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[目的]了解医疗机构医务人员对烟草危害相关知识的知晓、态度及其行为状况,为医疗机构控烟工作提出对策与建议。[方法]2011～2012年,对大连市3家三级甲等医院抽取部分医务人员进行调查。[结果]调查649人,吸烟率为18.34%。吸烟率,男性为48.60%,女性为3.45%(P<0.01);外科医生为47.47%,内科医生为17.43%,护士为2.61%,医技人员为26.92%,行政后勤人员为20.41%(P<0.01);A医院为24.33%,B医院为10.00%,C医院为16.41%(P<0.01)。119名吸烟者中,上班时间吸烟在楼外面的占32.77%,在走廊上的占17.65%,在办公室的占11.76%,在洗手间的占18.49%,在其他地方的占19.33%。调查的649名医务人员中,知道世界无烟日的占45.79%,知道吸烟可导致肺癌的占62.56%,知道尼古丁替代疗法的占30.05%;接受过戒烟方法和技巧的培训的占47.15%,认为有必要主动向病人提供戒烟服务的占84.59%,临床工作中遇见患者吸烟时经常进行劝阻的占13.25%。[结论]大连市医务人员吸烟率较高,没有很好地为吸烟患者提供戒烟和劝阻服务。
[Objective] To understand the knowledge, attitude and behaviors of medical personnel in medical institutions about the harm of tobacco and put forward the countermeasures and suggestions for tobacco control in medical institutions. [Methods] From 2011 to 2012, part of the medical staffs from 3 tertiary level hospitals in Dalian were investigated. [Results] The survey of 649 people, the smoking rate was 18.34%. The prevalence of smoking was 48.60% for males and 3.45% for females (P <0.01); 47.47% for surgeons, 17.43% for physicians, 2.61% for nurses, 26.92% for medical technicians and 20.41% for administrative staff (P <0.01); A hospital was 24.33%, B hospital was 10.00%, C hospital was 16.41% (P <0.01). Of the 119 smokers, 32.77% were outside the building during work hours, 17.65% in the corridor, 11.76% in the office, 18.49% in the bathroom, and 19.33% in other places. Of the 649 medical workers surveyed, 45.79% knew World No Tobacco Day, 62.56% knew that smoking caused lung cancer, 30.05% knew nicotine replacement therapy, 47.15% received training in smoking cessation methods and techniques, 84.59% think it is necessary to take the initiative to provide smoking cessation services to patients, and 13.25% often discourage patients when they encounter smoking in clinical work. [Conclusion] The smoking rate of medical staffs in Dalian is relatively high, which does not provide smoking cessation and discouraging services for smoking patients well.