东莞市医疗机构控烟现况调查

Status Quo of Tobacco Control in Medical Institutions in Dongguan City

目的了解东莞市医疗机构控烟工作开展的基本情况和医务人员的吸烟现况,为东莞市制定医疗卫生系统全面禁烟措施提供依据。方法采用东莞市健康教育所统一设计的调查问卷,随机抽取40个医疗机构及其所有的在职医务人员共计7947人进行调查。结果调查的医疗机构中,100%召开过控烟动员大会并张贴了禁烟标志;97.5%成立了本单位的控烟领导小组并限制吸烟活动;92.5%设置了1个或以上控烟宣传栏;所有医疗机构内未见烟草广告和卷烟的销售。医务人员的总吸烟率为9.74%,不同科室医务人员的吸烟率差异有统计学意义(χ2=217.52,P<0.01),其中放射科医务人员的吸烟率最高,达20.98%;其次是外科医务人员,吸烟率达16.58%。结论东莞市医疗卫生系统能较好地贯彻实施各项控烟工作,但要进一步加强制度建设,同时要加大综合性公立医院的控烟力度,重点加强对放射科、外科医务人员的控烟教育工作。

Objective To learn about the status quo of tobacco control in medical institutions and the smoking behaviors among medical staff in Dongguan so as to provide basis for the implementation of comprehensively smoking ban in Dongguan medical system. Methods A questionnaire investigation was adoped in 7 947 medical workers in 40 medical institutions by random sampling. Results Among the 40 medical institutions, 100% had executed mobilization for tobacco control and posted no-smoking signs, 97.5% had set up leading groups and restrictions on smoking, and 92.5% had one or more billboards for tobacco control. Tobacco advertising and cigarette sales were not found in these medical institutions. The total smoking rate of the medical staff in Dongguan was 9.74%. There was a significant difference in different departments (χ2=217.52, P<0.01), and the smoking rate of radiologists was found to be the highest (20.98%), followed by the surgical medical staff (16.58%). Conclusion Tobacco control is well implanted in the medical institutions of Dongguan. Institutional construction needs to be further enhanced. Tobacco control should be enhanced in the general public hospitals and more emphasis should be placed on radiology and surgical medical staff.