모유수유 중재를 위한 자가유방사정 도구와 자가유방마사지 프로그램 효과 평가 = Evaluation of the Effectiveness of Self Breast Assessement Tool and Self Breast Massage Program to Intervention Breastfeeding

다국어 초록 (Multilingual Abstract)

This study is intended to develop the self-breast assessment (SBA) tool program and the self-breast massage (SBM) for pregnant women and assess their effects on breast engorgement, breast pain, and blocked ducts. This study non-synchronized non-equivalent control group pretest-posttest design to identify the related factors of the SBA tool. The experiment subjects were 62 pregnant women who expressed their intention to be admitted to the postpartum care center. The EG of this study is a group that measured SBA tool-based prenatal and postpartum breasts after conducting SBM, focusing on pregnant women who performed natural delivery and cesarean sections after 37 weeks of gestation. The CG received only SBA without experimental treatment in the same procedure as the EG. As a result the CG and EG participating in the program showed significant differences in engorgement prevention (p<.05), pain reduction (p<.001), and blocked duct separation (p<.01). In conclusion, the Self Breast Assessment(SBA) massage program was found to be effective in preventing engorgement, reducing breast pain, separates blocked breast ducts, and improving breast milk flow.

국문 초록 (Abstract)

본 연구는 임산부의 모유수유 자가유방사정 도구 개발 및 자가유방마사지 프로그램을 기반으로 유방울혈, 유방통증, 유관막힘에 미치는 효과를 평가하기 위한 연구이다. 자가유방사정 도구를 중심으로 관련 요인을 규명하기 위해 비동등성 대조군 사전-사후 시차 유사 실험 방법을 디자인하여 시도하였다. 연구대상자는 산후조리원에 입원 의사를 밝힌 임산부 62명을 대상으로 하였다. 본 연구의 실험군은 재태기간 37주 이후 자연분만 및 제왕절개를 실시한 임산부를 중심으로 자가유방마사지 실시 후 자가유방사정 도구 기반 산전·산후 유방을 측정한 집단이다. 대조군은 실험군과 동일한 절차에서 실험처치 없이 자가유방사정만 실시하였다. 그 결과 프로그램에 참여한 실험군은 대조군에 비해 유방울혈 예방(p<.05)과 유방통증 감소(p<.001), 막힌유관 분리(p<.01)에서 두 집단 변인 간 유의미한 차이가 나타나 본 프로그램이 효과적인 것으로 평가되었다. 결론적으로 자가유방마사지 프로그램이 유방울혈 예방, 유방통증 감소, 막힌유관 분리 및 모유량 증가 개선에 효과적인 것으로 나타났다.

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