Hussain S F, Tjeder-Burton S, Campbell I A, Davies P D
Department of Chest Medicine, Llandough Hospital, Cardiff, South Glamorgan.
Thorax. 1993 Feb;48(2):174-5. doi: 10.1136/thx.48.2.174.
Health professionals should take an active role against smoking, so it is relevant to have information on their smoking habits and their attitudes towards smoking, especially with a view to identifying and offering help to those smokers who wish to stop. Staff in Llandough Hospital were surveyed to determine their smoking habits and attitudes, and the findings were compared with those of a similar survey at Llandough in 1987.
In October 1991 a questionnaire was sent to each member of staff employed half time or more requesting data on age, sex, department, smoking habit, attitudes to smoking in various areas of the hospital, and attitudes to access to smoking rest rooms for patients, staff, and visitors. Smokers were asked whether they would like to join a "quit smoking" group. Non-responders were sent a reminder four weeks later and all replies returned by 31 December 1991 were analysed.
The response rate was 82%; of the respondents, 65% were non-smokers, 15% ex-smokers, and 20% current smokers. The prevalence of current smokers was 5% among doctors, 20% among nurses, 18% among administrative and clerical staff, and 40-42% among domestics, catering, and portering staff. Thirty eight per cent of responders wished smoking to be completely forbidden in all areas of the hospital and 90% in certain areas such as wards, offices, cafeteria, and laboratories. Nearly half wanted smoking to be allowed in rest rooms and over 60% wanted a 24 hour facility for smoking for staff, 56% for patients, and 44% for visitors. Only 39% of smokers wished to join a "quit smoking" support group. In comparison with the 1987 survey, the response rate in this study was higher (82% v 70%), the proportion of non-smokers had increased (65% v 59%), and more smokers wanted help (39% v 26%). Fewer wanted 24 hour access to smoking areas for staff and for visitors.
This hospital should capitalise on these changes of attitude among staff and proceed more rapidly with the implementation of policies to further reduce smoking among staff, visitors, and patients. As a first step a smoking cessation counsellor has been appointed.
卫生专业人员应在控烟方面发挥积极作用，因此了解他们的吸烟习惯及其对吸烟的态度很有必要，特别是为了识别并帮助那些希望戒烟的吸烟者。对兰多医院的工作人员进行了调查，以确定他们的吸烟习惯和态度，并将调查结果与1987年在兰多进行的类似调查结果进行比较。
1991年10月，向每位半职或全职员工发放了一份问卷，要求提供年龄、性别、科室、吸烟习惯、对医院各区域吸烟的态度，以及对患者、工作人员和访客使用吸烟休息室的态度等数据。吸烟者被问及是否愿意加入“戒烟”小组。四周后，向未回复者发送了提醒，并对1991年12月31日前返回的所有回复进行了分析。
回复率为82%；在受访者中，65%为非吸烟者，15%为已戒烟者，20%为当前吸烟者。当前吸烟者的比例在医生中为5%，护士中为20%，行政和文职人员中为18%，家政、餐饮和搬运人员中为40%-42%。38%的受访者希望医院所有区域完全禁止吸烟，在病房、办公室、自助餐厅和实验室等特定区域这一比例为90%。近一半的人希望在休息室允许吸烟，超过60%的人希望为工作人员提供24小时吸烟设施，为患者提供该设施的比例为56%，为访客提供的比例为44%。只有39%的吸烟者希望加入“戒烟”支持小组。与1987年的调查相比，本研究的回复率更高（82%对70%），非吸烟者的比例有所增加（65%对59%），更多吸烟者希望得到帮助（39%对26%）。希望为工作人员和访客提供24小时吸烟区域的人减少了。
该医院应利用工作人员态度的这些变化，更快地推进相关政策的实施，以进一步减少工作人员、访客和患者中的吸烟现象。第一步是任命了一名戒烟顾问。
