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[目的]探索无烟机构创建方法,评价创建无烟机构后控烟效果。[方法]按照国家2008年3月印发的《无烟医疗卫生机构标准(试行)》在本单位开展无烟机构创建活动,创建前后分别随机抽取100人左右进行问卷调查。[结果]对烟草危害认知情况,干预后总知晓率89.4%显著高于干预前的61.0%(χ2=137.481,P=0.000)。对吸烟与疾病的关系认知情况,干预后总知晓率84.7%,显著高于干预前69.6%(χ2=47.542,P==0.000)。对被动吸烟与疾病关系知晓情况,干预后总知晓率为86.1%显著高于干预前的73.0%(χ2=33.725,P=0.000)。创建前、后吸烟率分别为16.5%和12.0%,差异无统计学意义(χ2=0.863,P=0.353)。干预前后没有被动吸烟的人数分别占53.5%和6%,差异有统计学意义(χ2=10.931,P=0.001)。[结论]石家庄市疾病中心创建无烟机构取得了较好效果。
[Objective] To explore ways to create a smoke-free mechanism to evaluate the effect of tobacco control after creating a smoke-free mechanism. [Method] According to the standard of smoke-free medical and health institutions (Trial) issued by the state in March 2008, a smoke-free establishment was established in this unit. Around 100 people were randomly selected before and after the survey to conduct questionnaire surveys. [Result] For the tobacco hazard cognition situation, the total awareness rate after intervention was 89.4% significantly higher than that before intervention (χ2 = 137.481, P = 0.000). The relationship between smoking and disease cognition, after the intervention total awareness rate of 84.7%, significantly higher than 69.6% before intervention (χ2 = 47.542, P == 0.000). On the relationship between passive smoking and disease, the total awareness rate after intervention was 86.1%, significantly higher than 73.0% before intervention (χ2 = 33.725, P = 0.000). Before and after the establishment of smoking rates were 16.5% and 12.0%, the difference was not statistically significant (χ2 = 0.863, P = 0.353). The number of patients without passive smoking before and after intervention accounted for 53.5% and 6%, respectively, with statistical significance (χ2 = 10.931, P = 0.001). [Conclusion] The establishment of smoke-free mechanism in Shijiazhuang Center for Disease Control has achieved good results.