青岛市临床医生吸烟状况及控烟诊疗活动调查分析

目的了解青岛市临床医生吸烟状况、将控烟纳入诊疗工作的情况等，为今后控烟工作提供参考。方法采用多阶段随机抽样的方法，在青岛市12个区市中抽取5所三级医院、10所二级医院、9所社区卫生服务中心共24家医院的临床医生进行问卷调查。结果青岛市临床医生现在吸烟率为19.3％，男性医生现在吸烟率为33.9％；15.9％和53.6％的医生经常和有时在上班时吸烟，其中27.3％的医生曾经在病人面前吸烟，48.4％的医生在办公室里吸烟；42.1％的医生在看病时主动询问过病人的吸烟情况，硕士及以上文化程度（59.0％）和内科医生（49.2％）主动询问的比例高；在过去一年中，仅25.1％的医生接受过有关戒烟方法的培训；影响医生控烟问诊的多因素Logistic回归分析发现：上班时是否吸烟是影响医生主动询问病人吸烟情况的最强因子（OR=2.141）。结论应尽快完善医院禁烟立法，开展无烟医院创建，制定措施将控烟纳入到诊疗活动中，同时加强不同文化层次、不同专业科室医生控烟培训。

Investigation on smoking status of clinical doctors in Qingdao City and diagnosis and treatment activities on tobacco control

Objective To understand the smoking status of clinical doctors in Qingdao and to bring the tobacco control into diagnosis and treatment work, which can provide references for intervention work. Methods The simple random sampling method was used to select 5 tertiary hospitals, 10 second hospitalsn and 9 community health service centers in Qingdao City. A questionnaire survey was conducted among clinical doctors. Results The rate of smoking among sampied clinical doctors was 19.3%, and 33.9% for males. 15.9% doctors usually and 53.6% doctors sometimes smoked at work, among which 27.3% ever smoked in front of patients; 48.4% smoked inside their offices. 42.1% of doctors once asked a patient about the smoking behavior, among which the doctors who had a Master＇ s Degree or above （59.0%） and physicians （49.2%） were more active. In the past year, only 25.1% of doctors once accepted training on smoking cessation. The Multi-factors logistic regression analysis of the risk factors on inquiry of the smoking cessation indicated that whether smoked at work was the main factor（OR=2.141）. Conclusion Lawmaking on banning smoking should be desirable and set up as soon as possible. Establishing smoke free hospitals and taking actions to bring smoking cessation into diagnosis and treatment activities were also needed. Training on smoking cessation should be strengthened among dissimilar cultural layers and dissimilar departments in hospitals.