Medel Marambio Laura, Benadof Dafna, Toro Huerta Carol
Escuela de Salud Pública, Universidad Mayor, Santiago, Chile. Address: José Toribio Medina 38, Santiago, Región Metropolitana, Chile. Email:
Facultad de Odontología, Universidad Andrés Bello, Santiago, Chile.
Medwave. 2017 Apr 6;17(3):e6891. doi: 10.5867/medwave.2017.03.6891.
Healthcare provider’s knowledge has been identified as a factor associated with clinical practice skills and exclusive breastfeeding prevalence.
To evaluate the level of knowledge and training in breastfeeding of healthcare provider’s that work in family healthcare centers of Maipu, Chile, (midwifes, physicians, nurses and nutritionists). To determine association among level of knowledge, profession and breastfeeding training.
Quantitative, cross-sectional, analytical study. Participants were healthcare professionals regularly participating in healthy child exams of six month old babies. We used a validated survey based on the “Ten steps for successful breastfeeding”. Statistical analyses included frequencies, percentages, measures of central tendency as well as the association among level of knowledge, profession and training in breastfeeding.
Results showed that of the total number of participants (n=78), 42.2% classified as “average”, 3.8% as “poor” and near 50% as “good” or “very good” knowledge. Nutritionists obtained the best scores in knowledge about breastfeeding with 50% of “very good”, followed by nurses and midwifes, with 39% and 35% respectively. On the other hand, most physicians obtained “good” (65.4%) and only 7.7% “very good”. Only 33% had had breastfeeding training at some point of their lives, and 6.4% had had one training session in the last year. We highlight that 34.6 to 42.3% of those who obtained “good” and “very good” scores had had breastfeeding training. Knowledge level was directly associated with breastfeeding training (p=0.033) and healthcare profession (p=0.019).
Healthcare professionals have different levels of breastfeeding knowledge. Breastfeeding training sessions significantly increase knowledge, which could improve breastfeeding prevalence.
医疗服务提供者的知识已被确定为与临床实践技能和纯母乳喂养率相关的一个因素。
评估在智利迈普家庭医疗中心工作的医疗服务提供者(助产士、医生、护士和营养师)在母乳喂养方面的知识水平和培训情况。确定知识水平、职业和母乳喂养培训之间的关联。
定量、横断面分析研究。参与者是定期参与六个月大婴儿健康检查的医疗专业人员。我们使用了基于“成功母乳喂养十步骤”的有效调查问卷。统计分析包括频率、百分比、集中趋势测量以及母乳喂养知识水平、职业和培训之间的关联。
结果显示,在总参与者人数(n = 78)中,42.2%的人知识水平被归类为“中等”,3.8%为“较差”,近50%为“良好”或“非常好”。营养师在母乳喂养知识方面得分最高,50%为“非常好”,其次是护士和助产士,分别为39%和35%。另一方面,大多数医生的知识水平为“良好”(65.4%),只有7.7%为“非常好”。只有33%的人在其职业生涯中的某个时候接受过母乳喂养培训,6.4%的人在去年接受过一次培训。我们强调,在获得“良好”和“非常好”分数的人中,34.6%至42.3%的人接受过母乳喂养培训。知识水平与母乳喂养培训(p = 0.033)和医疗职业(p = 0.019)直接相关。
医疗专业人员的母乳喂养知识水平各不相同。母乳喂养培训课程显著增加知识,这可能提高母乳喂养率。