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目的：探讨循证实践在提高与母乳喂养相关的乳头疼痛或损伤管理中的临床应用效果，促进临床护理质量持续改进。方法：选取2015年3月至2015年7月在我科生产的230例产妇，将其随机分成实验组和对照组，对照组产妇采用传统的基础护理工作进行产后的护理；观察组在对照组的基础上，进行相关的循证实践工作，产前使用母乳喂养相关乳头疼痛或损伤知识问卷调查表，了解产妇对相关知识的掌握水平，根据存在问题进行循证，并将循证结果应用于临床护理中，包括成立循证护理小组、提出循证问题、获取循证支持、制定护理计划、实施护理计划等。产妇出院前应用视觉模拟量表（VAS）进行问卷调查。对两组产妇乳头疼痛及乳头损伤情况进行比较。结果：本次研究结果表明，对照组115例产妇中67例患者是轻度疼痛，37例产妇为中度疼痛，11例产妇为重度疼痛；对照组115例产妇中104例为轻度疼痛，7例产妇为中度疼痛，4例产妇为重度疼痛，两组不同疼痛程度产妇数比较结果显示，P<0.05，差异具有显著统计学意义。比较两组患者乳头损伤情况，P<0.05差异具有显著统计学意义。结论：应用询证实践，可以有效的减少产妇母乳喂养过程中发生乳头疼痛等情况。临床可以推广使用。
OBJECTIVE: To explore the clinical application of evidence-based practice in improving breast nipple-related pain or injury management and to improve the quality of clinical care. Methods: From March 2015 to July 2015 in our department produced 230 cases of mothers, were randomly divided into experimental group and control group, the control group of mothers using traditional basic nursing postpartum care; observation group in the control group Based on the relevant evidence-based practice, prenatal use of breast-feeding nipple pain or injury knowledge questionnaire to understand maternal understanding of the relevant knowledge level, evidence-based on the existence of evidence, and the evidence-based results applied to Clinical Nursing, including the establishment of evidence-based care team, presented evidence-based questions, access to evidence-based support, the development of nursing plans, the implementation of nursing plans. Maternal discharge before application of visual analog scale (VAS) questionnaire. The two groups of maternal nipple pain and nipple injury were compared. Results: The results of this study showed that 67 of the 115 maternal women in the control group had mild pain, 37 maternal moderate pain, 11 maternal severe pain; 104 of 115 maternal women in the control group were mild pain, Seven cases of maternal moderate pain, 4 cases of maternal severe pain, the two groups of different pain levels maternal comparison results showed that P & lt; 0.05, the difference was statistically significant. Compared the nipple injury between the two groups, the P & lt; 0.05 difference was statistically significant. Conclusion: The application of inquiry practice can effectively reduce the incidence of nipple pain during breastfeeding. Clinical can promote the use of.