常州市医务人员吸烟相关行为现况调查

目的了解常州市医务人员吸烟和控烟知识、态度及行为现状，为促进医务人员开展戒烟活动，提高其控烟意识，促使其在日常工作中帮助吸烟者戒烟服务提供科学依据。方法采用分层随机抽样方法，用统一设计的《吸烟现况调查表》对常州市一、二、三级医院的620名医生进行问卷调查。用EpiData3．1录人调查数据形成数据库，用统计软件SPSS13．0进行χ^2检验、趋势检验等统计分析，P〈0．05为差异有统计学意义。结果常州市医务人员总吸烟率为27．58％。其中男性吸烟率为46．03％，女性为1．18％，差异有统计学意义（χ^2=151．2，P〈0．05）。医生在接诊时，有22．74％的医生从不或很少询问患者吸烟情况，33．71％的医生在患者疾病与吸烟相关时才询问；所调查医务人员中，如果知道患者吸烟，57．25％的医生会经常建议患者戒烟；医生吸烟率随着工作年限的增加有所上升（χ^2=18．512，P〈0．05）；不同职称医生的吸烟率差异有统计学意义（χ^2=8．764，P〈0．05），其中高级职称的医生吸烟率最高为35．48％；不同科室的医生吸烟率间的差异有统计学意义（χ^2=60．928，P〈0．05），其中以外科医生吸烟率最高达45．73％；在医生的不同学历中以中专及中专以下学历医生的吸烟人数最多，吸烟率分别为37．50％、32．08％。结论应加强医生的健康教育和戒烟知识培训，减少医生的吸烟行为；采取相应的对策使医生有时间也有能力向患者传送控烟知识，提高其在临床提供戒烟服务的能力，进而推进全社会的控烟工作。

A survey on cigarette smoking related behavior among medical doctors in Changzhou

Objective To understand the current status of smoking related behavior and attitude toward smoking control among medical doctors in Changzhou, in order to provide scientific evidence for helping them quit smoking. Methods Altogether 620 doctors from the first , the second and the third class hospitals were selected and surveyed by using a stratified random sampling method. A unified ＂smoking status investigation questionnaire＂ was used in the survey. Epidata 3.1 was used for data entry, and SPSS13.0 was used for data statistical analysis. Results The survey revealed that 27.58% of doctors smoked cigarette, and the number of male smokers was much higher than female smokers （46.03% vs 1.18%, χ2 = 151.2, P〈0.05）. Meanwhile, 22.74% doctors never or rarely asked about smoking habit of their patients and 33.71% did inquire about patients＇ smoking habits only when the disease was smoking related. If they knew their patients were cigarette smokers, only 57. 25% of them encouraged their patients to quit. The number of doctors smoking increased with their working years adding up （χ2 = 18. 512, P〈0.05）. The smoking rate varied among doctors with different titles （χ2=8. 764, P〈0.05） with the highest of 35.48% found among those who usually had the top tier titles. Also, there were significant differences of smoking rate among doctors with different specialties （χ2 60. 928, P〈0.05） and almost half surgeons surveyed were smokers. Doctors with associate de gree or even lower were more likely to smoke with the smoking rate of 37.50% and 32.08%.Conclusions A certain number of doctors are still smoking, therefore, health education as well as specific training on quit-smoking can help them either smoking less or quitting, and at same time, doctors can assist and encourage their patients to quit too.