Objective To evaluate effect of " brief tobacco intervention skills" ( BTIS) in outpatient services in Beijing. Methods Three hospitals were selected by convenient sampling method from Haidian District in Beijing. The general practitioners and the doctors of traditional Chinese medicine from the community hospital and the respiratory physicians from the other hospitals had carried out BTIS among their outpatients including both smokers and nonsmokers. The outpatients who were current smokers were interviewed via telephone after one week. Results 278 of 2460 outpatients were smoking (11. 3% ). 122 (43. 9% ) smoking outpatients were interviewed. 14. 8% of them wanted to give up smoking after BTIS by their doctor in outpatient services (Z = 3.551, P < 0. 01). BTIS was more effective in the tertiary hospital (Z = 3. 035, P < 0. 01). The current smokers who consulted with the doctors about tobacco control and cessation method wanted to quit after brief tobacco intervention (Z = 3. 420, P <0. 01). Conclusion BTIS was effective in outpatient services, and it was more effective in tertiary hospitals and outpatient smokers who consulted with doctors about tobacco control and cessation method.%目的 评价简短戒烟干预技术在北京市各级综合医院门诊应用的效果.方法 方便抽取北京市一级、二级、三级综合医院各1家,在一级医院全科及中医科门诊、二级和三级医院呼吸内科门诊开展为期4周的研究,期间所有门诊患者为调查对象.在门诊后1周内,对现在吸烟患者采用电话调查形式进行随访,了解简短戒烟干预技术的应用效果.结果 研究共调查门诊患者2460人,其中278人现在吸烟,占11.3％.门诊后1周内成功随访了122名现在吸烟患者,成功随访率43.9％.成功随访者中14.8％的现在吸烟患者因1次简短戒烟干预发生戒烟意愿的正向改变,且具有统计学意义(Z=3.551,P＜0.01).其中,三级医院的此种改变有统计学意义(Z=3.035,P＜0.01).有戒烟服务需求的门诊患者简短戒烟干预前后戒烟意愿的改变有统计学意义(Z=3.420,P＜0.01).结论 综合医院门诊应用简短戒烟干预技术有效果,三级医院干预效果更好.对有戒烟服务需求的门诊患者实施简短戒烟干预,效果更好.
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