Williams E L, Hammer L D
Stanford Center for Research in Disease Prevention, Stanford University School of Medicine, Palo Alto, CA 94304-1885, USA.
Am J Prev Med. 1995 Jan-Feb;11(1):26-33.
A 15-minute questionnaire was administered to the pediatric housestaff in an academic training program to assess their breastfeeding attitudes, knowledge, and confidence to manage breastfeeding problems. Questionnaires were self-administered and anonymous. The participation rate was 53% (n = 29). Overall, the study participants indicated a supportive attitude toward breastfeeding (2.6 on a 6-point scale where 1 = most supportive and 6 = least supportive). Women agreed more strongly than men that pediatricians should strongly encourage mothers to breastfeed and disagreed more strongly than men that breastfeeding is instinctive. Although supportive of breastfeeding, the housestaff in this study were not knowledgeable regarding breastfeeding management, answering only 53% of the questions correctly. Their self-confidence in this area was appropriately low, with only 14% of the total sample describing themselves as "confident" or "very confident" to manage common breastfeeding problems. Pediatricians-in-training have extremely limited knowledge of breastfeeding management. To be truly supportive of breastfeeding, pediatricians should receive didactic and clinical training in breastfeeding management.
对一个学术培训项目中的儿科住院医师进行了一项为期15分钟的问卷调查，以评估他们对母乳喂养的态度、知识以及处理母乳喂养问题的信心。问卷为自行填写且匿名。参与率为53%（n = 29）。总体而言，研究参与者对母乳喂养持支持态度（在6分制量表上得分为2.6，其中1分表示最支持，6分表示最不支持）。女性比男性更强烈地认同儿科医生应大力鼓励母亲进行母乳喂养，且比男性更强烈地反对母乳喂养是本能这一观点。尽管支持母乳喂养，但本研究中的住院医师对母乳喂养管理方面的知识并不了解，正确回答的问题仅占53%。他们在这方面的自信心相应较低，在整个样本中只有14%的人表示自己“有信心”或“非常有信心”处理常见的母乳喂养问题。接受培训的儿科医生对母乳喂养管理的知识极为有限。为了真正支持母乳喂养，儿科医生应接受母乳喂养管理方面的理论和临床培训。
