重庆市呼吸专业医生吸烟状况及控烟知信行调查  

Respiratory physicians＇ knowledge, attitude and practice of tobacco control and their smoking status in the city of Chongqing

作　　者：彭单伊[1] 周俊豪[1] 陈虹[1] 李睿[1] 李岑[2] 周泓羽 王导新[4] 王长征[5] 

机构地区：[1]重庆医科大学附属第一医院呼吸与危重症医学科,400016 [2]重庆医科大学附属第一医院药学部 [3]预防保健科 [4]重庆医科大学附属第二医院呼吸与危重症医学科 [5]第三军医大学新桥医院呼吸与危重症医学科

出　　处：《中华结核和呼吸杂志》2013年第4期283-287,共5页Chinese Journal of Tuberculosis and Respiratory Diseases

基　　金：重庆市卫生局医学科研项目（2012-2-039）;重庆市渝中区软科学研究项目（20120306）

摘　　要：目的了解重庆市呼吸专业医生的吸烟状况、烟草危害认知情况、控烟知识及技能的掌握情况、辅助戒烟服务态度及帮助吸烟者戒烟情况，为更有效地发挥其在控烟工作中作用提出建议。方法2012年3月采用自行设计的问卷，对分层随机抽样选出的重庆市8家医院全体呼吸专业医生进行调查，采用Epidata3．1软件建立数据库，SPSS13．0软件包分析数据。结果共发放并回收问卷450份，其中有效问卷428份，有效回收率95．1％。呼吸专业医生总吸烟率为12．4％（95％CI：9．3％～15．5％），其中直属教学医院、主城九区医院、区县医院吸烟率分别为7．4％（7／94）、8．1％（13／160）和19．0％（33／174），差异有统计学意义（）（。=11．734，P=0．003）；男性吸烟率远高于女性。呼吸专业医生对烟草依赖是一种神经精神性疾病的知晓率为80．1％，34．8％的受访者对戒烟药物完全不了解。所有受访者均知道二手烟危害，但仍有16．4％对院内吸烟行为从不上前劝阻；会主动劝阻吸烟行为的医生中53．9％是因服从医院规定，仅27．4％是因不愿吸人二手烟。医师对患者吸烟史的询问及记录情况相对较好，但仅有27．1％的受访者曾向患者推荐具体的戒烟方法，而成功帮助患者戒烟的例数较少；主城九区医院和区县医院呼吸专业医生帮助患者戒烟的情况反较直属教学医院好。结论重庆市呼吸专业医生（特别是男性医生）的吸烟率较高，主动劝阻公共场所吸烟行为的积极性不足；对控烟相关知识及技能的掌握较差，需加强控烟培训；基层呼吸专业医生有其特定的控烟优势．府得到雷视与发挥.Objective To investigate the smoking status, knowledge of smoking hazards, attitude of tobacco control and skill of assisting smoking cessation in respiratory physicians in the city of Chongqing and therefore to provide references for their further participation in social tobacco control. Methods With a self- designed questionnaire, a cross-sectional study was conducted on respiratory physicians of 8 hospitals in Chongqing, which were selected with stratified random sampling method. All the data were inputted with software Epidata 3. l and were analyzed with SPSS 13.0. Results A total of 428 valid questionnaires were retrieved, with a valid rate of 95. 1% （428/450）. The total smoking rate was 12.4% （95% CI：9. 3% - 15.5% ）, with 7.4% in physicians of teaching hospitals, 8.13% in those of hospitals located in urban areas, and 19. 0% in those of hospitals located in suburban district counties. The differences in smoking rates in the respiratory physicians among different hospitals showed statistical significance （X2 = 1 I. 734 ,P = O. 014）. The smoking rate of the male was higher than that of the female. Of the surveyed doctors, 80. 14% had awareness that tobacco dependence was a neuropsychiatric disease characterized as nicotine addiction, while 34. 8% claimed that they had no idea about quitting smoking drugs. Although all participants claimed that they knew the harm of secondhand smoke, 16. 36% of them still had never come forward to prevent smoking behavior in hospitals. There was only 27.4% of the surveyed discouraging smoking behavior with the reason of unwillingness to breath in secondhand smoke, while 53.9% of the surveyed discouraged smoking behavior because of regulations of hospitals. Most of the surveyed did relatively well in routinely inquiring and recording the smoking status of patients, but only 27.1% of them had recommended specific quitting smoking methods to patients, and there were few successful cases in practice. The situations of smoking cessation assistance in hospitals located

关 键 词：医院 医务人员 吸烟 控烟 

分 类 号：R195[医药卫生—卫生统计学]