Tellerman K, Medio F
Department of Pediatrics, Michael Reese Hospital, Chicago.
Pediatrics. 1988 Feb;81(2):186-9.
The purpose of this study was to determine factors that influence pediatricians' opinions of mothers. The degree to which mother-physician interactions, mother-child interactions, and maternal demographic variables influence pediatricians' opinions of mothers was assessed with a 54-item questionnaire. Questionnaires were mailed to 470 Chicago-based American Academy of Pediatrics Fellows; 268 (57%) of the questionnaires were returned and, of these, 230 were suitable for analysis. A majority of pediatricians reported that their opinions were "greatly" positively influenced by mothers who communicate clearly (60%), understand recommendations (56%), follow recommendations (68%), and keep appointments (58%). In comparison, significantly fewer pediatricians' opinions were "greatly" influenced by mothers who are friendly to them (38%) or who like them (34%) (chi 2, P less than .001). Pediatricians were also "greatly" influenced by mothers who seem safety conscious (67%), use car restraints (57%), and keep immunizations updated (61%). Female pediatricians, in contrast to men, were significantly more influenced by mothers who "respond to their crying infants" and who "try to calm an anxious child" (chi 2, P less than .05). Pediatricians' opinions of mothers appear to be greatly influenced by maternal compliance, communications skills, and cognitive abilities, as well as by mothers who promote health and safety. Affective variables such as friendliness seem less important. Female pediatricians appear more influenced by mothers who actively console their children.
本研究的目的是确定影响儿科医生对母亲看法的因素。通过一份包含54个条目的问卷,评估母婴互动、母子互动以及母亲的人口统计学变量对儿科医生对母亲看法的影响程度。问卷被邮寄给470名总部位于芝加哥的美国儿科学会会员;共收回268份问卷(回收率为57%),其中230份适合进行分析。大多数儿科医生报告称,那些沟通清晰(60%)、理解建议(56%)、遵循建议(68%)以及按时赴约(58%)的母亲对他们的看法“有很大”积极影响。相比之下,对他们友好(38%)或喜欢他们(34%)的母亲对儿科医生看法“有很大”影响的比例要少得多(卡方检验,P<0.001)。那些看起来有安全意识(67%)、使用汽车安全座椅(57%)以及及时更新免疫接种信息(61%)的母亲也对儿科医生有“很大”影响。与男性儿科医生相比,女性儿科医生受那些“回应哭闹婴儿”以及“试图安抚焦虑孩子”的母亲的影响显著更大(卡方检验,P<0.05)。儿科医生对母亲的看法似乎很大程度上受到母亲的依从性、沟通技巧、认知能力以及那些促进健康和安全的母亲的影响。诸如友好度等情感变量似乎没那么重要。女性儿科医生似乎更容易受到那些积极安慰孩子的母亲的影响。