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预防医学  2022, Vol. 34 Issue (5): 475-478    DOI: 10.19485/j.cnki.issn2096-5087.2022.05.010
  控烟专题 本期目录 | 过刊浏览 | 高级检索 |
浙江省医疗卫生机构无烟环境暗访结果分析
吕巧红, 张雪海, 吴青青, 徐水洋, 徐越, 黄玉, 胡秀静
浙江省疾病预防控制中心健康教育所,浙江 杭州 310051
Undercover investigation on the smoke-free environment in medical and healthcare institutions in Zhejiang Province
LÜ Qiaohong, ZHANG Xuehai, WU Qingqing, XU Shuiyang, XU Yue, HUANG Yu, HU Xiujing
Department of Health Education, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou,Zhejiang 310051, China
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摘要 目的 了解浙江省医疗卫生机构无烟环境创建情况,为推进医疗卫生机构控烟政策落实提供依据。方法 以浙江省各级卫生行政机构、公共卫生机构、二级及以上医疗机构和社区卫生服务中心/乡镇卫生院为调查对象,于2021年委托第三方专业调查公司通过隐蔽拍摄、拍照和问询导医人员等方式对医疗卫生机构无烟环境创建情况进行暗访调查,根据《无烟医疗卫生机构评分标准》评估控烟环境设置和室内吸烟情况。结果 共调查医疗卫生机构547家,包括卫生行政机构102家、公共卫生机构209家、二级及以上医疗机构146家和社区卫生服务中心/乡镇卫生院90家。无烟环境创建综合得分为(83.41±12.19)分;其中省、市、县级医疗卫生机构综合得分分别为(82.02±10.73)分、(85.56±9.70)分和(83.18±12.59)分;卫生行政机构、公共卫生机构、二级及以上医疗机构和社区卫生服务中心/乡镇卫生院综合得分分别为(82.60±12.27)分、(85.79±10.74)分、(80.89±13.85)分和(82.27±11.62)分。设置入口禁烟提示315家,占57.59%;按要求张贴禁烟标识255家,占46.62%;设置2种及以上控烟宣传材料245家,占44.79%;非全面禁烟机构中,设置室外吸烟区110家,占51.16%;二级及以上医疗机构设立戒烟门诊66家,占45.20%;室内场所完全禁止吸烟354家,占64.72%。结论 浙江省医疗卫生机构无烟环境创建整体较好,建议提高禁烟标识覆盖率,加大控烟宣传力度,推进戒烟门诊规范化建设,建立长效控烟机制。
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吕巧红
张雪海
吴青青
徐水洋
徐越
黄玉
胡秀静
关键词 医疗卫生机构烟草控制无烟环境暗访    
AbstractObjective To investigate the establishment of smoke-free environments in medical and healthcare institutions in Zhejiang Province, so as to provide the evidence for improving the implementation of the tobacco control policy in medical and healthcare institutions. Methods Health administrative sectors and public health institutions at provincial, city and county levels, secondary and tertiary medical institutions, and community health service/township health centers in Zhejiang Province were enrolled. The status of institutional establishment of smoke-free environments was investigated through concealed photography and consulting medical service guides by the assigned the third-party professional investigation company in 2021. The layout of smoke-free environments and indoor smoking were assessed according to the Criteria for Scoring Smoking-free Medical and Healthcare Institutions. Results Totally 547 medical and healthcare institutions were enrolled in this undercover investigation, including 102 health administrative sectors, 209 public health institutions, 146 secondary and tertiary medical institutions, and 90 community health service/township health centers. The gross mean scores of establishment of smoke-free environments were 83.41±12.19 among all medical and healthcare institutions, 82.02±10.73, 85.56±9.70 and 83.18±12.59 among province-, city- and county-level medical and healthcare institutions, respectively, and the gross mean scores of establishment of smoke-free environments were 82.60±12.27, 85.79±10.74, 80.89±13.85, 82.27±11.62 scores among health administrative sectors, public health institutions, secondary and tertiary medical institutions and community health service/township health centers, respectively. There were 315 institutions with no smoking signs at entrances (57.59%), 255 institutions posting no smoking signs ( 46.62% ), 245 institutions assigning two and more types of health education materials for tobacco control ( 44.79% ), 110 institutions with outdoor smoking areas ( 51.16% ), 66 secondary and tertiary medical institutions with smoking cessation clinics ( 45.20% ) and 354 institutions with carpet smoking bans in indoor places ( 64.72% ). Conclusions The overall establishment of smoke-free environments is satisfactory among medical and healthcare institutions in Zhejiang Province. Nevertheless, improving the coverage of no smoking signs and health education of tobacco control, promoting the standardized construction of smoking cessation clinics and establishing a long-action tobacco control mechanism are still needed.
Key wordsmedical and healthcare institutions    tobacco control    smoke-free environment    undercover investigation
收稿日期: 2022-03-22      修回日期: 2022-04-14     
中图分类号:  R197  
基金资助:浙江省卫生健康科技计划(2021KY626)
通信作者: 张雪海,E-mail:xhzhang@cdc.zj.cn   
作者简介: 吕巧红,硕士,主要从事健康教育与健康促进工作
引用本文:   
吕巧红, 张雪海, 吴青青, 徐水洋, 徐越, 黄玉, 胡秀静. 浙江省医疗卫生机构无烟环境暗访结果分析[J]. 预防医学, 2022, 34(5): 475-478.
LÜ Qiaohong, ZHANG Xuehai, WU Qingqing, XU Shuiyang, XU Yue, HUANG Yu, HU Xiujing. Undercover investigation on the smoke-free environment in medical and healthcare institutions in Zhejiang Province. Preventive Medicine, 2022, 34(5): 475-478.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.05.010      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I5/475
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