甘肃省医疗卫生从业人员控烟知信行现状分析

 
投稿时间: 2014-07-11  最后修改时间: 2014-09-11  摘要点击次数: 2826  全文下载次数: 1449
 
引用本文:李玖玲, 张格祥, 朱泽善,等.甘肃省医疗卫生从业人员控烟知信行现状分析[J].中国卫生政策研究,2014,7(10):73-77
李玖玲1, 张格祥1, 朱泽善2, 鲁培俊2, 王力2, 刘兴荣1
1. 兰州大学公共卫生学院 甘肃兰州 730030;
2. 甘肃省健康教育所 甘肃兰州 730020
基金项目:2011年甘肃省卫生行业科研计划管理项目(GWGL2011—32)
 
 摘要:目的:调查甘肃省医疗卫生机构从业人员控烟相关知识、态度、行为现状,分析其在创建无烟医疗卫生系统和参与、引领社会控烟等方面作用的发挥及其存在的问题,为进一步开展医疗卫生专业机构控烟工作与完善控烟策略提供依据.方法:采用分层整群抽样的方法确定34家医疗卫生机构,使用自行设计的问卷,对各级各类医疗卫生机构从业人员进行现场自填法调查其控烟相关的知识、态度、行为.结果:甘肃省医疗卫生从业人员对烟草危害缺乏深度和广度认识,虽在控烟态度上较积极,但控烟的综合服务能力不足,对受众戒烟帮助的方式方法欠规范.Logistic回归分析显示,影响医务人员控烟能力的主要因素为自身吸烟情况、劝阻吸烟行为、询问吸烟情况.结论:对医疗卫生从业人群进行针对性的烟草知识和戒烟技能培训,降低该人群吸烟率,增强行政后勤管理人员控烟意识,是建设无烟医疗卫生系统、引领社会控烟的关键环节. 
  关键词:烟草控制  无烟环境  医疗卫生从业人员  知识  态度  行为
 
Study on knowledge, attitudes, and practice of tobacco control of medical staff in Gansu province
LI Jiu-ling1, ZHANG Ge-xiang1, ZHU Ze-shan2, LU Pei-jun2, WANG Li2, LIU Xing-rong1
1. School of Public Health, Lanzhou University, Lanzhou Gansu 730030, China;
2. Institute of Health Education of Gansu Province, Lanzhou Gansu 730020, China
 
 Abstract:Objective: Through a study on knowledge, attitudes, and practice of tobacco control of medical staff in Gansu Province, the paper aims to analyze the issues of participation, community tobacco control leadership and other aspects that impact the creation of a smoke-free healthcare system in order to provide a basis for the formulation of policies to improve the health professional mechanism of tobacco control. Methods: The stratified cluster sampling method was adopted to select 34 companies, accounting for a total of 805 medical staff as the study population in all kinds of health institutions. A self-designed questionnaire was adopted to investigate their knowledge, attitudes, and practice via on-site self-administered surveys. Results: the medical staff lacks knowledge as to the depth and breadth of damage from the use of tobacco. Although their attitude towards tobacco control is positive, the comprehensive tobacco control service capabilities are insufficient. Logistic regression analysis showed that tobacco control capabilities of medical staff is related to their attitude toward smoking and whether or not they discourage smoking or asking about smoking. Conclusion: The key to the creation of a smoke-free health system to lead the community in tobacco control is the targeted tobacco cessation knowledge and skills training of medical staff to reduce smoking rates among medical staff and enhance the awareness of administrative staff. 
 keywords:Tobacco control  Smoke-free environment  Medical staff  Knowledge  Attitude  Practice