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助产士对孕期及产后就吸烟行为为女性提供咨询的态度。

Midwives' attitudes to counselling women about their smoking behaviour during pregnancy and postpartum.

作者信息

Thyrian Jochen René, Hannöver Wolfgang, Röske Kathrin, Scherbarth Susann, Hapke Ulfert, John Ulrich

机构信息

Institute of Epidemiology and Social Medicine, Ernst-Moritz-Arndt-University Greifswald, Germany.

出版信息

Midwifery. 2006 Mar;22(1):32-9. doi: 10.1016/j.midw.2005.04.003.

DOI:10.1016/j.midw.2005.04.003
PMID:16488809
Abstract

OBJECTIVE

to investigate the attitudes of midwives to counselling women about their smoking behaviour during pregnancy and postpartum.

DESIGN

survey using postal questionnaires.

SETTING

the entire federal state of Mecklenburg-West-Pomerania in Germany.

PARTICIPANTS

189 midwives constituting 77% of all midwives working in that State.

FINDINGS

midwives reported that they assessed smoking behaviour regularly (77%), addressed the consequences of smoking (70%) and advised women to quit. Among the midwives, 81% saw low chances of success and parents' expectations as the biggest barriers to counselling. Midwives reported that about 28% of women quit following their advice.

KEY CONCLUSIONS

smoking and exposure to environmental tobacco smoke are seen as prominent health threats that midwives reported they addressed routinely, including giving advice to stop smoking.

IMPLICATIONS FOR PRACTICE

midwives should be supported in learning effective intervention strategies to further strengthen their work. They are a target population to deliver brief smoking interventions.

摘要

目的

调查助产士对于在孕期及产后就吸烟行为为女性提供咨询的态度。

设计

采用邮寄问卷进行调查。

地点

德国梅克伦堡-前波美拉尼亚州全境。

参与者

189名助产士,占该州所有在职助产士的77%。

调查结果

助产士报告称,他们会定期评估吸烟行为(77%),提及吸烟的后果(70%)并建议女性戒烟。在助产士中,81%认为成功率低和家长的期望是咨询的最大障碍。助产士报告称,约28%的女性听从他们的建议后戒烟。

主要结论

吸烟及接触环境烟草烟雾被视为重大健康威胁,助产士报告称他们会常规处理这些问题,包括提供戒烟建议。

对实践的启示

应支持助产士学习有效的干预策略,以进一步加强他们的工作。她们是进行简短吸烟干预的目标人群。

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