论文部分内容阅读
目的对镇江市医疗卫生系统“无烟单位”创建过程中实施控烟措施进行效果评价。方法通过随机抽样确定在7家二级以上医院开展调查,在控烟干预前后,通过无烟环境观察、医务人员调查以及就诊者拦截调查的方法,对干预效果进行评价。结果干预后,有控烟宣传资料发放的单位比例从85.7%上升到了100.0%,重点区域内都张贴禁烟标识的比例达到100.0%,室外吸烟区设置率达从85.7%上升到了100.0%。就诊者在医院见到禁烟标志、控烟宣传、有人主动宣传禁烟知识以及看到有人劝阻吸烟的比例均有所上升,闻到烟味的比例有所下降。干预后,医务人员吸烟率下降、戒烟率上升,吸烟者中有戒烟意愿的比例有所提高。认为单位禁烟规定执行情况良好的比例由干预前的56.8%上升为干预后的71.0%,支持室内全部禁烟的比例由干预前的84.5%上升到干预后的94.5%。结论医院内控烟宣传氛围浓厚,“无烟医院”创建效果明显。然而,室内仍存在吸烟现象,应坚持长效管理,巩固无烟单位创建成果。
Objective To evaluate the effect of tobacco control measures in the process of establishing “Medical Unit” in Zhenjiang Medical System. Methods Randomized sampling was conducted to determine the effectiveness of interventions in 7 hospitals above the second class level before and after tobacco control interventions through the observation of smoke-free environment, medical personnel investigation and interviews with patients. Results After the intervention, the proportion of tobacco control publicity materials distributed increased from 85.7% to 100.0%. The percentage of non-smoking signs posted in all key areas reached 100.0%, and the outdoor smoking area setting rate increased from 85.7% to 100.0%. Visitors saw the no smoking signs in the hospital, tobacco control publicity, some people take the initiative to publicize the ban on smoking knowledge and saw some people discouraged the proportion of smoking have increased, the proportion of smell smoke decreased. After the intervention, the smoking rate of medical personnel decreased, the smoking cessation rate increased, and there was an increase in the proportion of smokers who were willing to quit smoking. The percentage of people who banned smoking in the whole area from smoking up to 84.5% before intervention was 94.5%. Conclusion Tobacco control publicity atmosphere in the hospital is strong, “smoke-free hospital ” creating effect is obvious. However, there are still indoor smoking phenomenon, should adhere to long-term management, to consolidate the creation of smoke-free units.