摘要
目的 将与母乳喂养相关的乳头疼痛或损伤管理的循证实践应用于临床护理实践中，以质量审查促进临床护理实践的改进。方法 应用JBI临床证据应用模式，在某三级甲等医院爱婴区按照证据获取、现状审查、证据引入、效果评价4个阶段实施循证实践方案。比较循证实践方案前后护士对乳头疼痛或损伤的专业知识掌握和产妇乳头疼痛或损伤的发生率等指标。结果 通过循证实践，护士的知识、技能，产妇认识程度、母乳喂养知识、技巧有很大程度的提升，中重度乳头疼痛发生率下降至2.86%，差异有统计学意义（P＜0.05）。
关键词： 母乳喂养；乳头疼痛；乳头损伤；循证实践；持续性质量改进
Abstract
Objective: To apply evidence-based practices in the management of nipple pain or injury related to breastfeeding to clinical nursing practice, and promote the improvement of clinical nursing practice through quality review. Method: Using the JBI clinical evidence application model, an evidence-based practice plan was implemented in the baby friendly area of a tertiary A hospital in four stages: evidence acquisition, current situation review, evidence introduction, and effectiveness evaluation. Compare indicators such as nurses' professional knowledge of nipple pain or injury before and after evidence-based practice programs, and the incidence of nipple pain or injury in pregnant women. Result: Through evidence-based practice, nurses' knowledge and skills, maternal awareness, and breastfeeding knowledge and skills have greatly improved, and the incidence of moderate to severe nipple pain has decreased to 2.86%, with a statistically significant difference (P<0.05).
Key words： Breastfeeding; Nipple pain; Nipple injury; Evidence based practice; Continuous quality improvement
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