Khefacha Aissa S, Ghali H, Ben Rejeb M, Ben Fredj S, Ben Ouanes R, Dhidah L, Said Latiri H
Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie; Consultation d'aide au sevrage tabagique, CHU Sahloul, Sousse, Tunisie.
Service de prévention et de sécurité des soins, CHU Sahloul, Hammam, 4054 Sousse, Tunisie.
Rev Mal Respir. 2018 Mar;35(3):256-263. doi: 10.1016/j.rmr.2017.12.001. Epub 2018 Feb 4.
Smoking is a major public health problem. Legislation banning smoking in public institutions exists but is not strictly enforced, particularly in health facilities. Therefore health workers have a crucial role to play in the control of smoking on account of their contact with patients and their credibility and moral authority in health matters. They can help patients by their advice and by abstaining from smoking in the hospital themselves. The aim of our study was to determine the prevalence of smoking among medical staff at the University Hospital of Sahloul in Sousse and their attitudes and behaviour with regard to smoking.
The data came from a descriptive cross-sectional study conducted during the year 2013-2014 using a self-administered questionnaire and included the health personnel of all services and laboratories of the University Hospital of Sahloul in Sousse.
The participation rate was 71% (768/1081). Our study population was predominantly female (51%) with a mean age of 37.8 (±11.3) years. The overall prevalence of smoking was 21%. It was significantly higher among men (38.8%) than women (4.6%). This prevalence was higher among physicians/pharmacists (29.5%). More than half the smokers (58%) started smoking between the age of 19 and 25 years. Nicotine dependence was moderate among 27.4% and strong among 18.3% of smokers. The average dependence score was 4.1±2.4 [0-9] with a median of 4.0. Two-thirds of smokers (66.5%) reported smoking in the workplace.
Confronted with the problem of tobacco, health institutions should find solutions for the prevention of smoking in hospitals. It seems necessary to train and involve hospital staff in anti-tobacco measures and to help smokers to quit in order to make our hospital a tobacco smoke free space.
吸烟是一个重大的公共卫生问题。虽然存在禁止在公共机构吸烟的立法，但并未得到严格执行，尤其是在医疗机构。因此，鉴于医护人员与患者的接触以及他们在健康问题上的可信度和道德权威，他们在控烟方面可发挥关键作用。他们可以通过提供建议以及自身在医院戒烟来帮助患者。我们研究的目的是确定苏塞萨赫勒大学医院医务人员的吸烟率以及他们对吸烟的态度和行为。
数据来自于2013 - 2014年进行的一项描述性横断面研究，采用自填式问卷，涵盖了苏塞萨赫勒大学医院所有科室和实验室的卫生人员。
参与率为71%（768/1081）。我们的研究人群以女性为主（51%），平均年龄为37.8（±11.3）岁。吸烟的总体患病率为21%。男性（38.8%）的患病率显著高于女性（4.6%）。医生/药剂师中的患病率更高（29.5%）。超过一半的吸烟者（58%）在19至25岁之间开始吸烟。27.4%的吸烟者尼古丁依赖程度为中度，18.3%为重度。平均依赖评分为4.1±2.4[0 - 9]，中位数为4.0。三分之二的吸烟者（66.5%）报告在工作场所吸烟。
面对烟草问题，卫生机构应找到医院预防吸烟的解决方案。培训并让医院工作人员参与控烟措施以及帮助吸烟者戒烟似乎很有必要，以便使我们的医院成为无烟空间。
