Testing Orem's self-care deficit theory--dependent care agency for duration of breast-feeding

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Abstract

Aims : The purpose of this study was to test of Orem's theory of self-care deficit. Specifically, limiting factors influencing the duration of breast-feeding were analyzed with Orem model to clarify the ability needed by a mother for continuing breast-feeding.Background : The mean incidence of mothers with breast-feeding, mixtrophic breast-feeding or bottled milk is 52.6%, 43.2%, and 4.8%, respectively until one month after birth. However, the incidence of mothers with breast-feeding decreases to 46.2% just one month after birth. Although midwives instruct the importance of breast-feeding and promote breast-feeding by using various kinds of empirical care, there is not the standardized care with a high effect for continuation of breastfeeding.Method : descriptive study.Design Methodology : One hundred thirty-three mothers who delivered their babies in the University Hospital were included in this research. The hospital experienced around 400 birth in a year. Sixty-nine mothers of them fed a baby with breast milk (the breast-feeding group). The other mothers fed a baby with bottled milk or with bottled milk and breast milk (the mixed group).Results : According to Orem model, comments obtained by interviews were categorized, and we found 3 factors impairing continuation of breast-feeding, "crying of a child", "inappropriate advice" and "previous experience". The limiting factors were related to each other, and inexperience of a life with a baby, the time-consuming life without composure, and unskilled responses to the shortage of milk enhanced restriction of adaptability caused by a difference between an imagined baby and a real baby.Conclusions:This study support's Orem's model. Factors influencing the duration of breast-feeding were clarifyed by Orem's limitaitions factors.

Journal

  • JNI

    JNI 1(1), 34-43, 2003-03

    徳島大学医学部

Codes

  • NII Article ID (NAID)
    120006583521
  • NII NACSIS-CAT ID (NCID)
    AA11937122
  • Text Lang
    ENG
  • Article Type
    journal article
  • Journal Type
    大学紀要
  • ISSN
    13483722
  • NDL Article ID
    6745950
  • NDL Source Classification
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z74-D735
  • Data Source
    NDL  IR 
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