發(fā)布時(shí)間：2018-06-07 03:48

  本文選題：醫(yī)務(wù)人員 + 吸煙��； 參考：《南華大學(xué)》2013年碩士論文

【摘要】：目的：了解目前衡陽(yáng)市醫(yī)務(wù)人員的吸煙狀況及其對(duì)參與控?zé)煹膽B(tài)度,并有針對(duì)性地對(duì)醫(yī)務(wù)人員這一專業(yè)群體進(jìn)行戒煙培訓(xùn)，提高其控?zé)熞庾R(shí)，促使其在日常工作中積極參與控?zé)煿ぷ�，為�?chuàng)建無(wú)煙醫(yī)院和推進(jìn)全社會(huì)控?zé)煿ぷ魈峁┮罁?jù)。 方法：采用現(xiàn)況調(diào)查方法，以衡陽(yáng)市醫(yī)務(wù)人員為調(diào)查對(duì)象。采用分層整群抽樣原則選擇部分衡陽(yáng)市區(qū)醫(yī)務(wù)人員采用問(wèn)卷進(jìn)行調(diào)查，研究其吸煙行為現(xiàn)狀以及政策措施、社會(huì)文化、環(huán)境、職業(yè)道德、責(zé)任情感等對(duì)其吸煙行為的影響；通過(guò)卡方檢驗(yàn)比較吸煙現(xiàn)況差異以及采用Logistic回歸方法分析其影響因素，并采用“合情合理行動(dòng)理論”解釋其原因。 結(jié)果：衡陽(yáng)市區(qū)醫(yī)務(wù)人員吸煙率為30.4%，其中男性醫(yī)務(wù)人員吸煙率為55.8%，女性醫(yī)務(wù)人員為1.0%，差異有統(tǒng)計(jì)學(xué)意義（P＜0.001）；戒煙率為44.9%，戒煙成功率為19.1%；開(kāi)始吸煙的動(dòng)因依次為社交需要、解悶、他人誘導(dǎo)、好奇以及學(xué)習(xí)（工作）壓力大；煙草的主要來(lái)源依次為自己買來(lái)和別人贈(zèng)送；避靜處、娛樂(lè)場(chǎng)所、家里和辦公室是主要吸煙場(chǎng)所；而通常吸煙的情況是朋友聚會(huì)、敬煙、學(xué)習(xí)（工作）緊張以及情緒低落；醫(yī)務(wù)人員對(duì)吸煙危害健康的知識(shí)知曉率高。在吸煙與控?zé)煹男拍罴皯B(tài)度方面，認(rèn)為吸煙是一種不良習(xí)慣者占87.5%，而認(rèn)為戒煙越早越有利于健康者占85.7%，贊同創(chuàng)建無(wú)煙醫(yī)院者占87.3%，在戒煙與幫助戒煙的態(tài)度與責(zé)任方面，認(rèn)為醫(yī)務(wù)人員應(yīng)主動(dòng)向病人提供戒煙服務(wù)的占66.7%，從多因素Logistic回歸分析結(jié)果來(lái)看，男性、社區(qū)醫(yī)院、工作年限越久的醫(yī)務(wù)人員，吸煙傾向要高；中級(jí)職稱比高級(jí)職稱醫(yī)務(wù)人員更傾向于戒煙；月均收入越高的醫(yī)務(wù)人員幫助病人戒煙的傾向越低；三級(jí)醫(yī)院、內(nèi)科以及月均收入越低的醫(yī)務(wù)人員幫助病人戒煙的傾向相對(duì)要高；男性比女性醫(yī)務(wù)人員對(duì)創(chuàng)建無(wú)煙醫(yī)院的傾向性要低，不吸煙醫(yī)務(wù)人員更傾向于創(chuàng)建無(wú)煙醫(yī)院。 結(jié)論：衡陽(yáng)市區(qū)醫(yī)務(wù)人員吸煙率較高；吸煙者對(duì)吸煙危害健康的知識(shí)知曉率高；抵制煙草情況不容樂(lè)觀；醫(yī)務(wù)人員戒煙效果不佳，，面臨的戒煙障礙較多；衡陽(yáng)市區(qū)醫(yī)務(wù)人員控?zé)熞庾R(shí)不足，戒煙服務(wù)能力有待加強(qiáng)；雖然醫(yī)院室內(nèi)均貼有禁止吸煙的標(biāo)志，且三級(jí)醫(yī)院以及部分二級(jí)醫(yī)院均設(shè)有吸煙區(qū)，但其利用率很低，部分科室，走進(jìn)樓道都能聞到煙味，尤以行政部門(mén)突出。這種環(huán)境因素的存在對(duì)于控?zé)熓遣焕�，因此在醫(yī)務(wù)人員中開(kāi)展控?zé)煾深A(yù)措施對(duì)降低醫(yī)務(wù)人員吸煙率有特別重要的意義。
[Abstract]:Objective: to understand the smoking status of medical workers in Hengyang City and their attitude towards smoking control, and to give smoking cessation training to the medical staff, so as to improve their awareness of smoking control. In order to establish the smokeless hospital and promote the whole society tobacco control work, it can provide the basis for its active participation in the daily work of tobacco control. Methods: the present situation investigation method was used to investigate the medical staff in Hengyang city. Adopting stratified cluster sampling principle selected part of Hengyang city medical personnel to use questionnaire to investigate the current situation of smoking behavior and the influence of policies and measures social culture environment professional ethics responsibility emotion on their smoking behavior; The differences of smoking status were compared by chi-square test and the influencing factors were analyzed by Logistic regression method, and the reasons were explained by "reasonable action theory". Results: the smoking rate of medical staff in Hengyang city was 30.4. The smoking rate of male medical staff was 55.8, that of female medical staff was 1.0, the difference was statistically significant (P < 0.001), the smoking cessation rate was 44.9, and the success rate of quitting smoking was 19.1.The motivation to start smoking was social need and relief. Others induce, curious, and study (work) stress; the main sources of tobacco in turn buy and give to others; shelter, entertainment, home and office are the main smoking places; and usually the smoking situation is the gathering of friends, Smoking, learning and depression; high awareness of health hazards among medical staff. In terms of the beliefs and attitudes of smoking and smoking control, 87.5% of them thought that smoking was a bad habit, while 85.7% believed that the earlier they quit, the better the health, and 87.3% agreed to establish smokeless hospitals. In terms of attitude and responsibility of quitting smoking and helping to quit smoking, According to the results of multivariate Logistic regression analysis, the male, community hospital and the medical staff who worked longer were more likely to smoke. Medical personnel with intermediate title were more inclined to quit smoking than medical staff with senior title; the medical staff with higher monthly average income had a lower tendency to help patients quit smoking; third level hospitals, medical departments and medical staff with lower monthly average income had a higher tendency to help patients quit smoking. Men were less inclined than women to build smokeless hospitals, and non-smoking medical workers tended to build smokeless hospitals. Conclusion: the smoking rate of medical workers in Hengyang City is high, the awareness of smokers about the health hazards of smoking is high, the situation of tobacco resistance is not optimistic, the smoking cessation effect of medical staff is not good, and there are many obstacles to smoking cessation. Hengyang city medical staff smoking control awareness is insufficient, the ability to quit smoking service needs to be strengthened; although the hospital indoor has a ban on smoking signs, and three hospitals as well as some level II hospitals have smoking areas, but its utilization rate is very low, some departments, You can smell smoke in the hallway, especially in the administrative department. The existence of this kind of environmental factor is unfavorable to smoking control, so it is very important to carry out tobacco control intervention in medical personnel to reduce the smoking rate of medical personnel.
【學(xué)位授予單位】：南華大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R163

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