秦皇岛市区三甲医院临床护士控烟知信行现状及影响因素研究

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1、授予单位代码10089学号或申请号15022中国图书分类号R47HebeiMedicalUniversity硕士学位论文学术学位秦皇岛市区三甲医院临床护士控烟知信行现状及影响因素研究研究生：田英慧导师：李扬副主任护师专业：护理学二级学院：秦皇岛市第一医院2018年3月目录中文摘要·············································································1英文摘要···························································

2、··················3研究论文秦皇岛市区三甲医院临床护士控烟知信行现状及影响因素研究前言·············································································6材料与方法··································································7结果·············································································

3、9附表·············································································13讨论·············································································23结论·············································································28参考文献·································

4、·····································28附录·············································································32综述护士控烟知信行研究进展·····································37致谢·············································································47个人简历························

5、·····················································48秦皇岛市区三甲医院临床护士控烟知信行现状及影响因素研究摘要目的：调查秦皇岛市区三甲医院临床护士控烟知识、信念、行为情况，分析其影响因素，进而提出合理化建议，为临床护士的控烟管理提供建议和依据。方法：于2017年6月到2017年9月，采取分层整群随机抽样法抽取秦皇岛市区两所三甲医院临床护士共500名作为研究对象。采用临床护士一般资料调查表、护士控烟知识信念行为量表进行调查。回收问卷后，将数据录入EXCEL，使用SPSS17.0对数据进行统计分析，统计

6、方法包括描述性分析、t检验、方差分析和多元逐步回归分析。结果：本次调查共发放问卷500份，回收问卷490份，问卷回收率98.0%，剔除8份不合格的问卷，得到有效问卷481份，问卷有效率为98.2%。1.秦皇岛市区三甲医院临床护士控烟知识、信念、行为情况：临床护士控烟知识得分36.38±3.36，条目“妇女和儿童是被动吸烟的主要受害人群”和“主动吸烟增加新生儿死亡的危险性”的回答正确率最高，为98.1%，“吸烟对健康的危害与空气污染对健康的危害相似”的回答正确率最低，为17.0%；控烟信念得分32.07±2.03，条目“应大力普及公众对被动吸烟危害的相关知识

7、”和“设立戒烟热线、戒烟网站有助于戒烟干预”同意率最高，为98.5%，“给予患者简短的（如3分钟）戒烟忠告是有效的”同意率最低，为85.9%；控烟行为得分66.02±18.63，条目“劝告患者停止吸烟”执行率最高，为74.3%，“为吸烟者安排复诊”执行率最低，为32.0%。2.临床护士控烟知识、信念、行为单因素分析结果显示，受教育程度、工作量、工作压力、对护士实施控烟的看法、可使用的资源、团队中其他人的控烟实践、帮助吸烟者戒烟的技能、教育吸烟者吸烟对健康影响的实践、护理吸烟相关疾病患者的经历、对控烟信息的关注度在控烟知识维度的得分差异有统计学意义（P<0.

8、05）；控烟知识来源、工作量、工作压力、同事的支持、对护士实施控烟