北京市崇文区医务人员控烟效果评价

目的了解健康教育前后北京市崇文区医务人员吸烟状况及其控烟态度和行为的改变情况，并对干预效果进行评价。方法在北京市崇文区疾病预防控制中心辖区医院中，选择4家医院作为干预组，进行为期1年的控烟健康教育，另外选择4家医院作为对照组，通过问卷调查了解干预组与对照组干预前后吸烟状况、控烟知识、态度和行为情况，对干预效果进行评价。结果干预前共调查3093人，干预后共调查3172人。干预后，干预组在知识、态度和行为方面具有明显改善，且优于对照组，差异有统计学意义（P〈0．05）。干预后，干预组对吸烟导致肺癌、气管炎和冠心病的知晓率达到了85％以上，大部分控烟知识点的知晓率能够达到50％以上；态度上，97．8％的干预组调查对象认为“医生应主动宣讲吸烟的危害及戒烟知识”，行为上，接受过戒烟培训的比例由31．8％升高到77．1％；吸烟率由18．9％下降到10．9％。结论健康教育可以改变医务人员的吸烟行为、控烟理念及态度，降低医务人员吸烟率，从而推进全社会的控烟工作。

Effect evaluation on smoking control intervention among healthcare workers in Chongwen District

Objective To evaluate the effects of smoking control intervention among health-care workers(HCWs).Methods 4 hospitals were chosen to form intervention group and another 4 as control group.Questionnaire surveys were conducted before and after one-year smoking control intervention to study the knowledge,attitudes and practice(KAP) of HCWs on smoking and health.Results 3188 HCWs were investigated in this study,and the number of effective questionnaire returns in the baseline and final investigation was 3093 and 3172 respectively.After the smoking control intervention,more HCWs realized that smoking can cause hypertension,coronary artery disease,gastric cancer,cerebrovascular disease and diabetes.97.8% of HCWs in intervention group recognized the importance of providing smoking cessation service to patients in routine treatment.Compared to the control group,the smoking rate of intervention group was decreased from 18.9% to 10.9%,and the rate of HCWs being trained in smoking cessation was increased from 31.8% to 77.1%.Differences were statistically significant(P<0.05).Conclusion Smoking control intervention is feasible for HCWs to improve KAP and smoking behavior,which helps to facilitate the smoking control in the whole society.