中国医院儿科实施控烟辅助措施：一项可行性研究
2018/01/15
背景和研究目的：有循证依据的控烟策略在儿科进行实施可以鼓励家长戒烟，并降低美国儿童二手烟（SHS）暴露。而这些控烟策略是否可以在发展中国家进行实施尚不明确。本研究评价在国内医院实施上述控烟策略和针对二手烟暴露的控烟策略（CEASE）以评价儿童在家里和车里二手烟暴露和家长吸烟情况。
方法：在2所中国医院儿科全面实施CEASE策略，1家作为干预组，1家作为对照组。收集根据调查前后家长，医生，实施过程和病例回顾等数据。
结果：在干预组，在进行CEASE干预后，儿科医生对于吸烟家长实施不同控烟策略比例较干预前均具有显著性差异（p<0.0001），且在CEASE实施后干预组较对照组比例显著增高（所有p<0.0001），但在CEASE实施前两者并无差异。
结论：本研究提示在中国南方医院儿科可以实施CEASE干预策略。需要大范围提高戒断率的长期随访临床研究以评价在中国实施CEASE的效果。
（Pediatrics. 2018 Jan;141(Suppl 1):S51-S62. doi: 10.1542/peds.2017-1026I.）
Implementing Tobacco Control Assistance in Pediatric Departments of Chinese Hospitals: A Feasibility Study.
Pediatrics. 2018 Jan;141(Suppl 1):S51-S62. doi: 10.1542/peds.2017-1026I.
Abdullah AS, Guangmin N, Kaiyong H, Jing L, Yang L, Zhang Z, Winickoff JP.
Abstract
BACKGROUND AND OBJECTIVES:Evidence-based tobacco control strategies delivered through pediatric settings could encourage parental smoking cessation and reduce children's exposure to second hand smoke (SHS) in the United States. The extent to which these tobacco control strategies could be routinely implemented in the pediatric setting of a developing country is not known. We tested the feasibility and efficacy of implementing an evidence-based intervention, the Clinical Effort Against Secondhand Smoke Exposure (CEASE), in a Chinese hospital to address the second hand smoke exposure of children in the home and car and to address parental smoking.
METHODS:We conducted a quasi-experimental trial of CEASE implementation in the pediatric inpatient departments of 2 Chinese hospitals, 1 assigned as the intervention hospital and another assigned as the control hospital. Data were collected through pre- and postsurveys of parents and clinicians, implementation process surveys, and chart review.
RESULTS:In the intervention hospital, pediatricians' rates of delivering different types of tobacco control assistance to smoking parents were all significantly (P < .0001) higher during the post-CEASE implementation period than in the pre-CEASE implementation period. During the post-CEASE implementation period, pediatricians' rates of delivery for all aspects of tobacco control assistance were significantly higher (all P < .0001) in the intervention hospital than in the control hospital, whereas there was no difference during the pre-CEASE period.
CONCLUSIONS:The findings of this study suggest that it is feasible to implement a system-level intervention of CEASE in the pediatric inpatient department of a major hospital in southern China. A large-scale trial incorporating measures to increase quit rates and including a long-term follow-up is needed to examine the effectiveness of CEASE implementation in China.
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办公室启动多层次控烟干预：一项随机研究
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成人对于控烟策略和儿童烟草暴露的态度和行为
