杭州市社区医务人员控烟培训与控烟意识及行为的关联研究  

Relations between attitude and practice of smoking and the training program regarding tobacco control among community medical staff members in Hangzhou, Zhejiang province

作　　者：刘庆敏[1] 任艳军[1] 曹承建[1] 刘冰[1] 吕筠[2] 李立明[2] 

机构地区：[1]杭州市疾病预防控制中心,310021 [2]北京大学公共卫生学院流行病与卫生统计学系

出　　处：《中华流行病学杂志》2013年第8期770-773,共4页Chinese Journal of Epidemiology

基　　金：牛津健康联盟·中国·杭州社区健康干预（CIH）项目

摘　　要：目的了解杭州市社区医务人员控烟技能、控烟意识及行为之间的关联。方法采用问卷方式调查杭州市3个代表性城区（下城、拱墅、西湖）的社区医务人员，内容包括控烟技能的获取途径，医疗活动中的控烟意识、控烟行为及戒烟资源的可及与利用情况。采用logistic回归分析影响控烟技能学习的因素，应用）c2检验比较不同组间率的差异，采用Wilcoxon秩和检验分析控烟活动中知、信、行的关联。结果共调查846人，杭州市社区医务人员的控烟技能掌握率为65．60％。工作3～10年者接受控烟技能培训的比例是工作〈2年者的1．77倍（OR=1．77，95％CI：1．25—2．51）。接受过控烟培训者认为接诊时应常规建议吸烟患者戒烟的比例（88．77％）显著高于未接受培训者（81．60％），两者差异有统计学意义（z=-2．87，P=0．00）。经过培训者给予90％以上的吸烟患者戒烟建议的比例为21．62％，但未经培训组的比例仅为10．65％（z=-5．68，P=0．00）。药物、中医传统疗法和戒烟热线的利用率均不足30％。结论对社区医务人员进行控烟技能培训能够提高其控烟意识，强化医疗过程中的控烟行为。Objective To investigate the relations between training and both the attitude and practice on smoking control among community medical staff members in Hangzhou, Zhejiang province. Methods Three representative districts including Xiacheng, Gongshu and Westlake were chosen from Hangzhou city. Questionnaire survey was applied to collect information from the related community medical staff members. The survey mainly contained three aspects： knowledge, attitude and practice regarding smoking control involved in the community medical activities. Availability and application of the resources on smoking cessation were also studied. Logistic regression analysis was applied to explore the factors associated with the smoking control training programs. Differences of rates between groups were assessed with chi-square statistics. Wilcoxon rank sum test was used to study the relationships among knowledge, attitude and practice related to smoking control programs, targeted to the community medical staff members. Results Eight hundred forty-six community medical workers were involved. Sixty-five percent of the community medical staff members had learned related knowledge on smoking control. Proportion of the community medical staff who had taken lessons on smoking control with 3-10 working years was 1.77 times more than the ones with experience less than two years （OR= 1.77, 95%CI： 1.25-2.51 ）. Eighty-eight point seven percent of the medical staff who had received smoking control training programs were identified with the consciousness that they should advise the patients to quit smoking, comparing to the proportion 81.60% （Z=-2.87, P=0.00） in the control group. In terms of the practice regarding smoking control, data showed that 21.62% of the medical staff who had received smoking control training programs would provide ＇how to quit smoking＇ to more than 90% of the smoking patients, while the proportion in the control group was 10.65% （Z=5.68, P= 0.00）. The use of drugs, traditional Chinese medicine therapy

关 键 词：控烟 技能 意识 实践 

分 类 号：R195[医药卫生—卫生统计学]