北京市某肿瘤专科医院医务人员吸烟现状及控烟效果评价

Smoking Status and the Evaluation of the Effect of Tobacco Control among Medical Staff in a Cancer Hospital in Beijing

目的通过对某肿瘤专科医院医务人员吸烟前后情况分析,评价医院控烟措施的有效性和可行性。方法以某肿瘤专科医院医务人员为研究对象,通过2009年和2017年两次问卷调查,分析医院总体吸烟率,各岗位间吸烟人数、吸烟率、戒烟人数的变化趋势,并通过χ^(2)检验比较各岗位间吸烟人数的差异。结果2009年的调查的1616名医院医务人员中,吸烟率为14.17%;2017年调查的1643名医院医务人员中,吸烟率为4.87%。吸烟医务人员烟草依赖性较低,医院医务人员2017年比2009年总体吸烟率下降了6.3%,χ^(2)检验结果显示,控烟前后医务人员总体吸烟人数、医疗、医技和后勤各岗位吸烟人数的差异具有统计学意义(P<0.05)。结论医院控烟效果总体良好,应该继续细化控烟方案,关注戒烟困难人群,呼吁政策保障、家庭参与、社会支持,共同为降低医务人员吸烟率保驾护航。

Objective To evaluate the effectiveness and feasibility of tobacco control measures in a hospital by analyzing relating situation among medical staff before and after tobacco control.Methods The medical staff from a specialized cancer hospital were enrolled as the research object and two questionnaire surveys were conducted in 2009 and 2017.The overall smoking rate of the hospital,the changing trend of the number of smokers,smoking rate and the number of people who quitted smoking among various positions were analyzed.Chi-square test was used to compare the differences in the number of smokers among different positions.Results Among the 1616 hospital medical staff surveyed in 2009,the smoking rate was 14.17%.Among the 1643 hospital medical staff surveyed in 2017,the smoking rate was 4.87%.Medical staff who smoked had low tobacco dependence.In 2017,the overall smoking rate of hospital medical staff dropped by 6.3%compared with 2009.The chi-square test results showed that the differen-ces in the total number of medical staff smokers,the number of smokers in clinical,medical technology,and logistics positions before and after tobacco control were statistically significant(P<0.05).Conclusion The effect of tobacco control in this hospitals is generally good.Measures should be implemented to continue to refine the tobacco control plan,pay attention to people who have difficulty in quitting,and call for policy guarantees,family participation,and social support to jointly escort the reduction of smoking rates among medical staff.