Objective To carry out Smoke-free intervention in 20 health institutions of Zhejiang Province, to improve the tobacco control environment in the health system. Methods To cany out 4 different kinds of tobacco control interventions, include policy development, workplace intervention, intervention group, social mobilization activities, before and after the program, questionnaire survey was conducted to compare the change in KAP among the health workers. Results After the intervention, current smoking rate among health workers declined from 15. 24% to 12. 05% , smoking cessation rate increased from 2. 72% to 3.19% more than 20 cigarettes rate declined from 25. 58% to 15. 69% , Smoking in the designated area rate increased from 38. 20% to 52. 30% , consider to quit smoking increased from 30. 62% to 36. 27% , and more, among 7 kinds of smoking-related diseases and 6 kinds of passive smoking-related diseases, health workers' understanding were improvement Conclusion The smoke-free health institutions to carry out programs to improve health workers for the prevention of tobacco use, and it is remarkable to improve the smoke-free environment.%对浙江省20家医疗机构开展控烟干预工作,改善卫生医疗系统的控烟环境.方法 开展以政策制定、场所干预、人群干预、社会动员共4种类别的活动为主的控烟干预活动,干预前后问卷调查卫生工作者吸烟和被动吸烟相关知识、态度和行为的变化,评价干预效果.结果 干预后,卫生工作者的吸烟率由干预前的15.24％下降到干预后的12.05％,戒烟率由干预前的2.72％上升到干预后的3.19％,吸烟20支以上的烟民由原来的25.58％下降到15.69％；到楼内指定吸烟区吸烟的烟民由原来的38.20％上升到52.30％；考虑戒烟的人数由原来的30.62％上升到36.27％；卫生工作者对吸烟相关的7种疾病的认识和被动吸烟相关的6种疾病的认识都有不同程度的改善.结论 开展无烟医疗机构项目,对于提高卫生工作者拒绝烟草使用的健康信念、健康行为以及改善医疗卫生机构相关健康环境的效果显著.
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