实施控烟干预建立无烟门诊部的研究  

Research on establishing non-smoking clinic by smoking-control intervention

作　　者：何晓俐[1] 周瑞敏[1] 刘建萍[1] 廖清书[1] 马洪升[1] 代燕[1] 任小丹[1] 

机构地区：[1]四川大学华西医院门诊部,四川成都610041

出　　处：《南方护理学报》2005年第11期1-3,共3页Nanfang Journal of Nursing

基　　金：西太平洋地区世界卫生组织控烟协会资助课题

摘　　要：目的改善现在人群中的吸烟状况,降低吸烟率,降低吸烟引起相关疾病的危险度,建立无烟门诊部,提高医务人员的信誉度。方法于2003年11月开始为期1年的时间,对门诊大楼内工作的工作人员、来门诊就诊的病人及陪护人员共5004人作吸烟问卷调查和吸烟知识知晓情况调查后,分别选定门诊大楼的1、3、5、7、9楼各楼层诊室外的巷道与候诊厅监测空气中CO含量(CO是香烟烟雾中对人体危害较大且主要存留于空气中的主要成分),然后请呼吸科教授定期作相关知识的讲座,开通咨询电话,定时播放录像,制作宣传栏和警语,免费发放宣传手册等干预措施。结果研究前5004人中有1806人吸烟,吸烟率为36.09%,各楼层候诊厅CO含量为8.00￣23.16mg/m3,均超过国家规定的标准(5mg/m3)。经过10个月研究和干预后,共调查了5400人,其中有1848人吸烟,吸烟率为34.22%,各楼层候诊厅CO含量明显降低,为1.25￣3.20mg/m3。结论通过有计划、有目的的干预,能够降低人群的吸烟率,树立医务人员的良好形象,但需要更长久的坚持才能达到明显的效果。Objective To establish the non-smoking clinic department, increase the credibility of medical personnel, decrease smoking rate, minimize the risks of smoking related diseases and improve smoking status in the people. Methods MediCal staffs in clinic, outpatients and their accompanies were surveyed on smoking with questionnaire and smoking knowledge from November 2003 to November 2004. The corridors outside the clinic rooms and the waiting room on the 1st, 3rd, 5th, 7th, 9th floor were chosen to detect the CO contents in the air separately （CO is the main harmful substance for health from smog of cigarettes）.Many interventions were done such as inviting professors of respiratory department to lecture concerned knowledge periodically, setting up consulting telephone lines, displaying videos periodically, making propagand column, and warning message, delivering propagand booklets free of charge. Results Before survey, 1 806 of 5 004 smoke（the rate was 36.09%）, and density of CO was 8.00～23.16 mg/m^3. After 10-month survey and intervention,1 848 of 5 400 smoke （the rate was 34.22%）, and density of CO decreased obviously to 1.25～3.20 mg/m^3. Conclusion The authors argue that they can decrease smoking rate in the people and set up a good image of medical personnel by implementing interventions as planned and purposely. However, persistence is necessary for more obvious effects.

关 键 词：无烟门诊部 健康教育 控烟干预 吸烟率 

分 类 号：R12[医药卫生—环境卫生学]