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改善二级医疗保健中的戒烟成效:医院工作人员提供戒烟转诊意愿的预测因素。

Improving smoking cessation outcomes in secondary care: Predictors of hospital staff willingness to provide smoking cessation referral.

作者信息

Chang Yin-Yu, Yu Shu-Man, Lai Yun-Ju, Wu Ping-Lun, Huang Kuo-Chin, Huang Hsien-Liang

机构信息

Department of Family Medicine, Taiwan Adventist Hospital, 424 Sec. 2 Bade Road, Songshan District, Taipei City 105, Taiwan.

Department of Family Medicine, Cardinal Tien Hospital, 362 Zhongzheng Road, Xindian District, New Taipei City 231, Taiwan.

出版信息

Prev Med Rep. 2016 Mar 4;3:229-33. doi: 10.1016/j.pmedr.2016.02.002. eCollection 2016 Jun.

DOI:10.1016/j.pmedr.2016.02.002
PMID:27419019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4929235/
Abstract

Since implementation of the New Smoking Cessation Policy in Taiwan, more patients are attending smoking cessation clinics. Many of these patients were referred by hospital staff. Thus, factors which influence the hospital staff's willingness to refer are important. In this study, we aim to understand the relation between smoking cessation knowledge and willingness for referral. A cross-sectional study using a questionnaire was conducted with staff of a community hospital during the year 2012-2013. Willingness to provide smoking cessation referral and relevant correlated variables including demographic data, knowledge of basic cigarette harm, and knowledge of resources and methods regarding smoking cessation were measured. A total of 848 of 1500 hospital staff returned the questionnaire: 249 physicians (29.4%), 402 nursing staff (47.4%), and 197 administration staff (23.2%). 790 (93.2%) staff members have never smoked, 19 (2.2%) had quit smoking, and 39 (4.6%) still smoke. 792 (93.4%) members had interest in receiving smoking cessation education. The mean total score (highest potential score of 6) of basic cigarette harm knowledge was 4.56 (± 1.25). The mean total score (highest potential score of 7) of resources and methods about smoking cessation was 4.79 (± 1.35). The significant variable correlated with willingness to refer was total score of resources and methods about smoking cessation. Hospital staff who knew more about resources and methods about smoking cessation were more willing to refer smoking patients to the smoking cessation service. Thus, continuing medical education for hospital staff should include resources and methods about smoking cessation to promote smoking cessation.

摘要

自台湾实施新的戒烟政策以来,有更多患者前往戒烟门诊。其中许多患者是由医院工作人员转诊而来的。因此,影响医院工作人员转诊意愿的因素很重要。在本研究中,我们旨在了解戒烟知识与转诊意愿之间的关系。2012年至2013年期间,我们对一家社区医院的工作人员进行了一项使用问卷的横断面研究。测量了提供戒烟转诊的意愿以及相关的相关变量,包括人口统计学数据、基本香烟危害知识、戒烟资源和方法的知识。1500名医院工作人员中共有848人返回了问卷:249名医生(29.4%)、402名护理人员(47.4%)和197名行政人员(23.2%)。790名(93.2%)工作人员从不吸烟,19名(2.2%)已戒烟,39名(4.6%)仍在吸烟。792名(93.4%)成员有兴趣接受戒烟教育。基本香烟危害知识的平均总分(最高潜在分数为6)为4.56(±1.25)。戒烟资源和方法的平均总分(最高潜在分数为7)为4.79(±1.35)。与转诊意愿相关的显著变量是戒烟资源和方法的总分。对戒烟资源和方法了解更多的医院工作人员更愿意将吸烟患者转诊至戒烟服务机构。因此,针对医院工作人员的继续医学教育应包括戒烟资源和方法,以促进戒烟。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a8/4929235/4174fcde57c8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a8/4929235/4174fcde57c8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6a8/4929235/4174fcde57c8/gr1.jpg

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