产科医护人员母乳喂养指导知信行现状及其影响因素分析  

Analysis of the current situation and influencing factors of breastfeeding guidance knowledge,attitude and practice among obstetric medical staff

作　　者：黄冬娣 高钰琳[2] 徐娜 慕容少文 HUANG Dongdi;GAO Yulin;XU Na;MURONG Shaowen(Department of Nursing,Zhaoqing Medical College,Guangdong Province,Zhaoqing526020,China;College of Nursing,Southern Medical University,Guangdong Province,Guangzhou510515,China;Department of Obstetrics,Zhaoqing First People’s Hospital,Guangdong Province,Zhaoqing526000,China)

机构地区：[1]肇庆医学高等专科学校护理系,广东肇庆526020 [2]南方医科大学护理学院,广东广州510515 [3]广东省肇庆市第一人民医院产科,广东肇庆526000

出　　处：《中国医药导报》2022年第12期51-55,共5页China Medical Herald

基　　金：广东省医学科学技术研究基金资助项目(A2019497);广东省肇庆市科技创新指导类项目(201904031347)。

摘　　要：目的了解广东省产科医护人员母乳喂养指导知信行现状及其影响因素,为提高我国母乳喂养水平提供依据。方法于2020年4月至6月采用产科医护人员母乳喂养知信行量表对广东省二级甲等以上医院256名产科医护人员进行调查。结果本调查共回收问卷260份,有效问卷256份,有效回收率为98.4%。不同职称、产科工作年限、母乳喂养持续时间及爱婴医院知信行得分比较,差异有统计学意义(P<0.05)。产科医护人员母乳喂养指导知识得分(52.43±6.81)分;态度得分(41.28±5.15)分;行为得分(40.73±5.39)分。多重线性回归分析显示,职称、产科工作年限、爱婴医院是影响知识得分的主要因素(P<0.05);产科工作年限、母乳喂养持续时间是影响态度得分的主要因素(P<0.05);影响行为得分的主要因素为爱婴医院及母乳喂养持续时间(P<0.05)。结论产科医护人员母乳喂养指导知信行处于中等水平,应进一步加强对产科医护人员的母乳喂养培训,制订切实可行的母乳喂养指导方案,以提高我国的纯母乳喂养率,促进母婴健康。Objective To understand the current situation and influencing factors of breastfeeding guidance knowledge,attitude,and practice among obstetric medical staff in Guangdong Province,and to provide a basis for improving the level of breastfeeding in China.Methods From April to June 2020,a survey of 256 obstetric medical staff in the second-level and above hospitals in Guangdong Province was conducted using the breastfeeding knowledge,attitude,and practice scale for obstetric medical staff.Results A total of 260 questionnaires were recovered in this survey,of which 256 were valid,with an effective recovery rate of 98.4%.There were statistically significant differences in the scores of knowledge,attitude,and practice among different professional titles,working years in obstetrics,duration of breastfeeding,in baby-friendly hospital(P<0.05).The score of breastfeeding guidance knowledge of obstetric medical staff was(52.43±6.81)points;the score of attitude was(41.28±5.15)points;the score of behavior was(40.73±5.39)points.Multiple linear regression analysis showed that professional title,years of working in obstetrics,and in baby-friendly hospital were the main factors affecting the score of knowledge(P<0.05);years of working in obstetrics and duration of breastfeeding were the main factors affecting the score of attitude(P<0.05);the main factors affecting the behavior score were in baby-friendly hospital and duration of breastfeeding(P<0.05).Conclusion The breastfeeding guidance knowledge,attitude,and practice of obstetric medical staff in obstetrics is at a moderate level.The breastfeeding training for obstetric medical staff should be further strengthened,and a practical breastfeeding guidance plan should be formulated to increase the exclusive breastfeeding rate in China and promote maternal and infant health.

关 键 词：产科 医护人员 母乳喂养 知识 态度 行为 

分 类 号：R473[医药卫生—护理学]