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目的了解石家庄市卫生工作者吸烟状况和控烟知识态度行为并进行干预,以提高其控烟意识。方法采用分层随机抽样方法,抽取10家卫生机构的1 031名在职人员进行调查,并对全员进行为期6个月的综合干预。结果总吸烟率为21.4%,男性(45.3%)显著高于女性(0.5%),不同岗位男性吸烟率差异有统计学意义(P<0.05)。知识方面:对吸烟、被动吸烟与肺部疾病的关系认知较好,但吸烟易患骨质疏松、男性性功能障碍和牙龈坏死或溃疡的认知低于50%,被动吸烟与婴儿猝死综合征相关的认知仅25.2%。行为方面:听说且使用过戒烟药物的医生仅6人(1.5%)。通过综合干预,男性吸烟率、帮助吸烟者戒烟行为变化的差异有统计学意义(P<0.05),使用戒烟药物的医生没有差异(P>0.05)。结论该市卫生工作者中男性吸烟率较高,对烟草危害认识不全面,医生控烟意识淡薄。应继续深入开展创建无烟医疗机构活动,采取综合干预措施,改变吸烟行为、提高控烟责任意识。
Objective To understand the smoking status and tobacco control knowledge and attitude of health workers in Shijiazhuang City and to intervene so as to raise their awareness of tobacco control. Methods A stratified random sampling method was used to investigate 1,031 serving staff from 10 health institutions and to conduct a comprehensive intervention of 6 months for all staff. Results The total smoking rate was 21.4%, male (45.3%) was significantly higher than female (0.5%). There was significant difference in smoking rates among men in different positions (P <0.05). Knowledge: smoking, passive smoking and lung disease awareness is better, but smoking predisposing to osteoporosis, male sexual dysfunction and gingival necrosis or ulcer awareness of less than 50%, passive smoking and sudden infant death synthesis Relevant cognition is only 25.2%. Behavioral aspects: Only six doctors (1.5%) heard and used smoking cessation medication. There was no significant difference (P> 0.05) between smoking prevalence and smoking cessation among smokers through comprehensive intervention (P <0.05). Conclusion Among the health workers in the city, there is a high prevalence of male smoking, a poor understanding of the dangers of tobacco and a weak awareness of doctors on tobacco control. Should continue to carry out in-depth activities to create smoke-free medical institutions, to take comprehensive interventions to change smoking behavior and raise awareness of tobacco control responsibility.