Jesus Patricia Carvalho de, Oliveira Maria Inês Couto de, Moraes José Rodrigo de
Programa de Pós-Graduação em Saúde Coletiva, Instituto de Saúde Coletiva, Universidade Federal Fluminense, Rua Marquês do Paraná 303/4º andar, Prédio Anexo, Centro. 24030-210. Niterói RJ Brasil.
Departamento de Estatística, UFF. Niterói RJ Brasil.
Cien Saude Colet. 2017 Jan;22(1):311-320. doi: 10.1590/1413-81232017221.17292015.
A cross-sectional study was conducted in the 15 hospitals with over 1000 deliveries/year in Rio de Janeiro, Brazil, to verify the association between training of health professionals in breastfeeding and professional knowledge, skills and practices. Interviews were staged with 215 health professionals, 48.4% working in Baby-Friendly Hospitals, by means of a questionnaire adapted from the revalidation instrument of the initiative. The three dichotomized outcomes were subjected to bivariate and multivariate analysis. Adjusted prevalence ratios were obtained by the Poisson regression model: 48.1% of the professionals had adequate knowledge, 58.9% adequate skills and 74.9% reported adequate practice. Theoretical and practical training ≥ 18 hours considered adequate (by 65.6% of the professionals) showed a significant association with professional knowledge (aPR = 1.575), skills (aPR = 1.530) and practices (aPR = 1.312). Less working experience was associated with less knowledge (aPR = 0.723), but with better practices (aPR = 1.183). Nursing staff reported better practices than physicians (aPR = 0.808) and other categories (aPR = 0.658). The study concludes that training contributes to improved breastfeeding knowledge, skills and practices that are essential for maternal and child care.
在巴西里约热内卢每年分娩量超过1000例的15家医院开展了一项横断面研究，以验证卫生专业人员接受母乳喂养培训与专业知识、技能及实践之间的关联。通过一份改编自该倡议再验证工具的问卷，对215名卫生专业人员进行了访谈，其中48.4%在爱婴医院工作。对三个二分结果进行了双变量和多变量分析。通过泊松回归模型得出调整后的患病率比值：48.1%的专业人员具备足够的知识，58.9%具备足够的技能，74.9%报告有足够的实践。被65.6%的专业人员认为足够的理论和实践培训≥18小时，与专业知识（调整后的患病率比值 = 1.575）、技能（调整后的患病率比值 = 1.530）和实践（调整后的患病率比值 = 1.312）存在显著关联。工作经验较少与知识较少（调整后的患病率比值 = 0.723）相关，但与更好的实践（调整后的患病率比值 = 1.183）相关。护理人员报告的实践情况优于医生（调整后的患病率比值 = 0.808）和其他类别人员（调整后的患病率比值 = 0.658）。该研究得出结论，培训有助于提高母乳喂养知识、技能和实践，而这些对于母婴护理至关重要。
