Pender's Health Promotion Model Summary

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Therefore, this study can be explained by conceptual framework of Pender’s Health Promotion Model according to these manipulate concepts as follows:
1. Perceived benefits of action: if the mothers know the advantages of breast milk for both preterm infants and themselves, they will make a decision to breast feed. And they will feelings less anxiety and depression which is a broad spectrum of feeling after a preterm delivery. When compared with bottle-feeding they will have more positive emotions and reduced stress level after breastfeeding (Black, 2012). And if the mothers can pass through these difficulties, they will get a lot of benefits. Therefore, breastfeeding promotion program will put an educational sessions within 72 hours after birth
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There are many barriers affect to successful exclusive breastfeeding such as preterm infants, breastfeeding difficulty due to ineffective sucking that can decrease milk production and lead to the limit of milk supply to the preterm infant and could intervene the successful breastfeeding. Moreover, prolong hospitalization results in more mother–infant separation that reduce the opportunity of breastfeeding. (Nagulesapillai et al., 2013). The other factors include painful nipples, cracked nipples, breast engorgements, leaking milk, mastitis and breast abscess are also make breastfeeding problems (Cooke, Sheehan, & Schmied, 2003; Labarere et al., 2012). All of above are barriers which come from both mother and infant and can occur at any time during breastfeeding. If they cannot solved these problems, they will be interrupted the intention to exclusive breastfeeding. Therefore, the breastfeeding promotion program will provide methods to overcome these barriers include breast milk expression encourage, kangaroo mother care, oral stimulation for preterm …show more content…
In addition, positive feeling lead to maternal satisfaction in breastfeeding is also increases the mothers’ self-efficacy. Moreover promotes a relationship with between infants and mother and promotes family members involvement in the program will lead to the success in 6 months exclusive breastfeeding. The researcher believes that this program will help mothers of preterm infants to receive the appropriate knowledge and information in breastfeeding and have greater confidence and motivation which leads to the development in capabilities and changing health behavior to successful exclusive breastfeeding. Furthermore, it also helps increase the rate of exclusive breastfeeding resulting to good benefits to preterm infant. The conceptual framework is shown in Figure 2.
Research question Does the comprehensive breastfeeding promotion program affect the rate of exclusive breastfeeding in preterm infants?
Objective
To investigate the effect of comprehensive breastfeeding promotion program on exclusive breastfeeding in preterm infants.
Hypothesis
The rate of exclusive breastfeeding after birth in the experimental group is higher than the control

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