成都市基层医疗机构医生戒烟服务能力效果评估

Evaluation of Doctor Service for Smoking Cessation in Primary Medical Institutions of Chengdu

目的:增强基层医疗机构医务人员戒烟服务意识和能力,帮助烟民戒烟。方法:采用分层随机抽样方法在成都市选取3个基层医疗机构,通过对医务人员进行简短控烟门诊培训和创建无烟医院,对就诊烟民进行戒烟干预,干预前后分别就医务人员基本情况及提供戒烟服务情况、就诊病人戒烟情况、医院无烟环境情况等内容进行评估。结果:干预后医务人员提供戒烟服务情况有了明显改善。经常或总是询问的医务人员比例(68.8%)较干预前(38.9%)增加(χ2=21.86,P<0.05)。对病人进行过简短戒烟干预的医务人员从干预前的25.8%上升到干预后的78.7%(χ2=28.22,P<0.05)。医院无烟环境有了很大改善,禁烟标志可见。结论:社区卫生服务机构控烟工作实施有力,效果明显。

To improve service consciousness and ability of smoking cessation in primary medical institutions. Methods A stratified random sampling method was used in three primary medical institutions,The medical staff took measures to help the smokers by short-term outpatient training and buliting smoke-free hospital. The basic characteristics of medical staff,specific meatures,the results of smokers and environments of smoke-free hospital were evaluted before and after the intervention. Results The quality of servece had been significantly imporved,and the proportion of ＂Often＂or ＂always＂require for doctors was increased（ 68. 8% vs. 38. 9%,χ = 21. 86,P〈0. 05）,compared with before. The proportion of medical staff providng short-term smoking cessation severce was also increaed（ 25. 8% vs. 78. 7%,χ = 28. 22,P〈0. 05）. Besides,environments of smoke-free hospital was obvirously improved,abd the signs of smoking cessation had been seen everywhere. Conclusion Through the implementation of this project,the primary medical institutions implemented tobacco control work effectively,and had obvious effect.