医生与母乳喂养：信念、知识、自我效能及咨询实践
Physicians and breastfeeding: beliefs, knowledge, self-efficacy and counselling practices.
作者信息
Burglehaus M J, Smith L A, Sheps S B, Green L W
机构信息
Department of Health Care and Epidemiology, University of British Columbia, BC.
出版信息
Can J Public Health. 1997 Nov-Dec;88(6):383-7. doi: 10.1007/BF03403911.
A pilot-tested questionnaire was mailed to 325 obstetricians, pediatricians, family practitioners and general practitioners of a British Columbian maternity hospital to measure aspects relating to physicians' attitudes toward breastfeeding counselling. Response rate was 67.3%. The measures of self-efficacy, knowledge and beliefs were added to a regression model containing measures of gender, specialty, years in practice and personal or spousal breastfeeding experience to determine whether additional variance in counselling behaviour could be accounted for. Physicians attempted to convince women to breastfeed if: 1) they believed in the immune properties of breastmilk (OR = 1.23, SE = 0.07) and 2) they were confident in their own breastfeeding counselling (OR = 1.88, SE = 0.36). Likewise, encouraging women to continue breastfeeding in the face of breastfeeding problems was related to confidence in breastfeeding counselling (OR = 1.22, SE = 0.10) and belief in the immune properties of breastmilk (OR = 2.83, SE = 0.45).
一份经过预测试的调查问卷被邮寄给了不列颠哥伦比亚省一家妇产医院的325名产科医生、儿科医生、家庭医生和全科医生，以衡量与医生对母乳喂养咨询态度相关的方面。回复率为67.3%。自我效能感、知识和信念的测量指标被添加到一个回归模型中，该模型包含性别、专业、从业年限以及个人或配偶的母乳喂养经历等测量指标，以确定咨询行为中的额外差异是否可以得到解释。如果医生：1）相信母乳的免疫特性（比值比=1.23，标准误=0.07）以及2）对自己的母乳喂养咨询有信心（比值比=1.88，标准误=0.36），他们就会试图说服女性进行母乳喂养。同样，在面对母乳喂养问题时鼓励女性继续母乳喂养与对母乳喂养咨询的信心（比值比=1.22，标准误=0.10）以及对母乳免疫特性的信念（比值比=2.83，标准误=0.45）有关。
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