重庆市292名COPD患者对MPOWER控烟策略认知及发病情况相关性研究
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摘要
目的通过调查世界卫生组织(WHO)制定的MPOWER控烟策略的认知情况,统计分析控烟策略对疾病的发病情况,发挥控烟策略的积极指导意见,为更好改善COPD患者生存状态。方法采用随机抽样的方法,在重庆市各院门诊和住院患者随机进行调查问卷,通过电子医疗系统查询对应患者因COPD年均住院天数,应用抗生素天数等情况。分析患者对控烟策略的认知情况,研究控烟策略认知程度与发病情况。结果 50%的患者表示对控烟策略表示完全不知道,41.1%的患者表示能够完全了解这一策略,只有8.9%患者表示能够理解,并表示愿意戒烟。对于完全知道MPOWER控烟策略的病患,平均住院天数为6.6 d,平均抗生素使用天数为4.2 d,认知情况不同分组之间影响的的住院天数和抗生素使用天数有明显差别,具有统计学意义。结论受访的COPD患者对MPOWER控烟策略认识不足,认知程度对发病天数和抗生素使用天数有积极影响。
Objective To investigate the cognitive status of MPOWER tobacco control strategies developed by the World Health Organization(WHO). And to statistically analyze the incidence of disease control strategies, and give positive guidance to tobacco control strategies to better improve the survival status of COPD patients. Methods A random sampling method was used to conduct questionnaires on outpatients and inpatients of hospitals in Chongqing. The e-health system was used to query the days of hospitalization due to COPD, and the days of antibiotics application. The patient's cognition of tobacco control strategies, as well as the degree of awareness and incidence of tobacco control strategies were analyzed.Results Fifty percent of patients said they were completely unaware of the tobacco control strategy, 41.1% said they were fully aware of the strategy, and only 8.9% said they understood it and were willing to quit. For patients who fully knew the MPOWER tobacco control strategy, the average hospital stay was 6.6 d, and the average days of antibiotic use was 4.2 d. In different cognitive groups, there was a significant difference in the days of hospitalization and antibiotics application, which was statistically significant. Conclusion The patients with COPD who were interviewed had insufficient understanding of the MPOWER tobacco control strategy. The degree of cognition had a positive impact on the days of onset and antibiotic use.
Objective To investigate the cognitive status of MPOWER tobacco control strategies developed by the World Health Organization(WHO). And to statistically analyze the incidence of disease control strategies, and give positive guidance to tobacco control strategies to better improve the survival status of COPD patients. Methods A random sampling method was used to conduct questionnaires on outpatients and inpatients of hospitals in Chongqing. The e-health system was used to query the days of hospitalization due to COPD, and the days of antibiotics application. The patient's cognition of tobacco control strategies, as well as the degree of awareness and incidence of tobacco control strategies were analyzed.Results Fifty percent of patients said they were completely unaware of the tobacco control strategy, 41.1% said they were fully aware of the strategy, and only 8.9% said they understood it and were willing to quit. For patients who fully knew the MPOWER tobacco control strategy, the average hospital stay was 6.6 d, and the average days of antibiotic use was 4.2 d. In different cognitive groups, there was a significant difference in the days of hospitalization and antibiotics application, which was statistically significant. Conclusion The patients with COPD who were interviewed had insufficient understanding of the MPOWER tobacco control strategy. The degree of cognition had a positive impact on the days of onset and antibiotic use.
引文
[1]郭玮.某市立法前后城市居民环境二手烟暴露和吸烟行为比较分析[D].杭州:浙江大学,2012.
[2]李斐斐.山东省重点人群吸烟相关行为调查研究[D]济南.山东大学,2009.
[3] World Health Organization.WHO framework convention on tobacco control[R].Geneva:WorldHealth.
[4] World Health Organization. WHO framework convention on the global tobacco epidemic, 2008:The MPOWER Package[R].Geneva:WHO.
[5]英国国家卫生与临床优化研究.2018NIC指南:慢性阻塞性肺疾病的诊断和管理[J].NG.115.
[6] Al-Delaimy WD,Mm W, Gilmer TEA.The Califomia tobacco control program:can we maintain the progress[R].Califomia:La Jolla,CA,2008.
[7] HM Government. Healthy lives, healthy people:A Tobacco control Plan for England[R].England,2011.
[8] Tobacco Free New Zealand 2020[R].Wellington:Smoke-free Coalition,2010.
[9]中国疾病预防控制中心.创建全面无烟医院指南[R].北京:中国疾病预防控制中心,2010.
[10]徐奇.浦东新区社区医务人员实施《烟草控制框架公约》准备情况调查[D].上海:复旦大学,2008.
[11]徐晶晶.中国控烟协会调查:超六成男性公务员吸烟[J].中国社会组织,2014,1(2):59.
[12]吴艳玲,张丽娜.北京房山区202名小学教职员工烟草使用及控烟态度现况调查[J].首都公共卫生,2015,9(6):250-252.
[13]李言,孙勇.上海市某社区医务人员履行《烟草控制框架公约》的调查[J].健康教育与健康促进,2012,7(1):61-75.
[14]姚婷婷,李强,姜垣,等.中国MPOWER控烟政策现状和建议[J].中国慢性病预防与控制,2009,17(3):221-222.
[15]中国疾病预防控制中心.2010全球成人烟草调查:中国报告[R].北京:中国三峡出版社,2011.
[16]唐婴.WHO发布2015年全球烟草流行报告[J].健康管理与促进,2015,5(7):5.
[17]刘毅,赵白帆.中国云南省医生控烟知晓情况调查[J].中国公共卫生,2018,12(4):423.
[2]李斐斐.山东省重点人群吸烟相关行为调查研究[D]济南.山东大学,2009.
[3] World Health Organization.WHO framework convention on tobacco control[R].Geneva:WorldHealth.
[4] World Health Organization. WHO framework convention on the global tobacco epidemic, 2008:The MPOWER Package[R].Geneva:WHO.
[5]英国国家卫生与临床优化研究.2018NIC指南:慢性阻塞性肺疾病的诊断和管理[J].NG.115.
[6] Al-Delaimy WD,Mm W, Gilmer TEA.The Califomia tobacco control program:can we maintain the progress[R].Califomia:La Jolla,CA,2008.
[7] HM Government. Healthy lives, healthy people:A Tobacco control Plan for England[R].England,2011.
[8] Tobacco Free New Zealand 2020[R].Wellington:Smoke-free Coalition,2010.
[9]中国疾病预防控制中心.创建全面无烟医院指南[R].北京:中国疾病预防控制中心,2010.
[10]徐奇.浦东新区社区医务人员实施《烟草控制框架公约》准备情况调查[D].上海:复旦大学,2008.
[11]徐晶晶.中国控烟协会调查:超六成男性公务员吸烟[J].中国社会组织,2014,1(2):59.
[12]吴艳玲,张丽娜.北京房山区202名小学教职员工烟草使用及控烟态度现况调查[J].首都公共卫生,2015,9(6):250-252.
[13]李言,孙勇.上海市某社区医务人员履行《烟草控制框架公约》的调查[J].健康教育与健康促进,2012,7(1):61-75.
[14]姚婷婷,李强,姜垣,等.中国MPOWER控烟政策现状和建议[J].中国慢性病预防与控制,2009,17(3):221-222.
[15]中国疾病预防控制中心.2010全球成人烟草调查:中国报告[R].北京:中国三峡出版社,2011.
[16]唐婴.WHO发布2015年全球烟草流行报告[J].健康管理与促进,2015,5(7):5.
[17]刘毅,赵白帆.中国云南省医生控烟知晓情况调查[J].中国公共卫生,2018,12(4):423.