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关于母乳喂养建立的护理结果的概念性和操作性定义。

Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment.

作者信息

Emidio Suellen Cristina Dias, Dias Flávia de Souza Barbosa, Moorhead Sue, Deberg Jennifer, Oliveira-Kumakura Ana Railka de Souza, Carmona Elenice Valentim

机构信息

Universidade Estadual de Campinas, Faculdade de Enfermagem, Campinas, SP, Brazil.

Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Grant # 38P-4842/2018, Brazil.

出版信息

Rev Lat Am Enfermagem. 2020 Apr 17;28:e3259. doi: 10.1590/1518-8345.3007.3259. eCollection 2020.

DOI:10.1590/1518-8345.3007.3259
PMID:32321045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7164926/
Abstract

OBJECTIVE

to construct conceptual and operational definitions of Nursing Outcomes "Breastfeeding establishment: infant (1000)" and "Breastfeeding establishment: maternal (1001)".

METHOD

integrative literature review in the following databases: PUBMED (United States National Library of Medicine); LILACS (Latin American and Caribbean Health Sciences Literature); CINAHL (Cumulative Index to Nursing and Allied Health Literature); SciVerse SCOPUS; Web of Science; BDENF (Brazilian Nursing Database) and EMBASE (Excerpta Medica Database). The gray literature was explored to elucidate topics not covered by the articles. Of 3242 articles, 96 were selected to be read in full, and 43 were used for constructing the definitions. Five theses, three dissertations, three books and two manuals were selected.

RESULTS

all the results were reviewed. The definitions facilitated the improvement of the content proposed by the Nursing Outcomes Classification, favoring its application in clinical practice and supporting the development of research and teaching.

CONCLUSION

it was proposed to change the definition of the two outcomes, as well as to change the title of one of them to "Breastfeeding establishment: newborn & infant" (1000), modifying seven of its indicators and excluding one. For the outcome related to the mother, it was proposed to modify two indicators and exclude one.

摘要

目的

构建护理结局“母乳喂养成功:婴儿(1000)”和“母乳喂养成功:母亲(1001)”的概念性定义和操作性定义。

方法

在以下数据库进行综合文献综述:PUBMED(美国国立医学图书馆);LILACS(拉丁美洲和加勒比卫生科学文献);CINAHL(护理学与健康相关学科累积索引);SciVerse SCOPUS;科学网;BDENF(巴西护理数据库)和EMBASE(医学文摘数据库)。对灰色文献进行探索,以阐明文章未涵盖的主题。在3242篇文章中,挑选出96篇进行全文阅读,43篇用于构建定义。选择了5篇论文、3篇学位论文、3本书和2本手册。

结果

对所有结果进行了综述。这些定义有助于改进护理结局分类所提出的内容,有利于其在临床实践中的应用,并支持研究和教学的开展。

结论

建议改变这两个结局的定义,以及将其中一个结局的标题改为“母乳喂养成功:新生儿及婴儿”(1000),修改其7项指标并删除1项。对于与母亲相关的结局,建议修改2项指标并删除1项。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1482/7164926/7589673ec08a/0104-1169-rlae-28-e3259-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1482/7164926/7589673ec08a/0104-1169-rlae-28-e3259-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1482/7164926/7589673ec08a/0104-1169-rlae-28-e3259-gf01.jpg

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本文引用的文献

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Effects of an educational technology on self-efficacy for breastfeeding and practice of exclusive breastfeeding.一种教育技术对母乳喂养自我效能及纯母乳喂养实践的影响。
Rev Esc Enferm USP. 2018 Jun 11;52:e03329. doi: 10.1590/S1980-220X2017031803329.
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Conceptual and operational definitions of the components of the nursing diagnosis Acute Pain (00132).护理诊断“急性疼痛(00132)”各组成部分的概念性定义和操作性定义。
Rev Lat Am Enfermagem. 2017 Dec 21;25:e2973. doi: 10.1590/1518-8345.2330.2973.
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INITIAL BREASTFEEDING DIFFICULTIES AND ASSOCIATION WITH BREAST DISORDERS AMONG POSTPARTUM WOMEN.
产后女性的初始母乳喂养困难及其与乳腺疾病的关联
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The Role of Social-Cognitive and Emotional Factors on Exclusive Breastfeeding Duration.社会认知和情感因素对纯母乳喂养持续时间的作用。
J Hum Lact. 2017 Aug;33(3):606-613. doi: 10.1177/0890334417708187. Epub 2017 Jun 11.
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Perception of Not Having Enough Milk and Actual Milk Production of First-Time Breastfeeding Mothers: Is There a Difference?初产妇对母乳不足的认知与实际产奶量:是否存在差异?
Breastfeed Med. 2017 May;12:210-217. doi: 10.1089/bfm.2016.0183. Epub 2017 Mar 22.
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Factors Influencing the Breastfeeding Practices of Young Mothers Living in a Maternity Shelter: A Qualitative Study.影响居住在产妇庇护所的年轻母亲母乳喂养行为的因素:一项定性研究
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"Breastfeeding" without baby: A longitudinal, qualitative investigation of how mothers perceive, feel about, and practice human milk expression.无婴儿情况下的“母乳喂养”:关于母亲如何看待、感受及进行母乳挤出的纵向定性研究
Matern Child Nutr. 2017 Jul;13(3). doi: 10.1111/mcn.12426. Epub 2017 Jan 12.
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Complementary Feeding: Review of Recommendations, Feeding Practices, and Adequacy of Homemade Complementary Food Preparations in Developing Countries - Lessons from Ethiopia.辅食喂养:发展中国家辅食添加建议、喂养实践及自制辅食充足性综述——来自埃塞俄比亚的经验教训
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Matern Child Nutr. 2017 Jul;13(3). doi: 10.1111/mcn.12337. Epub 2016 Jul 27.
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