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肯尼亚公共卫生设施中医疗服务提供者参与戒烟干预措施的程度。

Healthcare Providers' Level of Involvement in Provision of Smoking Cessation Interventions in Public Health Facilities in Kenya.

作者信息

Gichuki Judy W, Opiyo Rose, Mugyenyi Possy, Namusisi Kellen

机构信息

School of Public Health, University of Nairobi , Kenya.

Center for Tobacco control in Africa, School of Public Health, Makerere University , Uganda.

出版信息

J Public Health Afr. 2015 Aug 17;6(2):523. doi: 10.4081/jphia.2015.523.

Abstract

Healthcare providers can play a major role in tobacco control by providing smoking cessation interventions to smoking patients. The objective of this study was to establish healthcare providers' practices regarding smoking cessation interventions in selected health facilities in Kiambu County, Kenya. This was a descriptive cross-sectional study carried out among healthcare providers working in public health facilities in Kiambu County, Kenya. Self-administered questionnaires were distributed to 400 healthcare providers selected using a two-stage stratified sampling technique. Only 35% of the healthcare providers surveyed reported that they always asked patients about their smoking status. Less than half (44%) reported that they always advised smoking patients to quit. Respondents who had received training on smoking cessation interventions were 3.7 times more likely to have higher practice scores than those without training (OR = 3.66; 95%CI: 1.63-8.26; P = 0.003). Majority of the healthcare providers do not routinely provide smoking cessation interventions to their patients. Measures are needed to increase health worker's involvement in provision of smoking cessation care in Kenya.

摘要

医疗服务提供者可以通过为吸烟患者提供戒烟干预措施,在烟草控制中发挥重要作用。本研究的目的是确定肯尼亚基安布县选定医疗机构中医疗服务提供者在戒烟干预措施方面的做法。这是一项描述性横断面研究,在肯尼亚基安布县公共卫生机构工作的医疗服务提供者中开展。使用两阶段分层抽样技术,向400名医疗服务提供者发放了自填式问卷。接受调查的医疗服务提供者中,只有35%报告称他们总是询问患者的吸烟状况。不到一半(44%)的人报告称他们总是建议吸烟患者戒烟。接受过戒烟干预措施培训的受访者,其实践得分高于未接受培训者的可能性是后者的3.7倍(比值比=3.66;95%置信区间:1.63-8.26;P=0.003)。大多数医疗服务提供者没有定期为患者提供戒烟干预措施。需要采取措施,增加肯尼亚卫生工作者在提供戒烟护理方面的参与度。

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