management of breast engorgement. By using breast care, nurses can handle breast engorgement problems more effectively in primary care and hence, promote women to success in breast feeding.