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[目的]研究医务人员控烟干预的措施及途径。[方法]以无烟医院创建活动为载体,实施综合治理,对三门峡市准三级医院进行高强度高频次控烟干预前后,医务人员相关知识和提供戒烟服务情况等进行比较。[结果]试点医院环境洁净,无烟氛围日益浓厚,医务人员吸烟率由干预前的7.80%下降到干预后的4.94%,干预后医务人员控烟知识大于12分(满分20分)的比例(88.27%)明显高于干预前(53.62%),医务人员戒烟服务能力干预后明显高于干预前,如何开始规劝病人戒烟、如何为戒烟病人提供心理支持、如何帮助病人减轻戒断症状、如何为病人开戒烟处方分别由干预前的46.60%、33.89%、28.76%和14.27%提高到干预后的94.44%、75.93%、90.43%和81.38%。[结论]实施综合治理,以无烟医院创建活动为载体的途径是实施医务人员控烟干预的有效途径,高强度高频次的控烟干预措施是可行有效的。
[Objective] To study the measures and ways of medical personnel to control tobacco smoke. [Methods] Taking the activity of creating smoke-free hospital as the carrier, the comprehensive management was carried out to compare the related knowledge of medical staff and the provision of smoking cessation services before and after the high-intensity and high-frequency sub-control tobacco intervention in Sanmenxia city quasi-tertiary hospital. [Results] The hospital environment was clean and the smoke-free atmosphere was increasingly thick. The smoking rate of medical staff dropped from 7.80% before intervention to 4.94% after intervention, and the proportion of tobacco control staff who were more than 12 points out of 20 after intervention (88.27 %) Was significantly higher than that before intervention (53.62%). After medical intervention, the medical staff’s ability to quit smoking was significantly higher than that before intervention. How to start counseling patients to quit smoking, how to provide psychological support for smoking cessation patients, how to help patients to relieve withdrawal symptoms, The prescribing rates of smoking cessation increased from 46.60%, 33.89%, 28.76% and 14.27% before intervention to 94.44%, 75.93%, 90.43% and 81.38% respectively after intervention. [Conclusion] It is feasible and effective to implement comprehensive control and to establish a smoke-free hospital to create activities as a carrier to implement the tobacco control interventions for medical staff.