Summary of best evidence for breastfeeding associated nipple pain and trauma management
10.3760/cma.j.cn115682-20220801-03724
- VernacularTitle:母乳喂养相关性乳头疼痛和创伤管理的最佳证据总结
- Author:
Jin LYU
1
;
Jianhong QIAO
;
Juan LIU
;
Shujun ZHOU
;
Ruishan LIU
;
Hui WEN
;
Qingmei FAN
;
Yuxiang CHEN
Author Information
1. 山东中医药大学护理学院，济南 250355
- Keywords:
Breast feeding;
Nipples;
Pain;
Wounds and injuries;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2023;29(19):2545-2553
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and evaluate the evidence on breastfeeding associated nipple pain and trauma management both domestically and internationally, so as to provide reference for clinical practice.Methods:According to the evidence pyramid "6S", all evidence on breastfeeding associated nipple pain and trauma management, including guidelines, evidence summary, best clinical practice manual, systematic review, expert consensus, and randomized controlled trial was retrieved by computer on China National Knowledge Infrastructure (CNKI), WanFang Data, VIP, China Biomedical Literature Database, PubMed, Embase, Web of Science, Cochrane Library, Joanna Briggs Institute (JBI) in Australia, National Institute for Health and Clinical Excellence (NICE), National Guideline Clearinghouse (NGC), Scottish Intercollegiate Guidelines Network (SIGN), Registered Nurses' Association of Ontario (RNAO), medlive and other websites or databases. The retrieval period was from January 1, 2012 to June 1, 2022.Results:A total of 22 articles were included, including 5 guidelines, 3 evidence summaries, 6 systematic reviews, 1 expert consensus and 7 RCTs. 26 pieces of evidence were summarized from 6 aspects: pain assessment, education and training, non-pharmacological interventions, pharmacological interventions, self-management and precautions.Conclusions:This study summarizes the best evidence for managing breastfeeding associated nipple pain and trauma, providing evidence-based evidence for regulating breastfeeding associated nipple pain and trauma management. It is recommended that nurses comprehensively consider the clinical situation when applying evidence, selectively apply the best evidence, extend breastfeeding time, and promote maternal and infant health.
