泌尿外科医务人员戒烟教育效果评价

目的：了解泌尿外科医务人员吸烟状况，提高医务人员自身控烟意识，降低其吸烟率。方法：对泌尿外科医、护、技人员采取看实验、学习材料、分组讨论、科主任提要求、组长监督方法，于受教育前后进行问卷调查。结果：护士、技术员组吸烟率明显下降，医生组吸烟率较受教育前略有下降。结论：医务人员戒烟教育应作为一项经常性的重要工作。加强医生戒烟教育迫在眉捷。     

综合干预模式对医务人员戒烟效果研究

目的探索针对医务人员行之有效的戒烟模式。方法随机选择3家医院,将1 980名医务人员设为综合干预组、行政干预组和对照组。在干预前后进行每日吸烟量、吸烟率、危害认知和戒烟意愿等调查,干预6个月后检测戒烟者尿液中可的宁浓度判定是否成功戒烟。结果综合干预组现在吸烟率和吸烟量明显降低。行政干预组现在吸烟率降低,但每日吸烟量无明显变化;综合干预组愿意接受家人、同事帮助和戒烟辅导的比例均显著增加,行政干预组愿意接受家人和同事帮助的比例显著增加;干预后3组的成功戒烟率,综合干预组为49.8%,行政干预组为17.7%,对照组仅5.3%。结论综合干预能降低医院工作人员的吸烟率和每日吸烟量。     

虹口区医务人员吸烟状况调查与戒烟效果分析

为参与“上海市 2 0 0 1年医务人员戒烟大行动”的活动 ,有组织、有步骤地在医务人员中开展戒烟活动 ,我们于 2 0 0 1年 2月对全区一、二级医院 2 5 0 1名医务人员进行吸烟现况调查。1　材料与方法1.1　对象虹口区一、二级医院 2 5 0 1名医务人员 ,其中医生 893名 ,医疗管理 117名 ,护士及卫技人员 14 91名 ,本调查不包括后勤人员。1.2　方法1.2 .1　吸烟调查　采用自填式统一问卷编号记名调查 ,由专职联络员分发、回收。1.2 .2　戒烟方法　共有 16 4名吸烟者报名参加戒烟活动 ,采用“力凯定”戒烟贴阶梯减量疗法 ,每日吸烟量在 10支以上者 …     

上海市2078名医务人员戒烟情况随访分析

吸烟在我国造成的疾病和经济负担日益严重 ,在过去的 2 0年中 ,中国的卷烟消耗量增长了 3倍多 ,这将导致死亡率在未来的几十年里显著上升。 1996年全国疾病监测点系统 (ＤＳＰ)资料显示 ,上海市 15岁以上人口的总吸烟率达到 37.5 7% ,其中男性为 72 .5 3% ,女性为 2 .5 9% [1] ,就全国吸烟率来看 ,上海市男性吸烟率略高于平均水平 ,女性略低于平均水平[1] ,而上海市男性医务人员吸烟情况也较普遍。为了提高医务人员控制吸烟的意识和技能 ,降低医务人员的吸烟率 ,以医务人员带头戒烟的行动影响普通烟民 ,我们于 2 0 0 1年 2月 2 6日～ 5月10…     

潍坊市医务人员吸烟状况与戒烟服务情况的调查

目的了解潍坊市医院医务人员的吸烟现况及向病人提供戒烟服务的情况，为医院持续控烟工作的改进提供科依据。方法对城区创建国家卫生城市参加无烟医院评比的单位，以问卷的方式进行调查。结果5097名医务人员中有14．68％吸烟，96．0％的人知晓本单位开展无烟医院，95．5％的人赞同创建无烟医院；35．4％的人主动向病人提供戒烟服务；14．1％的人曾经得到过戒烟方法与技巧的培训，43．7％的人打算学习戒烟的方法技巧。10．7％的病人主动寻求医务人员提供戒烟帮助，吸烟者与非吸烟者在支持创建无烟医院、提供戒烟服务的态度上存在差别。结论建议提高医务人员对病人提供戒烟服务的意识和能力，做好医务人员的戒烟工作。     

上海市2001年医务人员戒烟大行动

烟草在全球流行 ,世界范围内与烟草有关的疾病和死亡情况正日趋严重 ,全球每年归因吸烟死亡人数约 40 0万。中国现有 3.2亿烟民 ,因吸烟死亡人数约 75万 ,占成年男性死亡的12 .0 %。上海的吸烟率也同样处于较高水平 ,成年男性吸烟率达 6 5 .0 % ,已经成为比较严重威胁人群健康和生命的社会问题。 2 0 0 0年 7月上海市人民政府发布的《上海预防和控制慢性非传染性疾病中长期规划》已将全社会控制吸烟作为重要的策略之一 ,2 0 0 1年开展的“医务人员戒烟大行动”是一项主要的活动 ,目的在于提高医务人员控制吸烟的意识和技能 ,降低医务人员的…     

我国医务人员戒烟现状

烟草依赖是一种慢性病,世界卫生组织已将烟草依赖作为一种疾病列入国际疾病分类（ICD——10,F17．2）,确认烟草是目前对人类健康的最大威胁之一。吸烟可以导致多个系统的疾病。     

黄浦区医务人员吸烟状况与戒烟服务情况的调查

目的了解黄浦区医疗卫生单位医务人员的吸烟现况及向病人提供戒烟服务的情况。方法对本区申报参加上海市无烟医疗卫生的单位,以问卷的方式进行调查。结果黄浦区医务人员的吸烟率为13.7%;96.0%的医务人员知晓本单位开展无烟医疗机构,95.5%的医务人员赞同创建无烟医疗机构;10.7%的病人主动寻求医务人员提供戒烟帮助,35.4%的医务人员主动向病人提供戒烟服务;14.1%的医务人员曾经得到过戒烟方法与技巧的培训,43.7%的医务人员打算学习戒烟的方法与技巧。吸烟者与非吸烟者在支持创建无烟医疗机构、提供戒烟服务的态度上存在差别。结论创建无烟医疗卫生机构应做好吸烟医务人员的戒烟工作;医务人员对病人提供戒烟服务的意识和能力均有待提高。     

上海市2078名医务人员戒烟情况分析

据ＷＨＯ报道 ,全球每年因吸烟导致死亡的人数 1990年为30 0万 ,到 1998年上升至每年 40 0多万。估计到 2 0 2 0年每年死亡人数约 840万左右 ,2 0 30年将达到 10 0 0万。由此带来的医疗负担也是巨大的。据上海市有关部门统计全市人群中的吸烟率为 31.0 % ,男性吸烟率为 5 7.3% ,全市男性医务人员的吸烟率为 40 .9% ,为了提高医务人员的控烟意识和技能 ,降低上海医务人员的吸烟率 ,并以医务人员带头戒烟的行动 ,影响普通烟民 ,因此在上海 344家医疗卫生单位的 2 0 78名医务人员中开展了尼古丁替代疗法戒烟活动。尼古丁替代疗法作为一种戒烟的…     

医务人员控烟干预效果评价

[目的]了解医院在职人员实施控烟干预措施的效果。[方法]2009年4~12月在淮安一院实施控烟,具体措施包括政策的制定、场所干预、人群干预、成立戒烟门诊、设立戒烟咨询电话等,比较干预前后在职人员的吸烟与被动吸烟情况、控烟知识与态度等指标。[结果]干预前共调查在职员工137人,吸烟率为14.6%,干预后共调查137人,吸烟率为16.8%,差异无统计学意义(P﹥0.05)。被动吸烟情况,干预前后χ2检验,P=0.707﹥0.05,差异无统计学意义。但干预后在职人员控烟知识与态度均有所提高。增长幅度最大的是吸烟易导致骨质疏松的知晓率,干预前为42.3%,干预后为73%,增幅为30.7个百分点;在职员工认为室内应全部禁烟的比例由干预前的82.5%上升到干预后95.6%,差异有统计学意义(P﹤0.05)。[结论]通过干预,医务人员在控烟理念、知识、行为与态度均有所提高,说明控烟干预是可行的,其效果需持续巩固。需要进一步加强医院无烟环境的创建,加强并完善控烟工作行政法规,加强对吸烟危害与戒烟技巧的培训与学习,树立医生作为健康维护者的形象,在控烟工作中起表率作用,以推动整个社会控烟工作的开展,加快控烟履约工作步伐。     

北京市某三甲医院医务人员吸烟状况及控烟态度和简短戒烟干预情况

目的 了解北京市某三甲医院创建无烟医院十余年后医务人员的吸烟状况及控烟态度和临床医务人员简短戒烟干预情况,为今后医务人员控烟干预提供参考依据.方法 于2017年7月采用整群抽样方法在北京市某三甲医院抽取2 141名在职医务人员进行问卷调查.结果 北京市某三甲医院调查的2 141名医务人员中,吸烟者49人,吸烟率为2.3...     

Evaluation of an intervention to train health professionals working with Aboriginal and Torres Strait Islander people to provide smoking cessation advice

Objective : To investigate the effectiveness and cultural relevance of Quitskills training tailored for health professionals working with Aboriginal and Torres Strait Islander people who smoke. Methods : A retrospective analysis was conducted with data collected from 860 participants (54% Aboriginal and Torres Strait Islander participants) in tailored Quitskills training from 2012 to 2016. Course participants took part in a survey at pre‐training, post‐training and four‐six weeks post‐training to assess confidence in skills to address tobacco, and perceptions of the strengths, areas for improvement and cultural relevance of the training. Results : Confidence in skills and knowledge to address tobacco increased significantly from pre‐ to post‐training (all indicators of confidence in skills increased p<0.001) and remained high at follow‐up. Tailored Quitskills training was perceived as being culturally relevant by Aboriginal and Torres Strait Islander participants, and the training facilitators were the most commonly cited strength of the training. Conclusions : Quitskills is an appropriate course for increasing skills and confidence among health professionals working with Aboriginal and Torres Strait Islander people who smoke. Implications for public health : Training courses that are tailored for Aboriginal and Torres Strait Islander people can build the capacity of the health workforce in a culturally relevant manner.     

城市学校控烟活动效果评价

目的开展学校控烟教育活动并评价活动效果，探讨开展学校控烟干预活动的有效方法。方法于2003年在6城市15所中小学按照统一的设计方案开展为期一年的学校控烟干预活动，并设立对照组。通过基线和终末问卷调查了解干预学校和对照学校学生、教职工的控烟相关知识、态度和行为的变化，评价干预效果。结果干预学校小学生、中学生和教职工的控烟相关知识知晓率和正确态度持有率均有明显的提高。干预学校学生的尝试吸烟率均有降低，其中干预中学学生尝试吸烟率的下降幅度为10．91％，远远大于对照学校学生的2．28％。干预学校教职工尤其是男性教职工和35岁以下教职工的现在吸烟率明显降低。结论学校控烟新模式在学校实施后，在改变学生、教职工知识、态度和行为方面取得了明显的效果，证明开展学校控烟干预活动是成功的模式。     

Developing a tool for health professionals involved in producing and evaluating nutrition education leaflets

Introduction Nutrition education leaflets are widely used by dietitians and many dietitians are also involved in their production. However, there does not appear to be a suitable tool to assist health professionals to produce or evaluate nutrition education leaflets. There are Guidelines available that are either specifically concerned with nutrition but for all educational materials or specifically for use with leaflets, but not necessarily to do with nutrition. The aim of this study was to develop a tool suitable to assist health professionals when producing and evaluating nutrition education leaflets.
Methods Patients and dietitians were surveyed by self-completion questionnaire to determine their opinions of the importance of various criteria which might be applied to nutrition education leaflets were.
Results The research revealed significant differences in the opinions of dietitians and patients for seven of 11 criteria.
Conclusion The evaluation tool developed was based on the patients' ranking of all the criteria. Its reliability was assessed amongst a group of dietitians in Dorset but its wider use and acceptability should be looked at. The tool is likely to be appropriate as a checklist for health professionals producing new nutrition education leaflets or as a framework for evaluating existing nutrition education leaflets.     

Barriers and facilitators for health professionals referring Aboriginal and Torres Strait Islander tobacco smokers to the Quitline

Objective: To examine the barriers and facilitators among health professionals to providing referrals to Quitline for Aboriginal and Torres Strait Islander clients who smoke. Methods: A brief online survey, based on the Theoretical Domains Framework, was completed by 34 health professionals who work with Aboriginal and Torres Strait Islander people in South Australia and the Northern Territory. Results: Respondents who frequently made referrals had higher domain scores than less frequent referrers for ‘Skills and knowledge’ (M=4.44 SD=0.39 vs. M=4.09 SD=0.47, p<0.05) and ‘beliefs about capabilities’ (M=4.33 SD=0.44 vs. M=3.88 SD=0.42, p<0.01). Barriers to providing referrals to Quitline were lack of client access to a phone, cost of a phone call, preference for face‐to‐face interventions, and low client motivation to quit. Conclusions: Health professionals working with Aboriginal and Torres Strait Islander clients should be supported to build their skills and confidence to provide referrals to Quitline and other brief cessation interventions. Building capacity for face‐to‐face support locally would be beneficial where phone support is not preferable. Implications for public health: Engaging with health professionals who work with Aboriginal and Torres Strait Islander people to increase referrals to Quitline is strategic as it builds on their existing capacity to provide cessation support.     

山东省中小学生健康行为干预效果评价

目的 评价以健康教育课为主的综合干预措施对山东省中小学生健康行为的干预效果,为学校的健康促进工作提供参考依据.方法 采用随机化对照实验研究方法对在山东省沂源县和寿光市中小学校随机抽取的600名干预组学生和399名对照组学生进行健康行为问卷调查.结果 干预前,干预组和对照组学生对健康知识的总体知晓率分别为52.3%和51.3%,差异无统计学意义(P>0.05);干预后,干预组学生对健康知识的总体知晓率为70.9%,高于对照组学生的54.4%,差异有统计学意义(P<0.01);干预前,干预组与对照组学生在健康相关态度和行为7道题的正确率差异均无统计学意义(P>0.05);干预后,除\     

Fathers' narratives of reducing and quitting smoking

Despite much attention on women's efforts to reduce or stop smoking during pregnancy and postpartum, less attention has been directed to fathers' experiences in modifying their smoking. Using narrative methods, interviews with 29 new fathers were examined to identify different ways in which men approached reducing or quitting smoking. Four storylines were identified: the cold turkey storyline framed quitting smoking as a snap decision with no need for support or smoking cessation aids; the planned reduction storyline focused on building up reasons to quit and developing detailed strategies to enhance the likelihood of success; the baby as the patch storyline dramatised how the baby displaced the need to smoke, increased motivation for cessation and enhanced success; and, finally, a story of forced reduction that highlighted difficulties with smoking cessation for a highly addicted smoker and the tension and conflict this created in his relationship with his partner. Common to all the storylines was the men's reluctance to rely on smoking cessation resources; instead, self-reliance, willpower, and autonomy figured more prominently in their narratives. The findings from this study support developing gender-sensitive tobacco reduction interventions for fathers who smoke.     

基于社会认知理论的小组戒烟干预效果的2年随访评价

目的评价社会认知理论指导下的"我能戒烟"小组式戒烟方法的长期效果。方法通过社区动员征集217名吸烟者进行以社会认知理论为指导的小组式戒烟干预,并在干预完成半年、2年后对研究对象进行随访,评价干预效果。结果干预2年后生化验证的戒烟率为32.3%,戒烟成功率为15.2%。患吸烟相关疾病、自我效能的变化以及家庭无烟政策与2年后是否戒烟有关。结论"我能戒烟"小组式戒烟法是一种有效的戒烟方法,适于在社区推行。