深圳市福田区五家医院的控烟工作现状调查

Status of Smoking Control in Five Hospitals in Futian District of Shenzhen City

目的对深圳市福田区5家公立医院在开展创建无吸烟医院工作后的控烟工作现状进行调查,为贯彻落实从2011年起全国医疗卫生系统全面禁烟的工作提供参考依据。方法采用机械抽样方法抽取5家医院在职临床一线医务人员,对其进行问卷调查,有效被调查对象共382人。结果男性医务人员的吸烟率为24.9%,低于全国平均水平;74.9%以上的医务人员控烟态度积极,女性比男性积极,不吸烟者比吸烟者积极;41.3%的医务人员常常或总是开展控烟宣教,46.6%的医务人员会根据患者情况开展控烟宣教;Logistic回归分析显示,女性、不吸烟、接受过控烟培训、了解控烟方法以及希望通过培训使自己有能力开展控烟服务的医务人员更积极开展控烟宣教工作。结论在医务人员中加强控烟责任教育,开展控烟知识与控烟技巧培训,是进一步推进医院控烟工作的重点。

Objective To investigate the status of smoking control in five hospitals in Futian District of Shenzhen City after creating non-smoking hospital,in order to offer some references for implementing the decision of total ban on smoking in health care system starting in 2011 in China.Methods The mechanic sampling method was used in selecting clinical front-line medical staffs from five hospitals in five hospitals and the questionnaire surveys were conducted among the subjects.The total effective subjects were 382.Results The smoking rate among males was 24.9%,below the national average.More than 74.9% of medical staffs held positive attitude to control smoking.Females were more positive than males,and non-smoking staffs more positive than smoking staffs.Some 41.3% of the medical staffs were often or always carrying out smoking control missionary,and 46.6% of the medical staffs were carrying out smoking control missionary base on the patients′ condition.Logistic regression analysis showed that females,non-smoking staffs,and staffs who received the tobacco control training,knew about the tobacco control methods and wished to have the capacity to conduct services through the tobacco control training,were more active in carrying out smoking control missionary work.Conclusion The key for further improving smoking-control project in hospitals is to strengthen the responsibility education on smoking control and to develop smoking control knowledge and skill training among medical staffs.