综合干预模式对医务人员戒烟效果研究

Study on quit smoking effects of comprehensive intervention model for medical staffs

目的探索针对医务人员行之有效的戒烟模式。方法随机选择3家医院,将1 980名医务人员设为综合干预组、行政干预组和对照组。在干预前后进行每日吸烟量、吸烟率、危害认知和戒烟意愿等调查,干预6个月后检测戒烟者尿液中可的宁浓度判定是否成功戒烟。结果综合干预组现在吸烟率和吸烟量明显降低。行政干预组现在吸烟率降低,但每日吸烟量无明显变化;综合干预组愿意接受家人、同事帮助和戒烟辅导的比例均显著增加,行政干预组愿意接受家人和同事帮助的比例显著增加;干预后3组的成功戒烟率,综合干预组为49.8%,行政干预组为17.7%,对照组仅5.3%。结论综合干预能降低医院工作人员的吸烟率和每日吸烟量。

Objective To explore an effective quit smoking model for medical staffs. Methods Three hospitals were select- ed randomly, 1 980 medical staffs were divided into three groups： comprehensive intervention, administrative interven- tion and control, and were investigated by questionnaire, including daily cigarette consumption, smoking rates, hazard awareness and quit intention before and after intervention. Six months later, urine cotinine content was detected to e- valuate the effects. Results Smoking rate and cigarette consumption of comprehensive group decreased significantly. Smoking rate of administrative group decreased, but no significant changes-in cigarette consumption. The percentage of accepting advisory opinion from family and Colleagues and quit smoking counseling increased in comprehensive group. The percentage of accepting advisory opinion from family and colleagues increased significantly in administrative group. The quit rates in three groups were 49.8%, 17.7% and 5.3% after intervention. Conclusion Smoking rate, smoking consumption, quit smoking are decreased in medical staffs by comprehensive intervention.