北京市某三甲医院医务人员吸烟状况及控烟态度和简短戒烟干预情况

Smoking prevalence,attitude towards tobacco control and brief intervention on smoking cessation among medical professionals in a tertiary hospital in Beijing

目的了解北京市某三甲医院创建无烟医院十余年后医务人员的吸烟状况及控烟态度和临床医务人员简短戒烟干预情况,为今后医务人员控烟干预提供参考依据。方法于2017年7月采用整群抽样方法在北京市某三甲医院抽取2141名在职医务人员进行问卷调查。结果北京市某三甲医院调查的2141名医务人员中,吸烟者49人,吸烟率为2.3%;医务人员同意"应该在医院所有范围内禁止吸烟"、"医生应该是不吸烟的榜样"、"医生应主动向患者提供戒烟服务"和"吸烟成瘾是一种慢性疾病"的比例分别为96.2%、91.4%、87.7%和94.5%。1687名临床医务人员中,有63.1%的临床医务人员出诊时经常主动询问患者的吸烟情况,有82.5%的临床医务人员在知晓患者吸烟时经常建议吸烟患者戒烟,有44.6%的临床医务人员知晓医院门诊处方传送系统新增戒烟干预模块。结论北京市某三甲医院建设无烟医院十余年初见成效,医务人员吸烟率较低,控烟态度较好,但仍需采取措施加强临床医务人员简短戒烟干预的行动力。

Objective To investigate smoking prevalence,attitude towards tobacco control and effect of brief intervention on smoking cessation among medical professionals in a large tertiary hospital in Beijing ten years after the initiative of smoke-free hospital and to provide evidences for intervention on smoking in medical professionals.Methods Totally2141 in-service medical professionals in a tertiary hospital in Beijing were recruited with cluster sampling and surveyed with a structured questionnaire to collect relevant information in July 2017.Results Among all the participants,only 49 were smokers and the smoking prevalence rate was 2.3%.Of the participants,96.2% agreed with smoke-free in all settings of a hospital,91.4% with that a physician should play an exemplary role for not smoking,87.7% with smoking cessation service provided actively by physicians to patients,and 94.5% with tobacco dependence being a chronic disorder,respectively.Among 1687 clinical medical professionals,63.1% reported often asking their patients about smoking status;82.5%reported often advising their smoker patients to quit smoking;and 44.6% were aware of there being a‘Smoking Cessation Intervention Module’established in the hospital's Healthcare Information System.Conclusion The smoking rate is low and the awareness of the necessity for tobacco control is high among medical professionals in a tertiary hospital with ten years'implementation of smoke-free regulation but measures are still warranted to improve the practice and efficiency of brief intervention on tobacco control among the professionals.