大兴区创建无烟医院及医务人员控烟效果分析

Analysis for establishing no-smoking hospital and smoking control for medical professionals in Daxing

目的:发挥医疗机构无烟的社会模范作用以及医务人员在控烟工作中的表率作用。方法:采用类试验研究方法,对干预医院及医务人员开展控烟干预,评价项目的干预效果。结果:干预前,职工吸烟率为18.55%;男职工为54.22%,女性职工为1.29%;吸烟危害知识知晓率为43.91%;对医院控烟认同率为84.61%。能为患者制定戒烟计划的有25.22%;能对患者在门诊和病房提供健康教育的有65.91%和61.15%。干预后,16项干预指标中11项指标产生了具有统计学意义上的干预效果,5项行为和能力干预指标无统计学意义上的变化。结论:项目干预效果十分明显,过程评估对干预目标的实现起到了关键的作用,但对行为方面的干预目标并未达到预期效果,根据人类行为改变的规律,今后还需对干预方式和时间上作些调整。

Objective ：To improve the ability of smoking - control of the patients, as well as their family members, and members of community, to increase the function of the medical professionals in controlling smoking. Methods： The kind experiment studies have intervention in smoking in the medical professionals and intervened hospital; evaluate the intervention effects of the i- tems. Results：Before the intervention, the total smoking rate is 18. 55%, the smoking rate in male is 54. 22% ; and 1.29% in female; 43. 91% know the harm of smoking;84. 61% agree that smoking should be banned in hospital;25.22% can make plans of controlling smoking for patients. 65.91% and 61.15% can provide health education in outpatient service and in sickroom. After the intervention, 11 items of the total 16 index the intervened results in statistics. 5 items have no changes in statistics. Conlusion：The intervention indicates the remarkable results. Evaluation showed the key function for the achivement of the intervention goal. However, the intervention goal of the action doesnt get the expected purpose. Some more adjustment shall be needed in the future according to the development and the changes of human behavior.