论文部分内容阅读
目的 :探讨为孕产妇和婴幼儿创造无烟环境的有效措施。方法 :于 1997年以北京市 7家医院所保健的有吸烟者的 5 93户孕产妇及 1岁以下婴幼儿家庭为对象 ,通过发动保健科医生积极参与 ,将控烟干预同孕产妇、婴幼儿的常规医疗保健工作融合起来 ,开展了一系列的吸烟调查和家庭控烟活动。结果 :1年后对活动进行评价 ,结果表明 :吸烟者的知、信、行均有所改变 ,特别是在家中的吸烟情况有了明显改善。 91.1%的吸烟者都有为孩子创造无烟的家居环境的良好意愿 ,6 0 %以上的吸烟者或戒烟或减少了吸烟量 ,其中 10 .6 % (2 3人 )的吸烟者通过本活动完全戒了烟 ,49.8%的人吸烟量减少。“无烟家庭”由最初的 319个增加到 336个。即使仍在家庭环境吸烟 ,也有越来越多的烟民会自觉顾虑到被动吸烟的问题 ,吸烟者不在居室内吸烟而主动到阳台、院子或厨房里吸烟 ,能确保居室环境无烟的家庭从 5 5 %增加到 82 % ,此变化具有统计学显著性意义。结论 :这种将控烟干预纳入初级卫生保健常规的家庭控烟方法有效、可行 ,值得进一步完善并推广使用。
Objective: To explore effective measures to create a smoke-free environment for pregnant women and infants. Methods: In 1993, 5 93 pregnant women with smokers and 7 infants under 1 year old who had health care in 7 hospitals in Beijing were enrolled in this study. Health care doctors were involved in active intervention to control tobacco control with pregnant women, infants and toddlers Of conventional health care work together to carry out a series of smoking surveys and family tobacco control activities. Results: After one year, the activities were evaluated. The results showed that the smokers’ knowledge, letters, and behaviors changed, especially the smoking in their homes had been significantly improved. 91.1% of smokers have a good intention of creating a smoke-free home environment for their children. More than 60% of smokers or those who quit smoking or reduce smoking, of which 10.6% (23) of smokers through this activity Quit smoking completely, 49.8% of people smoke less. The number of “smoke-free homes” has risen from the initial 319 to 336. Even if smoking is still in the family environment, more and more smokers will consciously consider the issue of passive smoking. Smokers do not smoke in the living room and take the initiative to smoke in the balcony, the yard or the kitchen to ensure that the living environment of the smoke-free family from 5 5% increased to 82%, this change was statistically significant. Conclusion: This tobacco control intervention into the routine health care of the conventional tobacco control method is effective and feasible, worthy of further improvement and promotion.