深圳医务工作者控烟倡导知识、信念、行为能力干预效果评价及研究

目的：评价健康教育（健康促进策略）对医务工作者控烟倡导知识、信念、行为以及医院禁烟工作的影响。方法：采取分层整群系统抽样方法,抽出深圳市市属的12家医院中的3家医院,区属的47家医院中的2家,按相似条件1：1配对,随机分为2组,对其中一组进行干预,率进行检验。结果：干预前对照组和干预组的控烟知识总知晓率分别为：37.3%、37.7%,态度持有率分别为：42.5%、42.5%,行为持有率分别为：38.7%、47.0%,P〉0.05;干预后各率依次为：42.2%、86.0%,49.2%、90.0%,49.2%、80.0%,P〈0.01。结论：对医务工作者进行控烟知识的系统的健康教育、控烟技能培训、辅以健康促进策略能提高医务工作者的控烟知识水平、改变工作态度、强化正性行为,推动医院控烟工作。

Study on the Assessment about Intervention Effect of Tobacco Control Advocacy Knowledge, Faith and Behavior for Shenzhen Medical Workers

Objective To evaluate the effect of health education （health promotion strategies） on improving tobacco control（TC） advocacy knowledge,faith and behavior of medical workers and the tobacco control in hospital.Methods Combining stratified cluster and systematic sampling method was used to select 3 hospital from 12 in urban Shenzhen city randomly,and 2 from 47 hospitals out of urban districts.All samples were divided into 2 groups randomly after involved in matched pairs as 1：1.Interventions were performed in 1 group,and compared with the other group.The difference between two groups were analyzed by test.Results Before intervention,the total awareness rate,the attitude holding rate,the behavior holding rate of TC knowledge of control group and intervention group were 37.3%,37.7%;42.5%,42.5%;38.7%,47.0%;respectively （all P 0.05）.After the intervention,the above rates were 42.2%,86.0%;49.2%,90.0%;49.2%,80.0% respectively （all P 0.01）.Conclusion Systematic health education and professional skill training combined with health promotion strategies on medical workers may improve their knowledge levels of TC,encourage working attitude,promote positive behavior,improve the tobacco control in hospital.