新生兒乳頭混淆之槪念分析

Nipple Confusion of Neonates: A Concept Analysis

10.6142/VGHN.22.4.409

黃雅儀(Ya-Yi Huang)；李絳桃(Jian-Tao Lee)

乳頭混淆 ； 概念分析 ； 新生兒 ； nipple confusion ； concept analysis ； neonate

榮總護理

22卷4期（2005 / 12 / 01）

409 - 414

繁體中文

乳頭混淆在護理上的意義仍模糊不清，其鑑定性特徵未被清楚的定義，然而，乳頭混淆這個概念已被廣爲應用於母乳哺餵的領域，爲了促使乳頭混淆的概念更加精煉、清楚，本文依據Walker和Avant(2004)所提出的步驟針對「乳頭混淆」進行概念分析，結果發現乳頭混淆的鑑定性特徵包括：（一交）替使用兩種以上乳頭型式的餵食方式、（二）哺乳時的嬰兒吸吮型態；（三）哺乳時的嬰兒吸吮行爲。期待藉由釐清乳頭混淆之概念、鑑定性特徵、相關之前因後果及實證工具，促進護理人員對此概念的了解，進而更具體正確的將這些資訊運用在護理領域中。

The meanings of nipple confusion in the nursing field used to be unclear, and the defining attributes were not well identified, however, this concept was applied to promote breastfeeding. Physicians recommended postpartum women to avoid using artificial pacifiers to prevent nipple confusion. This article practiced concept analysis based on the steps developed by Walker and Avant in 2004, and got conclusions. The defining attributes of nipple confusion were recorded as follows: (1)A newborn infant who alternates between the maternal nipple and an artificial one; (2)A newborn infant's sucking pattern during breastfeeding; (3)A newborn infant's sucking behavior during breastfeeding. The article can help the physicians understand the concept of nipple confusion, and apply the information to reduce the negative effects from nipple confusion.