Martínez Cristina, Garcia Montse, Méndez Elvira, Peris Mercè, Fernández Esteve
Cancer Prevention and Control Unit, Institut Català d'Oncologia, Barcelona, Spain.
Cancer Nurs. 2008 Mar-Apr;31(2):88-94. doi: 10.1097/01.NCC.0000305708.37530.ee.
The study aimed to identify the extent of smoking, compliance with tobacco restrictions, and attitudes toward smoking and tobacco control measures among the employees in a Comprehensive Cancer Center from 2001 to 2006 where a smoke-free policy was progressively introduced. Four cross-sectional surveys were conducted from 2001 to 2006. Survey items include smoking status, smoking history, environmental tobacco exposure, and agreement with tobacco initiatives. The prevalence of smoking has declined from 34.5% in 2001 to 30.6% in 2006. The decrease was present in all professional groups: Doctors from 20.0% in 2001 to 15.2% in 2006 and administrative clerks from 56.0% in 2001 to 37.0% in 2006 reduced the most. Among nurses, the prevalence of smoking was still high with a 2-point percent reduction (from 34.0% in 2004 to 32.6% in 2006). Other changes of the pattern of smoking were apparent: a reduction on the number of cigarettes smoked, decrease of daily smokers, and increase of smoking abstinence during the hospital duty. Compliance with smoke-free areas increased. We observed a very significant decrease of the perception of exposure to environmental tobacco exposure at work. The Smoke Free project helped to achieve a healthy work environment. Tailored smoking cessation programs should be designed to help healthcare professionals to stop smoking. In addition, healthcare professionals should play a key role in promoting a healthy smoke-free lifestyle.
该研究旨在确定2001年至2006年期间，在一家逐步推行无烟政策的综合癌症中心工作的员工中吸烟的程度、对烟草限制的遵守情况以及对吸烟和烟草控制措施的态度。2001年至2006年期间进行了四次横断面调查。调查项目包括吸烟状况、吸烟史、环境烟草暴露以及对烟草倡议的认同度。吸烟率从2001年的34.5%下降到了2006年的30.6%。所有专业组都出现了下降：医生从2001年的20.0%降至2006年的15.2%，行政职员从2001年的56.0%降至2006年的37.0%，降幅最大。在护士中，吸烟率仍然很高，仅下降了2个百分点（从2004年的34.0%降至2006年的32.6%）。吸烟模式的其他变化也很明显：吸烟数量减少、每日吸烟者减少以及在医院值班期间戒烟者增加。对无烟区的遵守情况有所增加。我们观察到工作时对环境烟草暴露的感知显著下降。无烟项目有助于营造健康的工作环境。应设计量身定制的戒烟项目，以帮助医护人员戒烟。此外，医护人员应在促进健康的无烟生活方式方面发挥关键作用。
