Maiuro R D, Michael M C, Vitaliano P P, Chiles J A, Davis P M
Department of Psychiatry & Behavioral Sciences, University of Washington Medical School, Seattle 98104.
Community Ment Health J. 1989 Spring;25(1):71-7. doi: 10.1007/BF00752445.
The prevalence of cigarette smoking in a CMHC population was surveyed and patient attitudes and affective reactions regarding the implementation of a no smoking policy were assessed. The prevalence of smoking (80-84%) was in line with previous reports which have suggested that an extraordinarily high percentage of psychiatric patients engage in cigarette smoking. Significant differences were observed between smokers' and nonsmokers' reactions to the no smoking policy which resulted partially from negative reactions by smokers but also from positive reactions by nonsmokers. Although a slight decrease in client satisfaction was observed, the emotional reactions of smokers were generally not clinically substantive. A 16 month follow-up survey of clinicians further supported the idea that the negative reactions of smokers were not of major magnitude and were probably transitory. The authors conclude that the primary effects of a mental health center smoking policy may be the protection of the service environment and improvements in the well-being of nonsmoking patients and staff who would otherwise be at risk for the effects of second hand smoke.
对一家社区精神卫生中心（CMHC）人群中的吸烟流行情况进行了调查，并评估了患者对实施无烟政策的态度和情感反应。吸烟率（80 - 84%）与先前的报告一致，这些报告表明，极高比例的精神病患者吸烟。吸烟者和非吸烟者对无烟政策的反应存在显著差异，部分原因是吸烟者的负面反应，但也有非吸烟者的正面反应。尽管观察到客户满意度略有下降，但吸烟者的情绪反应在临床上通常并不显著。对临床医生进行的为期16个月的随访调查进一步支持了这一观点，即吸烟者的负面反应并不严重，可能是暂时的。作者得出结论，精神卫生中心吸烟政策的主要影响可能是保护服务环境，并改善不吸烟患者和工作人员的健康状况，否则他们可能会面临二手烟的影响。
