본문 바로가기
KERD
논문KCI 등재

신생아중환자실과 산과병동 의료진의 모유수유에 대한 지식 및 태도

Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

초록

Purpose: This study aimed to explore the knowledge of and attitude toward breastfeeding among medical staff working in the neonatal intensive care unit and obstetric unit. Methods: A cross-sectional survey design was used. The questionnaire focused on participants’ knowledge of and attitude toward breastfeeding and their characteristics. A total of 123 participants, including nurses and physicians working in the neonatal intensive care unit and obstetric unit, completed the questionnaire. Data were analyzed using descriptive statistics, chi-square test, Fisher exact test, and Spearman correlation coefficient. Results: One-third the of participants reported that they had obtained formal education related to breastfeeding within the last year, 44% of participants obtained information related to breastfeeding from books, while 30.9% of participants learned from coworkers. Over 93% of the participants reported a need for formal breastfeeding education. The rate of correct answers for breastfeeding knowledge was 59.2%, and there were no significant differences between the nurse and physician groups. Breastfeeding attitude was positive with a score of 60.0, and nurses working in the obstetric unit scored higher than other nurse or physician groups (p=0.014). A significant correlation between knowledge of and attitude toward breastfeeding was found in medical staff attending to preterm infant mothers (p<0.001). Conclusion: Consistent information and positive support regarding breastfeeding need to be provided to medical staff so that they can help preterm mothers initiate and continue breastfeeding. Further study is needed to develop an interprofessional education program to increase breastfeeding knowledge and enhance positive attitude of medical staff attending to preterm mothers.

Abstract

Purpose: This study aimed to explore the knowledge of and attitude toward breastfeeding among medical staff working in the neonatal intensive care unit and obstetric unit. Methods: A cross-sectional survey design was used. The questionnaire focused on participants’ knowledge of and attitude toward breastfeeding and their characteristics. A total of 123 participants, including nurses and physicians working in the neonatal intensive care unit and obstetric unit, completed the questionnaire. Data were analyzed using descriptive statistics, chi-square test, Fisher exact test, and Spearman correlation coefficient. Results: One-third the of participants reported that they had obtained formal education related to breastfeeding within the last year, 44% of participants obtained information related to breastfeeding from books, while 30.9% of participants learned from coworkers. Over 93% of the participants reported a need for formal breastfeeding education. The rate of correct answers for breastfeeding knowledge was 59.2%, and there were no significant differences between the nurse and physician groups. Breastfeeding attitude was positive with a score of 60.0, and nurses working in the obstetric unit scored higher than other nurse or physician groups (p=0.014). A significant correlation between knowledge of and attitude toward breastfeeding was found in medical staff attending to preterm infant mothers (p<0.001). Conclusion: Consistent information and positive support regarding breastfeeding need to be provided to medical staff so that they can help preterm mothers initiate and continue breastfeeding. Further study is needed to develop an interprofessional education program to increase breastfeeding knowledge and enhance positive attitude of medical staff attending to preterm mothers.

참고문헌 (30)

  1. Ahmed A, "Breastfeeding knowledge of university nursing students", MCN Am J Matern Child Nurs, 36, pp.361~367 (2011)
  2. Bernaix LW, "Success of an educational intervention on maternal", newborn nurses' breastfeeding knowledge and attitudes, 2010, pp.39, 658~666
  3. Bernaix LW, "Success of a lactation education program on NICU nurses' knowledge and attitudes", J Obstet Gynecol Neonatal Nurs, 37, pp.436~445 (2008)
  4. Brodribb W, "Breastfeeding and Australian GP registrars--their knowledge and attitudes", J Hum Lact, 24, pp.422~430 (2008)
  5. 채선미, "저출생체중아 이행간호 프로그램(Transitional Care Program) 개발 및 평가", 박사, 간호학, pp.2001
  6. 최은영, "모유수유 중재에 관한 국내 연구논문의 통합적 고찰", 한국산학기술학회논문지, 17(1), pp.441~452 (2016), 한국산학기술학회[DOI]
  7. De la Mora A, "The Iowa infant feeding attitude scale : analysis of reliability and validity", J Appl Soc Psychol, 29, pp.2362~2380 (1999)
  8. Flacking R, "Long-term duration of breastfeeding in Swedish low birth weight infants", J Hum Lact, 19, pp.157~165 (2003)
  9. Guarini A, "Basic numerical processes in very preterm children : a critical transition from preschool to school age", Early Hum Dev, 90, pp.103~111 (2014)
  10. Howe-Heyman A, "The baby-friendly hospital initiative as an intervention to improve breastfeeding rates : a review of the literature", J Midwifery Womens Health, 61, pp.77~102 (2016)
  11. 장군자, "모유수유 교육 및 지지 서비스가 모유수유 실천율과 영아 성장에 미치는 효과", Journal of Korean Academy of Nursing, 40(2), pp.277~286 (2010), 한국간호과학회
  12. Killersreiter B, "Early cessation of breast milk feeding in very low birthweight infants", Early Hum Dev, 60, pp.193~205 (2001)
  13. 김미순, "신생아 중환자실에 입원한 미숙아의 모유수유 실태와 관련요인 분석", Child Health Nursing Research, 9(3), pp.272~284 (2003), 한국아동간호학회
  14. 김선희, "어머니의 모유수유 만족감에 미치는 영향 요인", 여성건강간호학회지, 15(4), pp.270~279 (2009), 한국여성건강간호학회
  15. 김태임, "미숙아, 후기 미숙아와 조기 만삭아의 모유수유 실태 및 모유수유 임파워먼트 비교", 한국데이터정보과학회지, 24(4), pp.713~721 (2013), 한국데이터정보과학회[DOI]
  16. Lechner BE, "Neurodevelopmental outcomes of preterm infants fed human milk : a systematic review", Clin Perinatol, 44, pp.69~83 (2017)
  17. Leeman KT, "Improving access to lactation consultation and early breast milk use in an outborn NICU", Pediatr Qual Saf, 4, pp.e130~ (2019)
  18. Mercado K, "What is the impact of NICUdedicated lactation consultants? An evidence-based practice brief", Adv Neonatal Care, 19, pp.383~393 (2019)
  19. Newton ER, "Breastmilk : the gold standard", Clin Obstet Gynecol, 47, pp.632~642 (2004)
  20. O'Connor ME, "An Internet-based education program improves breastfeeding knowledge of maternal-child healthcare providers", Breastfeed Med, 6, pp.421~427 (2011)
  21. Patel S, "The Effectiveness of lactation consultants and lactation counselors on breastfeeding outcomes", J Hum Lact, 32, pp.530~541 (2016)
  22. 라진숙, "신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동", Child Health Nursing Research, 19(2), pp.76~84 (2013), 한국아동간호학회[DOI]
  23. Schanler RJ, "Outcomes of human milk-fed premature infants", Semin Perinatol, 35, pp.29~33 (2011)
  24. Smale M, "Turning policy into practice: more difficult than it seems. The case of breastfeeding education", Matern Child Nutr, 2, pp.103~113 (2006)
  25. 송선미, "모유수유 임파워먼트 프로그램이 초산모의 모유수유 자기효능감, 적응 및 지속에 미치는 효과", Journal of Korean Academy of Nursing, 46(3), pp.409~419 (2016), 한국간호과학회
  26. Sung MH, "Nurse's knowledge to breast-feeding and nursing activities related to breast-feeding", Korean J Women Health Nurs, 6, pp.258~268 (2000)
  27. Taveras EM, "Clinician support and psychosocial risk factors associated with breastfeeding discontinuation", Pediatrics, 112(1 Pt 1), pp.108~115 (2003)
  28. Tooten A, "Parental perceptions and experiences after childbirth : a comparison between mothers and fathers of term and preterm infants", Birth, 40, pp.164~171 (2013)
  29. Treyvaud K, "Very preterm birth influences parental mental health and family outcomes seven years after birth", J Pediatr, 164, pp.515~521 (2014)
  30. Yoo SM, "The effect of Dr's recommendation & education on feeding method", J Korean Acad Fam Med, 15, pp.238~250 (1994)

관련 논문AI추천

이 간행물의 다른 논문 (6건)