Attitudes and Education of Pediatric House Staff Concerning Breast-Feeding
Attitudes and Education of Pediatric House Staff Concerning Breast-Feeding
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儿科医院工作人员对母乳喂养的态度和教育
DOI：
10.1097/00007611-199205000-00006
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发表时间：
1992
影响因子：
1.1
通讯作者：
J. Fraley
中科院分区：
文献类型：
--
作者：
G. Freed;T. Jones;J. Fraley
儿科医生应该为孕妇和哺乳期母亲提供有关母乳喂养的信息和建议，但儿科住院医师的教育经验可能无法为他们承担这一责任做好充分准备。为了检查儿科住院医师在住院期间获得的母乳喂养知识和信心，在一个大型的医院培训项目中对儿科住院医师进行了一项调查。在108名计划居民中，有87名（81%）参与。41%的受访者是研究生一级（PL-I），29%是PL-II，30%是PL-III。没有证据表明，PL-III居民更有能力或舒适的常规母乳喂养咨询或干预比他们的PL-I同行。母乳喂养的居民，那些有母乳喂养的配偶的居民，以及那些有自己孩子的居民在几个领域拥有最大的知识和信心基础，例如他们教授母乳喂养技术和治疗乳头破裂的能力。他们也更熟悉不同类型的吸乳器。在儿童时期接受或未接受母乳喂养的人之间以及男女之间没有显著差异。住院医师计划必须提供全面的母乳喂养教育，为未来的儿科医生做好准备，以满足患者及其父母的需求。
Pediatricians are expected to offer information and advice on breast-feeding to expectant and lactating mothers, but the educational experience for pediatric residents may not adequately prepare them for this responsibility. To examine knowledge and confidence regarding breast-feeding gained by pediatric house staff during their residency, a survey was administered to pediatric residents in a large, hospital-based training program. Of 108 program residents, 87 (81%) participated. Forty-one percent of the respondents were postgraduate level I (PL-I), 29% were PL-II, and 30% were PL-III. There was no evidence that PL-III residents were more competent or comfortable with routine breast-feeding counseling or intervention than their PL-I counterparts. Residents who had breast-fed, those with spouses who had breast-fed, and those with children of their own had the greatest knowledge and confidence base in several areas, such as their ability to teach breast-feeding techniques and to treat cracked nipples. They were also more familiar with different types of breastpumps. There were no significant differences among those who were or were not breast-fed as a child nor among men versus women. Residency programs must provide comprehensive education on breast-feeding to prepare future pediatricians to meet the needs of patients and their parents.