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妇产科医院新入职护士母乳喂养知识态度现况调查

A Survey on knowledge and attitude towards breastfeeding among new nurses in obstetrics and gynecology hospitals

  • 摘要:
    目的 了解新入职护士母乳喂养知识与态度情况及对母乳喂养的临床教学需求,为后期构建母乳喂养临床教学方案提供依据。
    方法 2020年8月至10月,采用方便抽样法选取上海市3所妇产科医院新入职护士作为研究对象,采用母乳喂养知识与态度问卷及培训需求问卷对其进行调查。
    结果 101名新入职护士对母乳喂养知识和态度总分分别为(13.81±2.60)分和(58.49±10.07)分。多元线性逐步回归结果显示,产科实习周数、接受母乳喂养培训学时是知识得分的独立影响因素(P < 0.001);指导经验、产科实习周数、接受母乳喂养培训学时是态度得分的独立影响因素(P < 0.05)。需求调查显示新入职护士对母乳喂养培训需求得分最高的维度为沟通技巧(89.80%)、教学形式需求最高的维度为一对一带教(43.56%)。自我胜任度调查显示,完全能占2.97%。
    结论 新入职护士母乳喂养知识和态度处于中低水平,有待进一步提高;大学教育管理者应适当调整母乳喂养教学课程及产科实习时间,临床教学中进一步优化母乳喂养临床教学形式和方案,从而全面提高新入职护士母乳喂养知识与态度及母乳喂养临床指导胜任度。

     

    Abstract:
    Objective To investigate the knowledge and attitude of newly recruited nurses on breastfeeding and their demands on clinical teaching of breastfeeding, and to provide the basis for the construction of a clinical teaching program of breastfeeding in the later stage.
    Methods From August to October 2020, a convenience sampling method was adopted to select newly recruited nurses from three specialized obstetrics and gynecology hospitals in Shanghai as research subjects, and a questionnaire survey on knowledge and attitude of breastfeeding and training needs were performed.
    Results The total scores of 101 newly recruited nurses on breastfeeding knowledge and attitude were 13.81±2.60 and 58.49±10.07, respectively. The results of multiple linear stepwise regression showed that the number of weeks of obstetrics practice and hours of breastfeeding training were independent influencing factors of knowledge score (P < 0.001), while the direct experience, number of weeks of practice and hours of breastfeeding training were independent influencing factors of attitude score (P < 0.05). According to the demand survey, the dimension in which the newly recruited nurses had the highest score for breastfeeding training was communication skills (89.80%), and the teaching form was one-to-one teaching (43.56%). According to the self-competence survey, the ability to fully perform was 2.97%.
    Conclusions The knowledge and attitude of new nureses towards breastfeeding are at a middle and low level, which needs to be further improved. College administrators should adjust the duration of breastfeeding courses and obstetrics practice, and further optimize the clinical teaching forms and programs of breastfeeding, so as to comprehensively improve the knowledge and attitude and the competence of clinical guidance on breastfeeding of new nurses.

     

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