医护人员劝告患者戒烟状况调查

摘要

Objective To understand the smoking cessation services provided by health care workers in tertiary level first-class hospitals,and provide evidence for smoking cessation services and relevant control strategies.Methods To-tally 1021 medical doctors and nurses from 3 hospitals were surveyed by random sampling,and a questionnaire was used for information collection.Results Smoking rate of health care workers was 30.3%.The rate of advising patients to quit smok-ing was 50.1%.Influence factors of health care workers advising patients to stop smoking were as follows:technique title (junior titles:OR =3.179,95%CI:1.701 -4.952;intermediate:OR =0.229,95%CI:0.138 -0.405;senior:OR=0.357,95% CI:0.254 -0.486 ),departments (surgery:OR =0.897,95% CI:0.767 -0.906;other:OR =0.912,95%CI:0.877 -0.998),the score of knowledge (OR =0.776,95%CI:0.556 -0.813),the medical staff (OR =3.198,95%CI:1.901 -5.032)and smoking (OR =0.906,95%CI:0.856 -0.978).Conclusion Smoking rate of health care workers was higher,while the rate of advising patients to quit smoking was low.Training,especially to in-crease the knowledge of tobacco control,technique skills and policy in health care workers should be taken.Smoking rate of health care workers should be reduced.%目的：了解三级甲等医院医护人员为患者提供戒烟服务情况，为今后医院开展戒烟服务及制定相关控烟策略提供依据。方法随机抽取辽宁省3所三级甲等综合性医院一线医护人员（包括医生和护士）1021人，填写《医护人员戒烟服务调查问卷》。结果医护人员吸烟者比例占30.3％；主动劝告患者戒烟的仅占50.1％。医护人员劝告患者戒烟的影响因素有职称（初级：OR ＝3.179，95％CI：1.701～4.952；中级：OR ＝0.229，95％CI：0.138～0.405；高级：OR ＝0.357，95％CI：0.254～0.486）、科室（外科：OR ＝0.897，95％CI：0.767～0.906；其他：OR ＝0.912，95％CI：0.877～0.998）、知识得分（OR ＝0.776，95％CI：0.556～0.813）、医护人员（OR ＝3.198，95％CI：1.901～5.032）和是否吸烟（OR ＝0.906，95％CI：0.856～0.978）。结论医护人员吸烟比例较高，劝告患者戒烟率低；加大对医护人员的培训力度，特别是要增加控烟知识、控烟技能和控烟政策培训；降低医护人员自身的吸烟比例。