产后妇女乳房疼痛管理循证实践方案的构建与应用

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AbstractObjective：Toconstructanevidence-based practiceprogram forbreast pain managementinpostpartum omenbasedon symptommanagementtheory，ndtoevauateitsefect.Methods：Basedontheknowledgetransferanalysframework（KTA），thestudy selectedthe evidence-based practicesite.Theresearchteamintroducedthe evidencesummaryofpostpartum breastpain managementinto thescenariosofclinicalpracticethroughstakeoldermetingsandscreenedoutthebestevidencesuitableforclinicaluse.Theevidence basedteamformedtheinitialdraftoftheplanbasedonthebestevidenceandincombinationwithsymptommanagementtheory.The initialraftoftheplanwasevaluatedthroughtheexpertmeetingmethod.Thefinaldraftofthepostpartumbreastpainmanagementplan forparturientsasconstructedByusingtheconveniencesamplingmethod，theobstetricparturientsinatertiarygradeAhospitalin Wuhancitywereselectedastheresearch subjects.FromOctoberlsttoOctober 3Oth，2024，atotalof33parturientswhometthe inclusioncriteriawereincludedinthecontrolgroupandweregivenaconventionalpainmanagementprogram.Atotalof33parturients who met theinclusioncriteria fromDecember1sttoDecember3Oth，2024were selectedastheevidence-based practicegroup.The optimized painmanagementprogram wasimplemented.Thescoresofpostpartumbreastpain managementknowledge，NumericalRating Scale（NRS）scoresof breastpain72 hours postpartum，thedegreeofbreast swellngandthe gradeof nipple injury werecompared between thetwo groups ofparturients.Results：The postpartumbreast pain managementand nursinggoals based on SMTincluded effectiveestiieedale continuousqualityevaluation.Afterevidence-basedpractice，thescoresofevidencebasedursingabilityofnursingstaffostpartum breastpainmanagementknowledge，andtheimplementationratesofvariousreviewindicatorsalincreased.Thecoresofpostpartum breastpainmanagementknowledge，NRSscoreofbreastpain72oursaftedeliverydegreeofbreastswelingandclasificationof nipple injury in the evidence-based practice group were better than those in the control group（all P<0.05 ）.Conclusions：The evidencebasedpracticeprogramforbreastpain managementinpostpartum womencouldhelptoimprove thelevelofpostpartum breastpain in parturients and to promote their recovery.

Keywords symptom management theory; postpartum woman; breast pain; evidence-based nursing

摘要目的：基于症状管理理论（SMT）构建产后妇女乳房疼痛管理循证实践方案，并评价其效果。（剩余12578字）