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目的分析农村卫生机构控烟存在的问题,并提出对策建议。方法利用结构化访谈提纲,调查了山东省三县卫生机构的相关控烟人员。结果①卫生机构内部吸烟现象普遍,社交需要和工作压力大是吸烟的主要原因;②控烟文件的制定实施和控烟活动的开展起到了良好的控烟效果,监督和考核机制的缺失使控烟活动没有取得实质性进展;③领导吸烟、缺乏资金和控烟法律保证、控烟氛围不足是控烟的难点。结论①单位领导要身体力行,带头控烟并支持控烟工作;②利用多种途径加大控烟宣传力度,开展并鼓励农村卫生机构人员参加控烟教育和培训,建立以卫生机构为核心的控烟辐射网络,营造控烟的社会氛围。
Objective To analyze the existing problems of tobacco control in rural health institutions and propose countermeasures and suggestions. Methods Using the structured interview outline, we investigated the tobacco control personnel in health institutions in three counties of Shandong Province. Results ① The internal smoking phenomenon was common in health institutions, and the social needs and work pressure were the main reasons for smoking. ② The development and implementation of tobacco control documents played a good role in tobacco control. The lack of supervision and assessment mechanism made tobacco control activities unobtainable Substantial progress; ③ leading smoking, lack of funds and legal control of tobacco control, tobacco control atmosphere is the difficulty of tobacco control. Conclusion ① The leaders of the units should take the lead in exercising control over tobacco and support tobacco control efforts. ②Using a variety of ways to increase publicity on tobacco control, rural health agencies should be encouraged to participate in tobacco control education and training, establish a tobacco control radiation network with health institutions as the core, and create Social atmosphere of tobacco control.