سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

فلاح‌نژاد, راضیه, زرشناس, دکتر مهناز, طیبی, نعیمه, صیادی, دکتر مهراب, اکبرزاده, دکتر مرضیه. (1402). تأثیر ویزیت خانگی زودهنگام پس از زایمان توسط ماما بر مشکلات شیردهی: یک مطالعۀ کارآزمایی بالینی. , 26(3), 53-65. doi: 10.22038/ijogi.2023.22599
راضیه فلاح‌نژاد; دکتر مهناز زرشناس; نعیمه طیبی; دکتر مهراب صیادی; دکتر مرضیه اکبرزاده. "تأثیر ویزیت خانگی زودهنگام پس از زایمان توسط ماما بر مشکلات شیردهی: یک مطالعۀ کارآزمایی بالینی". , 26, 3, 1402, 53-65. doi: 10.22038/ijogi.2023.22599
فلاح‌نژاد, راضیه, زرشناس, دکتر مهناز, طیبی, نعیمه, صیادی, دکتر مهراب, اکبرزاده, دکتر مرضیه. (1402). 'تأثیر ویزیت خانگی زودهنگام پس از زایمان توسط ماما بر مشکلات شیردهی: یک مطالعۀ کارآزمایی بالینی', , 26(3), pp. 53-65. doi: 10.22038/ijogi.2023.22599
فلاح‌نژاد, راضیه, زرشناس, دکتر مهناز, طیبی, نعیمه, صیادی, دکتر مهراب, اکبرزاده, دکتر مرضیه. تأثیر ویزیت خانگی زودهنگام پس از زایمان توسط ماما بر مشکلات شیردهی: یک مطالعۀ کارآزمایی بالینی. , 1402; 26(3): 53-65. doi: 10.22038/ijogi.2023.22599

تأثیر ویزیت خانگی زودهنگام پس از زایمان توسط ماما بر مشکلات شیردهی: یک مطالعۀ کارآزمایی بالینی

مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 3، خرداد 1402، صفحه 53-65    اصل مقاله (689.58 K)
نوع مقاله: اصیل پژوهشی
شناسه دیجیتال (DOI): 10.22038/ijogi.2023.22599
نویسندگان
راضیه فلاح‌نژاد1؛ دکتر مهناز زرشناس2؛ نعیمه طیبی3؛ دکتر مهراب صیادی4؛ دکتر مرضیه اکبرزاده* 5
1کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.
2استادیار گروه مامایی، مرکز تحقیقات بهداشت روان، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.
3مربی گروه مامایی، مرکز تحقیقات بیماری‌های غیرواگیر، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی بم، بم، ایران.
4استادیار گروه آمار حیاتی، مرکز تحقیقات قلب و عروق، دانشگاه علوم پزشکی شیراز، شیراز، ایران.
5استادیار گروه مامایی، مرکز تحقیقات مادر و جنین، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.
چکیده
مقدمه: ویزیت ­های بعد از زایمان در منزل نتایج متناقضی را به همراه داشته است. یکی از چالش­ های این حوزه، اجرای آموزش مؤثر برای حمایت از مادران پس از زایمان جهت بررسی مشکلات شیردهی انحصاری است. مطالعه حاضر با هدف بررسی تأثیر ویزیت خانگی توسط ماما بر میزان مشکلات شیردهی پس از زایمان انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی در سال 1398 بر روی 100 مادر زایمان کرده در بیمارستان امام خمینی فلاورجان انجام شد. افراد به‌صورت تصادفی در دو گروه 50 نفره مداخله و کنترل قرار گرفتند. گروه کنترل مراقبت‌های روتین را از طریق مراکز بهداشتی و گروه مداخله طی 4 جلسه در منزل (در اوایل دوره پس از زایمان تا 42 روز پس از تولد) آموزش دریافت نمودند. ابزار گردآوری داده‌ها پرسشنامه دموگرافیک و مشکلات پستان بود که در منازل مادران تکمیل شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌‌افزار آماری SPSS (نسخۀ 22) و آزمون‌های تی تست مستقل و تی تست جفتی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته ­ها: فراوانی احتقان در روزهای سوم و هفتم در گروه مداخله به‌طور معناداری کمتر از گروه کنترل (05/0p<) و در روزهای 14 و 42 بین دو گروه تفاوت معناداری نداشت (05/0p>). فراوانی شقاق در روز سوم در گروه مداخله به‌طور معناداری کمتر از گروه کنترل (05/0p<) و در روزهای هفتم و چهاردهم بین دو گروه تفاوت معناداری نداشت (05/0p>)، در روز 42 در هیچ‌یک از دو گروه شقاق مشاهده نشد.
نتیجه ­گیری: مشاوره و حمایت عملی در مورد تکنیک‌های شیردهی توسط مامای آموزش دیده احتمالاً منجر به انتقال بیشتر مهارت­ ها شده و در کاهش شقاق و احتقان پستان مؤثر است.
کلیدواژه‌ها
احتقان پستان؛ شقاق نوک پستان؛ شیردهی؛ ماستیت؛ ویزیت در منزل
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