Rosen A K, McCarthy E P, Moskowitz M A
The MEDSTAT Group, Cambridge, Massachusetts 02140, USA.
Am J Health Promot. 1995 May-Jun;9(5):361-70. doi: 10.4278/0890-1171-9.5.361.
To explore patients' knowledge of and attitudes toward a hospital nonsmoking policy and to examine changes in patients' smoking behavior before admission and after discharge.
Patients were surveyed by mail 1 week after hospitalization.
A 379-bed Boston tertiary teaching hospital.
Seven hundred twenty-six patients were surveyed. There were 337 respondents, yielding a response rate of 59%.
Policy knowledge, policy satisfaction, and smoking cessation assistance. Smoking status was assessed retrospectively by self-report 1 week before admission and at the time of the survey.
Bivariate and multiple logistic regression techniques were used to explore relationships among explanatory variables and outcomes. Knowledge of the policy was fair, although satisfaction with the policy was high. Twenty percent of patients reported that they had quit smoking at the time of the survey; 53% of quitters said they quit because of the policy. Thirty-nine percent of patients reported receiving assistance from medical providers, and 88% were satisfied with this help. Smoking cessation assistance was not associated with quitting but was related to smoking less (p < 0.02).
A hospital nonsmoking policy was well accepted by patients and may have had a favorable impact on patients' smoking behavior. Because intervention by health care providers was limited but appeared to be effective, smoking cessation assistance programs need to be developed and implemented in other hospitals so that these results can be generalizable.
探讨患者对医院禁烟政策的了解程度和态度，并检查患者入院前和出院后吸烟行为的变化。
患者在住院1周后通过邮件进行调查。
一家拥有379张床位的波士顿三级教学医院。
对726名患者进行了调查。有337名受访者，回复率为59%。
政策知识、政策满意度和戒烟援助。通过入院前1周和调查时的自我报告回顾性评估吸烟状况。
采用双变量和多元逻辑回归技术探讨解释变量与结果之间的关系。对政策的了解程度一般，但对政策的满意度较高。20%的患者报告在调查时已经戒烟；53%的戒烟者表示他们是因为政策而戒烟。39%的患者报告接受了医疗服务提供者的帮助，88%的患者对这种帮助感到满意。戒烟援助与戒烟无关，但与减少吸烟有关（p<0.02）。
医院的禁烟政策得到了患者的广泛接受，可能对患者的吸烟行为产生了有利影响。由于医疗服务提供者的干预有限但似乎有效，其他医院需要制定和实施戒烟援助计划，以便推广这些结果。
