بررسی و مقایسه تأثیر روغن شتر مرغ و شیر مادر بر بهبود شقاق پستان در زنان شیرده نخست‌زا

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی ، دانشگاه علوم پزشکی شهید بهشتی ، تهران ، ایران

2 استاد گروه فارماکوگنوزی، مرکز تحقیقات علوم دارویی، دانشکده داروسازی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استادیار گروه آمار زیستی و اپیدمیولوژی، مرکز تحقیقات بهداشت تغذیه، دانشکده بهداشت و تغذیه، دانشگاه علوم پزشکی لرستان، خرم‌آباد، ایران.

4 استادیار گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: شقاق پستان، یک اختلال در دوران شیردهی است که سبب عدم شیردهی موفق می‌شود. نظر به شیوع بالای آن و با توجه به خاصیت ضد التهابی روغن شتر مرغ، مطالعه حاضر با هدف مقایسه تأثیر روغن شترمرغ و شیر مادر بر بهبود شقاق پستان در زنان شیرده نخست‌زا انجام گرفت.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1402-1401 بر روی 106 زن شیرده نخست‌زا انجام شد. افراد به دو گروه 53 نفره روغن شترمرغ و شیر مادر تقسیم شدند و پس از آموزش روش صحیح شیردهی، درمان را 3 بار در روز و به‌مدت یک هفته ادامه دادند. در گروه مداخله، زنان شیرده، نوک پستان و هاله‌ اطراف آن را با روغن شترمرغ و در گروه کنترل با شیر خود، به‌مدت یک هفته متوالی می­پوشاندند. شدت درد و نمره شقاق نوک پستان بر اساس معیار آنالوگ بینایی و مقیاس استور توسط پژوهشگر بررسی و ثبت شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 25) و آزمون­ های تی مستقل، تی زوجی، کای دو، آزمون آنالیز واریانس با داده­ های تکراری و آزمون دقیق فیشر انجام شد. میزان p کمتر از 05/0 معنادار در نظر گرفته شد.
یافته ­ها: میانگین درد نوک پستان قبل از مداخله در دو گروه معنادار نبود (659/0=p)، ولی بین دو گروه در روزهای 7 و 10 پس از زایمان از نظر آماری اختلاف معناداری وجود داشت (001/0p<). میزان شدت آسیب نوک پستان قبل و پس از مداخله در دو گروه تفاوت معناداری داشت (001/0p<)؛ به‌طوری‌که شدت آسیب در گروه روغن شترمرغ قبل از مداخله بیشتر و در طی 7 روز درمان کمتر بود.
نتیجه ­گیری: روغن شترمرغ باعث بهبود شقاق پستان و کاهش درد نوک پستان می­ گردد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

The effect of ostrich oil and breast milk on healing of breast fissures in lactating primiparous women

نویسندگان [English]

  • Masumeh Koushki 1
  • Faraz Mojab 2
  • Rasool mohammadi 3
  • Seideh Hanieh Alamolhoda 4
1 M.Sc. Student of midwifery, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Professor, Department of Pharmacognosy, Pharmaceutical Sciences Research Center, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Assistant Professor, Department of Biostatistics and Epidemiology, Nutritional Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran.
4 Assistant Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Breast fissure is a disorder during breastfeeding that causes the lack of successful breastfeeding. Considering its high prevalence and due to the anti-inflammatory properties of ostrich oil, this study was conducted with aim to compare the effect of ostrich oil and breast milk on the improvement of breast fissures in lactating primiparous women.
Methods: This clinical trial study was conducted on 106 lactating primiparous women in 2022-2023. Mothers were divided into two groups of ostrich oil and breast milk (n=53 in each group). After teaching the correct method of breastfeeding, they continued the treatment 3 times a day for one week. In the intervention group, lactating women covered the nipple and the surrounding area with ostrich oil, and in the control group with their breast milk, for one consecutive week. The intensity of pain and nipple fissure score were recorded by the researcher based on the quality of visual analogue and the result of Store. Data analysis was done using SPSS statistical software (version 25) and independent t-test, paired t-test, chi-square, analysis of variance with repeated data and Fisher's exact tests. P<0.05 was considered statistically significant.
Results: The mean nipple pain before the intervention was not significant in the two groups (p=0.659), but there was a statistically significant difference between the two groups on the 7th and 10th days after delivery (p<0.001). There was a significant difference in the severity of nipple damage before and after the intervention in the two groups (p<0.001); So that the severity of damage in the ostrich oil group was higher before the intervention and less during the 7 days of treatment.
Conclusion: Ostrich oil improves breast fissures and reduces nipple pain.

کلیدواژه‌ها [English]

  • Breast fissures
  • Ostrich oil
  • Mother's milk
  •  Store scale
  • Visual analogue scale

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مجله زنان، مامایی و نازایی ایران
دوره 27، شماره 2
اردیبهشت 1403
صفحه 47-59

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