基于SWOT分析法干预某医院职工戒烟的实践研究  

A practical study on the intervention of smoking cessation in staff of a hospital based on SWOT analysis

作　　者：张社芹[1] 李海燕 郭维[3] ZHANG Sheqin;LI Haiyan;GUO Wei(Puyang City Center for Disease Control and Prevention,Puyang,Henan,457000,China;Puyang Health Inspection Service;Puyang People’s Hospital)

机构地区：[1]濮阳市疾病预防控制中心,河南濮阳457000 [2]濮阳市卫生健康监督局 [3]濮阳市人民医院

出　　处：《河南预防医学杂志》2022年第9期678-682,共5页Henan Journal of Preventive Medicine

摘　　要：目的探讨基于SWOT分析法干预某医院职工戒烟效果的评价。方法采用SWOT分析法,列出濮阳市某三甲医院职工戒烟SWOT分析法矩阵图,制定对应的戒烟干预方案,对有戒烟意愿的198名吸烟者进行戒烟干预,干预时间6个月,观察干预后3个月及6个月戒烟效果。结果干预后3个月,戒烟成功率23.23%(46/198);干预后6个月,复吸率79.29%(157/198)。岗位与尼古丁依赖程度可影响戒烟效果(P<0.05);干预后参与者对烟草相关知识知晓率均高于干预前(P<0.05),其中“有烟瘾是一种慢性疾病”“吸细杆烟危害会变小”变化较大,分别由干预前的78.79%、81.31%提升到干预后的98.48%、98.99%;干预后戒烟成功者与未戒烟成功者生活质量变化有显著性差异,戒烟成功者健康变化评分(1.52±0.35)分,低于未戒烟成功者(3.58±0.62)分(P<0.05),其余各维度生活质量评分均高于未戒烟成功者(P<0.05)。结论SWOT分析法能够快速帮助项目管理人员全面、精准了解开展戒烟干预的内外部优势和劣势,精准评价戒烟不同阶段干预对象的行为依从性及行为风险,制定针对性的健康教育措施,促进戒烟成功,并为医院健康促进工作提供借鉴。Objective To explore the effect of intervening on smoking cessation among hospital staff based on SWOT analysis.Methods The SWOT analysis method was used to list the SWOT analysis matrix diagram of smoking cessation for staff in a class-A tertiary hospital in Puyang city,and the corresponding smoking cessation intervention plan was formulated.A total of198 smokers who were willing to quit smoking were given smoking cessation intervention for 6 months.Then effect of smoking cessation intervention was observed after 3 months and 6 months intervention.Results At the end of 3 months after the intervention,the success rate of smoking cessation was 23.23%(46/198).At the end of 6 months after the intervention,the relapse rate was 79.29%(157/198).The effect of smoking cessation was different for people with different job types and nicotine dependence degree(P<0.05).After the intervention,the awareness rate of tobacco-related knowledge in participants was higher than that before the intervention(P<0.05).Of them,the awareness rates for"Tobacco addiction is a chronic disease"and"The harm of smoking thin rods will become less"increased from 78.79%,81.31% before the intervention to 98.48%,98.99% after intervention,respectively.There were significant differences in life quality changes between successfully quitting and unsuccessfully quitting groups.The scores of health change for those who successfully quit smoking(1.52±0.35)were lower than those who did not quit smoking successfully(3.58±0.62)(P<0.05),and the scores of other dimensions of quality of life were higher than those who did not quit smoking(P<0.05).Conclusion Applying the SWOT analysis method to the health education of smoking cessation among hospital staff can quickly help project managers comprehensively and accurately understand the internal characteristics,the external opportunities and challenges of smoking cessation intervention,and accurately evaluate the the behavior compliance and behavior risk of intervention objects in different stages of smoking cess

关 键 词：SWOT分析法 医院职工 戒烟 健康教育 

分 类 号：R163[医药卫生—公共卫生与预防医学]