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目的研究2008年中国医院的禁烟政策及其对医生吸烟行为的影响。方法在全国31个省(自治区、直辖市)和新疆生产建设兵团,每地选择省会城市1个,地级市1个,县级市(县城)1个,在每个项目点使用两阶段随机抽样方法抽取医生进行面对面问卷调查。使用SPSS13.0统计软件进行卡方检验,P<0.05为差异有统计学意义。结果本次调查发现中国有60.4%的医院制定了全面禁烟的政策,35.8%的医院有部分禁烟的政策,3.8%的医院无任何禁烟政策。但是在有全面禁烟政策的医院只有39.8%医院能够很好实施全面禁烟的政策。在能够实施全面禁烟的医院中,医生的现在吸烟率低于那些不能很好执行禁烟政策的医院,而医生的戒烟率、计划戒烟率、支持全面禁烟政策的比例均高于那些不能很好执行禁烟政策的医院。结论目前能够达到全面禁烟的医院比例依然较低,医院全面禁烟政策的实施能够改变医生的吸烟行为。
Objective To study the non-smoking policy of Chinese hospitals in 2008 and its influence on the smoking behavior of doctors. Methods In 31 provinces (autonomous regions and municipalities directly under the Central Government) and Xinjiang Production and Construction Corps, one provincial capital city, one prefecture-level city and one county-level city (county seat) were selected for each site. Two-stage random sampling Methods To collect doctors to conduct face-to-face questionnaires. Using SPSS13.0 statistical software for chi-square test, P <0.05 for the difference was statistically significant. Results The survey found that 60.4% of hospitals in China have formulated a comprehensive smoking cessation policy, 35.8% of hospitals have some non-smoking policies, and 3.8% of hospitals have no smoking policy. However, only 39.8% of hospitals in hospitals with a comprehensive smoking ban are well placed to implement the comprehensive smoking ban policy. Among hospitals that can implement a total smoking ban, the current smoking rate of doctors is lower than that of hospitals that can not enforce the smoking ban. Physicians’ smoking cessation rate, planned smoking cessation rate and the proportion of supporting a total smoking ban are all higher than those that can not be implemented well No smoking policy hospital. Conclusion At present, the proportion of hospitals that can achieve a total ban on smoking is still relatively low. The implementation of a comprehensive smoking ban in hospitals can change the smoking behavior of doctors.