Construction and application of evidence-based practice program for breast pain management in postpartum women

PENG Heqi; WANG Peihong; PU Li; DING Lu; HU Xia; WANG Huanhuan; ZHANG Wen; CHENG Xiangwei

doi:10.12102/j.issn.1009-6493.2025.24.006

Abstract：Objective:To construct an evidence-based practice program for breast pain management in postpartum women based on symptom management theory,and to evaluate its effect.Methods:Based on the knowledge transfer analys framework(KTA),the study selected the evidence-based practice site.The research team introduced the evidence summary of postpartum breast pain management into the scenarios of clinical practice through stakeholder meetings and screened out the best evidence suitable for clinical use.The evidence-based team formed the initial draft of the plan based on the best evidence and in combination with symptom management theory.The initial draft of the plan was evaluated through the expert meeting method.The final draft of the postpartum breast pain management plan for parturients was constructed.By using the convenience sampling method,the obstetric parturients in a tertiary grade A hospital in Wuhan city were selected as the research subjects.From October 1st to October 30th,2024,a total of 33 parturients who met the inclusion criteria were included in the control group and were given a conventional pain management program.A total of 33 parturients who met the inclusion criteria from December 1st to December 30th,2024 were selected as the evidence-based practice group.The optimized pain management program was implemented.The scores of postpartum breast pain management knowledge,Numerical Rating Scale(NRS)scores of breast pain 72 hours postpartum,the degree of breast swelling and the grade of nipple injury were compared between the two groups of parturients.Results:The postpartum breast pain management and nursing goals based on SMT included effective assessment,effective cognitive intervention,safe and effective behavioral intervention,effective psychological intervention,and continuous quality evaluation.After evidence-based practice,the scores of evidence-based nursing ability of nursing staff,postpartum breast pain management knowledge,and the implementation rates of various review indicators all increased.The scores of postpartum breast pain management knowledge,NRS score of breast pain 72 hours after delivery,degree of breast swelling and classification of nipple injury in the evidence-based practice group were better than those in the control group(all P<0.05).Conclusions:The evidence-based practice program for breast pain management in postpartum women could help to improve the level of postpartum breast pain in parturients and to promote their recovery.