تأثیر درمان احتقان پستان با کمپرس گرم زنجبیل بر خودکارآمدی شیردهی

نوع مقاله: اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استاد گروه آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: خودکارآمدی شیردهی می‌تواند قوی‌ترین پیشگویی کننده کیفیت و طول مدت تغذیه با شیر مادر باشد. مطالعه حاضر با هدف تعیین تأثیر درمان احتقان پستان با کمپرس گرم زنجبیل بر خودکارآمدی شیردهی انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1397 بر روی 76 زن شیرده مبتلا به احتقان پستان در مشهد انجام شد. افراد به‌صورت تصادفی در دو گروه کمپرس گرم زنجبیل و مراقبت­های مرسوم تخصیص یافتند. مادران گروه مداخله، تحت درمان با کمپرس گرم زنجبیل، 3 بار در روز به مدت 2 روز قرار گرفتند.ابزار پژوهش، شاخص استاندارد شدت احتقان پستان، پرسشنامه استاندارد خودکارآمدی شیردهی دنیس و فرم مشخصات دموگرافیک بود. تجزیه و تحلیل داده­ها با استفاده از نرم‌افزار آماری SPSS (نسخه 22) و آزمون­های من‌ویتنی، تی‌مستقل، کای دو و تحلیل واریانس انجام گرفت. میزان pکمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: قبل از مداخله بین دو گروه از نظر متوسط نمرات خودکارآمدی اختلاف آماری معنی‌داری وجود نداشت (320/0=p). بعد از انجام مداخله، متوسط نمره خودکارآمدی در گروه مداخله به‌طور معنی‌داری بیشتر از گروه کنترل بود (001/0p<).
نتیجه‌گیری: استفاده از کمپرس گرم زنجبیل سبب بهبود سریع‌تر علائم احتقان پستان و به‌دنبال آن افزایش معنی‌دار نمره خودکارآمدی شیردهی نسبت به مراقبت‌های مرسوم می­گردد.

کلیدواژه‌ها


عنوان مقاله [English]

The Effect of Ginger (Zingiber officinale) compression for treatment of Breast Engorgement on Lactation Self-efficacy

نویسندگان [English]

  • Maryam Monazzami 1
  • Sedigheh Yousefzadeh 2
  • Malihe Afiat 3
  • Habibollah Esmaeili 4
1 M.Sc. Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Professor, Department of Biostatistics, School of Public Health, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Lactation self-efficacy can be the strongest predictor of quality and duration of breastfeeding. This study was performed with aim to determine the effect of Ginger compression for treatment of breast engorgement on lactation self-efficacy.
Methods: This clinical trial study was performed in 2018 on 76 lactating women with breast engorgement in Mashhad. The subjects were randomly assigned to two groups of Ginger warm compression and conventional care. The mothers of intervention group were treated with Ginger compression, three times daily for two days. The study tools included standard index of breast engorgement severity, standard dentist's self-efficacy questionnaire and demographic characteristics form. Data were analyzed by SPSS software (version 22) and Mann-Whitney, independent T-test, Chi-square and variance analysis. P Results: There was no significant difference between two groups in mean scores of self-efficacy before the intervention (p = 0.320). After the intervention, mean score of self-efficacy was significantly higher in the intervention group than the control group (p <0.001).
Conclusion: Ginger compression faster improves the symptoms of breast engorgement and consequently, significantly increases lactation self-efficacy score compared to conventional care.

کلیدواژه‌ها [English]

  • breast engorgement
  • ginger
  • Lactation Self-efficacy
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