摘要
目的了解成都市临床医生与吸烟的知识、态度、行为,为在医院开展控烟工作提供科学依据。方法分层随机抽取8所1级医院、3所2级医院、4所3级医院的临床医生进行问卷调查。结果共调查613名临床医务人员,有效问卷612份,有效率为99.84%。男性330人,女性282人;1级医院181人,2级医院150人,3级医院281人。现在吸烟率为20.1%,95.12%的吸烟医生会在上班时吸烟,43.09%的吸烟医生会在病人面前吸烟。医生在接诊时,42.65%的医生常会询问病人吸烟情况,40.69%的医生在病人的疾病与吸烟相关时会询问病人的吸烟情况,而16.67%的医生很少询问病人的吸烟情况,当了解病人吸烟后,有74.12%的医生经常会建议病人戒烟或少吸,20.39%的医生有时会建议病人少吸烟或戒烟。Logistic回归分析结果显示,医生的工作年限、所在科室、诊治病人量和戒烟知识评分是医生接诊时是否询问病人吸烟的影响因素,差别有统计学意义(P<0.05)。结论应加强对医生的健康教育和戒烟知识培训,并合理安排医疗资源,使医生有时间也有能力向病人传送控烟知识,提高其在临床提供戒烟服务的能力。
Objective To describe the knowledge, attitude and behavior about the tobacco smoking of doctors in Chengdu, and to provide the scientific basis for smoking control in hospital. Methods A stratified sampling was taken among 15 hospitals, including 8 hospitals form first class hospital, 3 hospitals from second class hospital, and 4 hospitals form third class hospital. All cases were investigated with questionnaire. Results 612 valid cases （330 were male, 282 female） from 613 doctors were surveyed, including 181 cases came from first class hospital, 150 came from second class hospital, and 281 came from third class hospital. The current smoking rate of doctors in Chengdu was 20.1%. Among the smoking doctors, 95.12% of them smoked in work time, 43.09% of them smoked in the presence of the patients. During the clinic routines, 42.65% of doctors often inquired of patients about their smoking situation, 40.69% of doctors could ask the patients about smoking state when their disease was considered to be connected with the tobacco smoking, but 16.67% of doctors never paid attention to patient＇s smoking. There were 74.12% of doctors who often advised the patients to quit or limit smoking once the doctors knew the patients smoked, and 20.39% of doctors did like this sometimes. Conclusion It is necessary to strengthen the health and quit smoking education of doctors, and to improve the doctors＇ abihty of smoking control.
出处
《中国慢性病预防与控制》
CAS
2006年第5期342-344,共3页
Chinese Journal of Prevention and Control of Chronic Diseases
