背心式乳房敷药文胸的设计及应用  

Design and application of a special bra for vest-type breast dressing

作　　者：刘丹[1] 郑露 叶淑华[1] 唐蝶 罗莉 赖米林[1] 张婧嫣 Liu Dan;Zheng Lu;Ye Shuhua;Tang Die;Luo Li;Lai Miin;Zhang Jingyan(Department of Breast,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510000,China)

机构地区：[1]广东省中医院乳腺科,广州510000

出　　处：《中国实用护理杂志》2025年第13期987-992,共6页Chinese Journal of Practical Nursing

基　　金：广东省中医药局科研项目(20221181);广东省中医院第十三届朝阳人才(临床型)课题(ZY2022YL10);广东省中医院中医药科学技术研究专项资助(YN2022HL05)。

摘　　要：目的设计一款背心式乳房敷药文胸并探讨其在肉芽肿性小叶性乳腺炎(CLM)患者中药外敷疗法中的应用效果。方法采取随机对照研究方法,以便利抽样法选取2023年1一5月在广东省中医院乳腺科接受首次敷药治疗的122例GLM女性患者为研究对象,使用随机数字表法将患者分为对照组和观察组,每组61例。对照组患者敷药后使用自行购买的前拉链式运动文胸固定药膏,观察组患者敷药后使用自行设计的背心式乳房敷药文胸固定药膏。干预3h后比较2组患者药膏脱落、药膏移位、衣物污染发生率,患者满意度及皮肤过敏反应发生率。结果2组患者均完成研究。观察组年龄(32.18±5.50)岁,对照组年龄(33.66±5.20)岁。干预3h后,观察组患者药膏脱落、药膏移位、衣物污染发生率分别为3.28%(2/61)6.56%(4/61)、8.20%(5/61),均低于对照组的18.03%(11/61)、26.23%(16/61)、67.21%(41/61),差异均有统计学意义(X=6.97、8.61、45.23,均P<0.05)。观察组患者对文胸的满意度得分为(4.43±0.85)分,高于对照组的(3.85±1.08)分,差异有统计学意义(t=3.30,P<0.05)。观察组和对照组患者皮肤过敏反应发生率分别为3.28%(2/61)和4.92%(3/61),2组比较差异无统计学意义(P>0.05)。结论背心式乳房敷药文胸能够妥善固定药膏,降低药膏脱落、药膏移位、衣物污染发生率,提高了患者满意度,为CLM患者中药外敷疗法提供便利,值得临床推广。Objective To design a vest-type breast dressing bra and explore its application effect in the external application of traditional Chinese medicine therapy for patients with granulomatous lobular mastitis(GLM).Methods A randomized controlled study was conducted,utilizing convenience sampling to select female patients with 122 GLM who underwent their first topical medication treatment in the Breast Department of Guangdong Provincial Hospital of Traditional Chinese Medicine between January and May 2023.The patients were divided into a control group and an observation group,with 61 patients in each,using a random number table.Following medication application,patients in the control group used a regular sports bra to secure the medication,while patients in the observation group used a custom-designed vest-style breast medication bra for the same purpose.Three hours after the intervention,comparisons were made between the two groups in terms of the incidence of medication detachment,medication displacement,clothing contamination,patient satisfaction,and safety.Results Both groups of patients completed the study.The age of the observation group was(32.18±5.50)years old,while the age of the control group was(33.66±5.20)years old.Three hours after the intervention,the incidence of medication detachment,medication displacement,clothing contamination in the observation group were 3.28%(2/61),6.56%(4/61),and 8.20%(5/61),which were lower than those in the control group with 18.03%(11/61),26.23%(16/61),and 67.21%(41/61),respectively.The differences were statistically significant(=6.97,8.61,45.23;all P<0.05).The satisfaction level of patients towards the bra in the observation group was(4.43±0.85)points,higher than that of the control group(3.85±1.08)points,with a statistically significant difference(t=3.30,P<0.05).The incidence rates of skin allergic reactions were 3.28%(2/61)and 4.92%(3/61)in the observation group and the control group,respectively,with no statistically significant difference(P>0.05).Conclusions The vest-

关 键 词：乳腺炎 中药外敷 文胸 清满意度 

分 类 号：R655.8[医药卫生—外科学]