时效性激励模式联合乳房按摩在郁滞期乳痈患者疼痛改善中的应用效果  

Application of timeliness incentive mode combined with breast massage in pain improvement of patients with breast carbuncle in stagnation period

作　　者：钱红燕 余秋燕 QIAN Hong-yan;YU Qiu-yan(Intensive Care Unit,Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University,Jiaxing,Zhejiang 314000,China;不详)

机构地区：[1]浙江中医药大学附属嘉兴中医院重症监护室,浙江嘉兴314000 [2]浙江中医药大学附属嘉兴中医院护理部,浙江嘉兴314000

出　　处：《中国妇幼保健》2025年第5期782-786,共5页Maternal and Child Health Care of China

基　　金：浙江省中医药科技计划项目(2022ZB352)。

摘　　要：目的探讨时效性激励模式联合乳房按摩在郁滞期乳痈患者疼痛改善中的应用效果。方法选取2023年2月—2024年1月于浙江中医药大学附属嘉兴中医院就诊的郁滞期乳痈患者120例,随机将其分成乳房按摩组(乳房按摩干预)和时效性组(时效性激励模式联合乳房按摩干预),每组60例。比较两组患者疼痛程度、睡眠指数、舒适度、乳房相关指标及依从性。结果干预前,两组患者的疼痛程度相似(P>0.05);干预1 d、2 d、3 d后,两组患者的疼痛程度随着时间的增加而降低(P<0.05),时效性组患者的疼痛程度(4.73±1.26)分、(4.27±1.35)分、(4.02±1.36)分均低于乳房按摩组患者的疼痛程度(5.06±1.39)分、(4.69±1.37)分、(4.31±1.29)分(F组间=5.252、F时间=20.06、F组间*时间=0.347,均P<0.05)。干预前,两组患者的睡眠指数、舒适度相似(P>0.05);干预后,两组患者的睡眠指数呈下降趋势、舒适度呈上升趋势(P<0.05),时效性组患者的睡眠指数(8.05±1.36)分较乳房按摩组患者的睡眠指数(8.67±1.24)分降幅更为明显,时效性组患者的舒适度(92.68±2.75)分较乳房按摩组患者的舒适度(91.45±2.86)分上升幅度更为明显(t睡眠指数=2.609、t舒适度=2.401,均P<0.05)。干预前,两组患者的乳房相关指标相似(P>0.05);干预后,两组患者的乳房肿块减小,乳房红肿程度减轻,乳汁排出情况通畅(P<0.05),时效性组患者的乳房肿块(3.06±0.71)cm、乳房红肿程度(1.67±0.51)分及乳汁排出情况(7.72±1.45)ml均较乳房按摩组患者的乳房肿块(3.31±0.53)cm、乳房红肿程度(1.89±0.42)分及乳汁排出情况(7.09±1.63)ml改善更为明显(t乳房肿块=2.186、t乳房红肿程度=2.579、t乳汁排出情况=2.237,均P<0.05)。与乳房按摩组的依从性(83.33%)比较,时效性组患者的依从性(96.67%)更高,差异有统计学意义(χ^(2)=5.926,P<0.05)。结论时效性激励模式联合乳房按摩是一种有效且可行的郁滞期乳痈治疗方法,该Objective To explore the application of timeliness incentive mode combined with breast massage in the improvement of pain in patients with breast carbuncle in stagnation period.Methods From February 2023 to January 2024,120 patients with breast carbuncle in stagnation period were observed in Jiaxing Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University.They were randomly divided into breast massage group(breast massage intervention)and timeliness group(timeliness incentive mode combined with breast massage intervention),60 patients in each group.The pain degree,sleep index,comfort degree,breast related indexes and compliance were compared between the two groups.Results Before intervention,the pain degree of the two groups was similar(P>0.05).After 1 d,2 d and 3 d of intervention,the pain degree of the two groups decreased with the increase of time(P<0.05).The pain degree of the timeliness group(4.73±1.26)points,(4.27±1.35)points and(4.02±1.36)points were lower than those of the breast massage group(5.06±1.39)points,(4.69±1.37)points and(4.31±1.29)points(Fgroup=5.252,Ftime=20.06,Fgroup∗time=0.347,P<0.05).Before intervention,the sleep index and comfort of the two groups were similar(P>0.05).After the intervention,the sleep index of the two groups showed a downward trend and the comfort level showed an upward trend(P<0.05).The sleep index of the timeliness group(8.05±1.36)points was more obvious than that of the breast massage group(8.67±1.24)points.The comfort level of the timeliness group(92.68±2.75)points was more obvious than that of the breast massage group(91.45±2.86)points(tsleep index=2.609,tcomfort=2.401,all P<0.05).Before the intervention,the breast-related indicators of the two groups were similar(P>0.05);after intervention,the breast masses of the two groups were reduced,the degree of breast swelling was reduced,and the milk discharge was smooth(P<0.05).The breast masses(3.06±0.71)cm,the degree of breast swelling(1.67±0.51)and the milk discharge(7.72±1.

关 键 词：时效性激励模式 乳房按摩 郁滞期 乳痈 疼痛 

分 类 号：R271.44[医药卫生—中医妇科学]