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 breast-feeding decision-making of lactating women taking medicines of 39 relevant medical staff were investi-gated 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 α 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 oc-cupations (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.

1. 中华医学会儿科学分会儿童保健学组, 中华医学会围产医学分会, 中国营养学会妇幼营养分会, 等. 母乳喂养促进策略指南(2018版)[J]. 中华儿科杂志, 2018, 56(4): 261-266. DOI: 10.3760/cma.j.issn.0578-1310. 2018.04.005.

2. 祝琴,赵红,马良坤. WHO母乳喂养咨询指南简述及启示[J].中国妇幼健康研究, 2021, 32(5): 626-630. [Zhu Q, Zhao H, Ma LK. Brief introduction and enlightenment of WHO guideline on counselling of breastfeed-ing[J]. Chinese Journal of Woman and Child Health Research, 2021, 32(5): 626-630]. DOI: 10.3969/j.issn.1673-5293.2021.05.001.

3. 叶淑雅, 郑彩虹. 妊娠期哺乳期药物咨询门诊的开设与实践[J]. 实用药物与临床, 2021, 24(1): 91-96. [Ye SY, Zheng CH. Establishment and practice of drug consultation clinic for pregnant and lactating women[J]. Practical Pharmacy and Clinical Remedies, 2021, 24(1): 91-96]. DOI: 10.14053/j.cnki.ppcr.202101019.

4. 陶媛美, 李威. 初产妇母乳喂养认知行为干预的临床效果研究[J]. 中国妇幼健康研究, 2021, 32(5): 655-658. [Tao YM, Li W. Study on the clinical effect of cognitive behavior intervention on breast-feeding of primipa-ras[J]. Chinese Journal of Woman and Child Health Research, 2021, 32(5): 655-658]. DOI: 10.3969/j.issn.1673-5293.2021.05.007.

5. Hale TW, Rowe HE. Medications and Mothers' Milk (18th eds)[M]. New York: Springer Publishing Company, 2019:1-13.

6. 梅洪梁, 戴毅敏, 谢菡, 等. 临床药师在产科的药学咨询服务情况分析[J]. 药学与临床研究, 2020, 28(5): 393-397. [Mei HL, Dai YM, Xie H, et al. Analysis of pharmacuetical care of clinical pharmacists in obstetrics[J]. Pharmaceutical and Clinical Research, 2020, 28(5): 393-397]. DOI: 10.13664/j.cnki.pcr.2020.05.019.

7. 卫峻琦,施芳红,李浩,等.上海某儿童医院门急诊输液药房药品妊娠期及哺乳期用药安全性分析[J].中国药师, 2018, 21(5): 853-855. [Wei JQ, Shi FH, Li H, et al. Safety analysis of gestational and lactation period drugs in outpatient and emergency department of a children's hospital in Shanghai[J].China Pharmacist, 2018, 21(5): 853-855]. DOI: 10.3969/j.issn.1008-049X.2018.05.024.

8. 夏东胜. 我国药品说明书孕妇及哺乳期妇女用药标示问题分析及风险控制建议[J]. 中国药物警戒, 2015, 12(4): 211-218. [Xia DS. Recommendations on risk control and analysis of the problems exicting on labeling contents of medicines used for pregnant and lactating women in package inserts in China[J]. Chinese Journal of Pharmacovigilance, 2015, 12(4): 211-218].

9. 徐姗姗, 付乐宸, 及静巍,等.我院411例妊娠及哺乳期用药咨询分析[J]. 实用药物与临床, 2019, 22(12): 1316-1319. [Xu SS, Fu LC, Ji JW, et al. Analysis of drug consultation for 411 pregnant and lactant wamen[J]. Prac-tical Pharmacy and Clinical Remedies, 2019, 22(12): 1316-1319]. DOI: 10.14053/j.cnki.ppcr.201912021.

10.管佳琴, 曹阿勇, 余科达, 等. 乳腺癌术后乳房重建患者决策辅助工具的构建及效果评价[J]. 复旦学报(医学版), 2021, 48(6): 762-771. [Guan JQ, Cao AY, Yu KD, et al. Construction and effect evaluation of decision support tool for breast reconstruction of patients with breast cancer after operation[J]. Fudan University Journal of Medical Sciences, 2021, 48(6): 762-771.] DOI: 10.3969/j.issn. 1672-8467.2021.06.007.

11.冯小萌,邹郁松.糖尿病患者对医患共同决策辅助工具态度的研究[J]. 医学与哲学, 2021, 42(10): 62-66. [Feng XM, Zou YS. Diabetic patients' attitudes towards the patient decision aids in shared decision-making[J]. Medicine and Philosophy, 2021, 42(10): 62-66.] DOI: 10.12014/j.issn.1002-0772.2021.10.14.

12.蒋俊杰,张静,聂松柳,等.甲亢患者用药临床科普干预及效果评价[J].临床药物治疗杂志, 2019, 17(3): 64-68. [Jiang JJ, Zhang J, Nie SL, et al. Clinical science intervention and effect evaluation of hyperthyroidism patients[J]. Clinical Medication Journal, 2019, 17(3): 64-68.] DOI: 10.3969/j.issn.1672-3384.2019.03.015.

13.徐苏颖,戴助,臧晓燕.癌痛治疗药物合理使用科普干预及效果评价[J].中国药师, 2022, 25(3): 483-485, 557. [Xu SY, Dai Z, Zang XY. Pharmaceutical science intervention and effect evaluation in rational use of cancer pain treatment drugs[J]. China Pharmacist, 2022, 25(3): 483-485, 557.] DOI: 10.19962/j.cnki.issn1008-049X.2022.03.018.