重庆市某教学医院创建“无烟医院”的调查研究  

Survey on smoking status as well as knowledge, attitude and behavior of smoking control of staffs in a teaching hospital in Chongqing

作　　者：周俊豪[1] 李睿[1] 陈虹[1] 李岑[2] 杨相梅[1] 郭述良[1] 杜渝平[3] 周泓羽[3] 吕富荣[4] 任国胜[4] 

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 ,400016 [3]重庆医科大学附属第一医院预防保健科,400016 [4]重庆医科大学附属第一医院院长办公室,400016

出　　处：《中华医学教育探索杂志》2013年第9期968-972,共5页Chinese Journal of Medical Education Research

基　　金：基金项目：国家临床重点专科建设项目;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：目的了解重庆市某教学医院医务人员吸烟状况、烟草危害认识程度、控烟意愿和控烟途径掌握等情况，为重庆市“无烟医院”建设相关制度的完善提供参考。方法采用自行设计问卷对重庆市某教学医院医务人员（医生、护理、医技、行政和后勤人员）进行普查，共计2156人。问卷主要内容包括：社会人口学信息、吸烟状况、烟草危害认识程度、控烟意愿和控烟途径掌握等情况。采用Epidata3．1软件录入数据，SPSS13．0软件分析数据，统计结果用百分比表示。结果医务人员总吸烟率为9．65％，其中男性吸烟率30．49％，女性吸烟率2．75％，临床医生吸烟率12．50％；吸烟人群的年龄分布，50岁以下的占91．97％，20～35岁超过50．00％。52．43％的受访人员不知道WHO《烟草控制框架公约》；受访人员仅对吸烟与呼吸系统疾病、吸烟与胎儿发育异常之间的关系掌握相对较好。84．99％的受访人员认为院内吸烟点应该设在室外；83．56％的受访人员表示会不同程度劝阻院内公共场所吸烟行为，但是仅有14．20％的受访人员认为帮助公众戒烟是无烟医院的建设宗旨；70．00％的医生在日常诊疗活动中经常询问及记录患者吸烟情况相对护理和医技人员较好；近30．00％的医护人员完全不知道戒烟药物，近70．00％受访者表示控烟信心不足，近70．00％医护人员不会推荐具体的戒烟方法。结论该院医务人员吸烟人群总体呈年轻化分布，反映出开展控烟教育的迫切性；在维护医院无烟环境方面有共识，但是对医务人员的社会控烟责任认识存在不足，控烟知识、劝戒技巧和技能等培训有待进一步强化。建议从打造无烟的就诊环境，禁止医院内吸烟行为；鼓励就诊患者积极戒烟，提供专业的戒烟服务；积极推动社会控烟工作，倡导公众戒烟3个阶段保证医院控烟的持续�Objective To investigate smoking status, knowledge of smoking hazards, attitude of tobacco control and skill of assisting smoking cessation of the staff in a teaching hospital in Chongqing and to provide references for the further construction of ＇smoking-free hospital＇. Methods General investi- gation was taken on the staff in a teaching hospital in Chongqing with a self-designed questionnaire. Main contents of questionnaire include ： social demographic information, smoking status, awareness of tobacco hazard, willingness and methods of tobacco control, etc. All the data were inputted with software Epidata 3.1 and were analyzed with SPSS 13.0. Results The total smoking rate was 9.65%, with 30.49% for male, 2.75% for female and 12.50% for clinician. The age distribution of smoking staff was described as follow- ing： 91.97% being under 50 year-old and more than 50.00% being 20-35 year-old. 52.43% of the surveyed did not know Framework Convention of Tobacco Control of WHO. Relatively, most of the surveyed only knew well the relationship between respiratory diseases and tobacco use and the relation- ship between fetal abnormalities and tobacco use. 84.99% of the surveyed agreed with outdoor-smoking policy; 83.56% of the surveyed claimed that they had discouraged smoking behaviors in public at various extents, 14.20% of the surveyed agreed that assisting the public in smoking cessation was one of the aims of constructing ＇smoking-free hospital＇ ; 70.00% clinicians claimed routinely inquiring and noting smok- ing status of patients, which was better than nurses and medical technicians ; almost 30.00% clinic staff did not know quitting smoking drugs at all, approximately 70.00% clinic staff claimed a lack of confidence in smoking control and approximately 70.00% clinicians and nurses did not recommend pro-fessional methods of smoking cessation in practice. Conclusions Smoking staff in the teaching hospital are almost younger people, which is an alarm of the urgent need for tobacco control education. Most st

关 键 词：医务人员 控烟 无烟医院 

分 类 号：R163.2[医药卫生—公共卫生与预防医学]