Korean Journal of Family Medicine (가정의학회지)

The Korean Academy of Family Medicine (대한가정의학회)
권호 표지

Family Physician's Knowledge, Attitude, Experience and Training on Breastfeeding

가정의학과 의사들의 모유수유 관련 지식, 태도, 경험 및 수련

Kim, Hai-Lim;Lee, Hong-Soo;Oh, Young-A;Kim, Su-Yun
김혜림;이홍수;오영아;김수연

  • Published : 20060200
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Abstract

Background: Breastfeeding is not common in Korea despite its known benefits. The role of family physicians is important in promoting breast-feeding since they can provide prenatal and postnatal care on lifelong basis. This paper analyzed a survey of family physicians on their knowledge, attitude, experience, and training concerning breastfeeding. Methods: The survey was carried out by e-mail enquiry to the residents and board-certified physicians registered in the Korean Academy of Family Medicine. The enquiry was developed by Gary L. Freed composed of 18 questions about knowledge, attitudes, experience, and training. The answers to the questions were analyzed to give frequency and the associations between the variables. Results: Among the total, 64% of the residents and 76% of the physicians answered yes to whether breastfeeding was the best means of feeding an infant under 6 months of age. Also, 83% of the residents and 85% of physicians answered it was right to quit breastfeeding completely when breast abscess developed. The breastfeeding promotion was done more frequently by those who had personal experience. They had higher rate of educating patients than those who did not (28% vs. 9%, P＜0.0001). Despite its importance, 86.5% of the residents and 77.6% of the physicians answered that they did not have enough opportunity to learn about breastfeeding during their training years. Conclusion: Although family physicians are required to play a role in promoting breastfeeding, they are insufficiently trained under the current system. Therefore, it is necessary to develop a traning program to educate the residents on breastfeeding.

연구배경: 모유의 많은 장점에도 불구하고 국내 모유수유율은 매우 저조하다. 모자 및 그 가족들에게 포괄적이고 지속적인 의료를 제공할 수 있는 가정의학과 의사는 모유수유율 향상에 많은 기여를 할 것으로 기대된다. 이에 가정의학과 전공의와 전문의를 대상으로 모유수유에 관한 지식과 태도, 경험 및 수련내용에 대한 설문조사를 통해 모유수유 실천에 필요한 기초 자료를 제공하고자 하였다. 방법: 2004년 2월부터 3월까지 대한 가정의학과 개원의 협의회에 소속되어 있는 가정의학과 전공의와 전문의를 대상으로 전자우편을 이용하여 설문조사를 실시하였다. 설문 도구는 Freed가 개발하여 미국 의사들의 모유수유관련 조사에 사용되었던 것으로, 모유수유에 관한 지식, 태도, 경험, 수련에 관한 문항으로 이루어져있다. 각 응답의 빈도 및 평균을 알아보고 각각의 연관성 여부를 알아보았다. 결과: 지식을 묻는 항목 중 '생후 6개월간은 모유가 가장 좋다'는 질문에 전공의 63%, 전문의 76%가 긍정적으로 답하였다. 유방농양 발생시 전공의 83%와 전문의 85%가 완전히 모유를 끊겠다고 응답하여 잘못된 지식을 가지고 있는 것으로 파악되었다. 태도를 묻는 문항 중 전공의 92%와 전문의 93%가 임산부에게 모유수유를 권하는 것이 가정의의 역할로 적합하다고 답했으나, 전공의의 87%와 전문의의 78%가 수련기간 중 모유수유 관련 내용을 배울 기회가 충분하지 못했다고 응답했다. 결론: 국내의 저조한 모유수유율을 향상시키기 위해서 가정의학과 의사의 중재가 요구되고 있다. 그러나 수련기간 중 모유수유에 관한 내용을 접할 수 있는 기회가 부족한 실정이므로, 모유수유에 관한 내용의 강조와 더불어 구체적인 교육 프로그램의 모색이 필요하다.

Keywords

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