医药护人员对哺乳期用药产妇母乳喂养指导决策的认知情况调查

Investigation on the cognition of breastfeeding decision of parturients taking medicines during lactation under the guidance of doctors,pharmacy staff and nusring staff

目的分析医务人员对哺乳期用药产妇母乳喂养决策相关因素的认知行为现状,以及对其进行科普干预的必要性。方法采用问卷调查方式,对39名医务人员关于哺乳期用药产妇母乳喂养决策相关因素的认知态度行为进行调研,分析参加调研医务人员的整体认知、态度、行为情况,以及医生、护士、药师在认知、态度、行为方面的差异。结果20种药品母乳喂养决策矩阵量表信度分析结果Cronbachα系数为0.835,产妇使用头孢唑林(注射剂)、阿奇霉素(注射剂)时,不同职业受访对象间的决策选择差异有统计学意义(P<0.05);对停药后恢复母乳喂养时机的具体建议,不同职业受访对象间差异有统计学意义(P<0.05);对“药物容易进入乳汁的客观因素”选择倾向性,差异有统计学意义(P<0.05);临床决策参考依据的选择倾向性差异有统计学意义(P<0.05)。结论指导母乳喂养决策的相关医务人员存在相关知识的认知水平缺陷,开展对相关医务人员哺乳期用药母乳喂养决策科普干预有必要性。

Objective To analyze the current situation of the cognitive behavior of medical staff on the factors related to the breastfeeding decision of lactating women taking medicines and the necessity of its intervention in popular science.Methods The cognitive behaviors of factors related to breastfeeding decision-making of lactating women taking medicines of 39 relevant medical staff were investigated by a questionnaire survey.The overall cognition,attitudes and behaviors of the medical staff,as well as the differences between doctors,nurses and pharmacists in cognition,attitudes and behaviors were analyzed.Results The Cronbach a coefficient was 0.835 according to the reliability analysis of the matrix scale for breastfeeding decision of 20 drugs.When pregnant taking cefazolin(injection)or azithromycin(injection),both of these differences were statistically significant in decision of diverse occupations(P<0.05);The difference in the timing of resuming breastfeeding after drug withdrawal was statistically significant(P<0.05);There was a statistically significant difference in the selection tendency of"objective factors that effecting drugs easily enter milk"(P<0.05);The selection of the reference basis for clinical decision-making was tendentiousness(P<0.05).Conclusion The relevant medical staff guiding the breastfeeding decision have cognitive defects in the relevant knowledge,which indicates the implement of the science popularization intervention of the breastfeeding decision of parturients taking medicines during lactation is necessity.