Yang Huyn Joo, Seo Ji Min
College of Nursing, Pusan National University, Korea.
Korean J Women Health Nurs. 2011 Dec;17(4):317-327. doi: 10.4069/kjwhn.2011.17.4.317.
This study was conducted to analyze and clarify the concept of the effective breastfeeding.
This study used Walker and Avant's process of concept analysis.
Effective breastfeeding is how to give infant adequate milk, which fulfills needs of mother and infant, from her breast so that they can be satisfied with the process and results. It included the effective breastfeeding properties as follows: feeding behaviors (positioning, latch on, and suckling), transferring a breast milk to an infant, mother-infant interaction, and satisfying their desires (satisfaction, comfort, mother's self-confidence, infant's adequate weight gain and defecation, adequate breastfeeding interval). The antecedent of effective breastfeeding were anatomical and functional normal breast, breastfeeding knowledge and steady-state of mother, and feeding desire, rooting reflex and normal oral cavity of infant. The consequences of effective breastfeeding were exclusive breastfeeding, infant and maternal health and wellbeing, and achievement of mother and infant attachment.
The meaning of effective breastfeeding defined in this study will contribute to develop the effectiveness breastfeeding assessment tool and the nursing intervention for ineffective breastfeeding.
本研究旨在分析并阐明有效母乳喂养的概念。
本研究采用了沃克和阿凡特的概念分析方法。
有效母乳喂养是指如何从母亲乳房为婴儿提供充足的乳汁，以满足母婴双方的需求，使他们对这个过程及结果感到满意。它包括以下有效母乳喂养的特性：喂养行为（姿势、含接和吸吮）、将母乳传输给婴儿、母婴互动以及满足他们的需求（满足感、舒适度、母亲的自信心、婴儿体重适当增加和排便正常、母乳喂养间隔适当）。有效母乳喂养的前提是乳房解剖结构和功能正常、母亲具备母乳喂养知识且状态稳定，以及婴儿有觅食反射和口腔正常且有喂养欲望。有效母乳喂养的结果是纯母乳喂养、母婴健康和幸福以及母婴依恋的达成。
本研究中定义的有效母乳喂养的意义将有助于开发有效母乳喂养评估工具以及针对无效母乳喂养的护理干预措施。
