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目的了解我国医生戒烟服务能力的现状及其影响因素。方法 2008年4—8月在全国31个省(自治区、直辖市)和新疆生产建设兵团共32个项目地区96个项目点,采用问卷调查的方法对医院门诊和病房的一线医生进行调查,收集我国医生戒烟服务能力的相关情况。结果 45.2%的医生表示在接诊病人时经常或总是询问病人的吸烟情况,94.8%在知道病人吸烟时会建议病人戒烟,给病人使用过戒烟药物的医生仅有2.4%。多因素Logistic回归分析显示,医生所在城市、工作医院级别、所在科室、性别、学历、吸烟状况以及烟草危害相关知识的知晓程度与其是否主动提供戒烟建议有关(P<0.05)。结论我国医生对烟草危害的重视程度不够,控烟意识不强,戒烟服务能力不足。
Objective To understand the status quo and influencing factors of Chinese doctors smoking cessation services. Methods From April to August 2008, 96 project sites in 32 projects in 31 provinces (autonomous regions and municipalities directly under the Central Government) and Xinjiang Production and Construction Corps (PPCC) were surveyed. Questionnaires were used to survey first-line doctors in outpatient clinics and wards of hospitals in our country Doctor cessation services related to the situation. Results 45.2% of the doctors said they often or always asked the patients about the smoking during the admissions, 94.8% advised the patients to quit smoking when they knew the patients were smoking, and only 2.4% were the doctors who used the smoking cessation drugs. Multivariate Logistic regression analysis showed that the level of awareness of the doctor’s city, work hospital level, department, gender, educational level, smoking status and knowledge about tobacco hazards was related to whether they offered smoking cessation advice voluntarily (P <0.05). Conclusion Our doctor not enough emphasis on the harm of tobacco, awareness of tobacco control is not strong, smoking cessation services are not enough.