CAJ | 학술논문

目的：调查甘肃省医疗卫生机构从业人员控烟相关知识、态度、行为现状，分析其在创建无烟医疗卫生系统和参与、引领社会控烟等方面作用的发挥及其存在的问题，为进一步开展医疗卫生专业机构控烟工作与完善控烟策略提供依据。方法：采用分层整群抽样的方法确定34家医疗卫生机构，使用自行设计的问卷，对各级各类医疗卫生机构从业人员进行现场自填法调查其控烟相关的知识、态度、行为。结果：甘肃省医疗卫生从业人员对烟草危害缺乏深度和广度认识，虽在控烟态度上较积极，但控烟的综合服务能力不足，对受众戒烟帮助的方式方法欠规范。 Logistic回归分析显示，影响医务人员控烟能力的主要因素为自身吸烟情况、劝阻吸烟行为、询问吸烟情况。结论：对医疗卫生从业人群进行针对性的烟草知识和戒烟技能培训，降低该人群吸烟率，增强行政后勤管理人员控烟意识，是建设无烟医疗卫生系统、引领社会控烟的关键环节。
목적：조사감숙성의료위생궤구종업인원공연상관지식、태도、행위현상，분석기재창건무연의료위생계통화삼여、인령사회공연등방면작용적발휘급기존재적문제，위진일보개전의료위생전업궤구공연공작여완선공연책략제공의거。방법：채용분층정군추양적방법학정34가의료위생궤구，사용자행설계적문권，대각급각류의료위생궤구종업인원진행현장자전법조사기공연상관적지식、태도、행위。결과：감숙성의료위생종업인원대연초위해결핍심도화엄도인식，수재공연태도상교적겁，단공연적종합복무능력불족，대수음계연방조적방식방법흠규범。 Logistic회귀분석현시，영향의무인원공연능력적주요인소위자신흡연정황、권조흡연행위、순문흡연정황。결론：대의료위생종업인군진행침대성적연초지식화계연기능배훈，강저해인군흡연솔，증강행정후근관리인원공연의식，시건설무연의료위생계통、인령사회공연적관건배절。
Objective:Through a study on knowledge, attitudes, and practice of tobacco control of medical staff in Gansu Province, the paper aims to analyze the issues of participation, community tobacco control leadership and other aspects that impact the creation of a smoke-free healthcare system in order to provide a basis for the formulation of policies to improve the health professional mechanism of tobacco control. Methods:The stratified cluster sampling method was adopted to select 34 companies, accounting for a total of 805 medical staff as the study population in all kinds of health institutions. A self-designed questionnaire was adopted to investigate their knowledge, attitudes, and practice via on-site self-administered surveys. Results:the medical staff lacks knowledge as to the depth and breadth of damage from the use of tobacco. Although their attitude towards tobacco control is positive, the comprehensive to-bacco control service capabilities are insufficient. Logistic regression analysis showed that tobacco control capabilities of medical staff is related to their attitude toward smoking and whether or not they discourage smoking or asking about smoking . Conclusion:The key to the creation of a smoke-free health system to lead the community in tobacco control is the targeted tobacco cessation knowledge and skills training of medical staff to reduce smoking rates among medical staff and enhance the awareness of administrative staff.