Health Workers' Practice Towards Smoking Cessation Intervention Based on 5A's Model and Associated Factors in Public Hospitals, Hadiya Zone, Southern Ethiopia.

IF 1.8 Q3 HEALTH CARE SCIENCES & SERVICES Patient Related Outcome Measures Pub Date : 2021-09-16 eCollection Date: 2021-01-01 DOI:10.2147/PROM.S322049
Temesgen Tamirat
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引用次数: 3

Abstract

Background: The tobacco pandemic is one of the world's most serious public health concerns, killing more than 8 million lives per year. The worst burden is in low- and middle-income countries. Unless appropriate action is taken, the burden may worsen. Health workers are among the actors to implement smoke cessation interventions. However, the level of intervention practices towards smoke cessation was not defined.

Objective: To determine health workers' practice towards smoke cessation interventions based on 5A's model and associated factors in public hospitals.

Methods: Facility-based cross-sectional design was used. All public hospitals found in the Hadiya zone were included in the study. From each public hospital, representative number of health workers, who fulfil inclusion criteria, were included in the study. A total of 323 sample size of health workers were used. A self-administered questionnaire was employed to collect data. Both descriptive and advanced analyses were performed using SPSS software version 20.0. In bivariable analysis, variables with p-value < 0.25 were considered for multivariable analysis. Finally, odds ratio with 95% CI and p-value < 0.05 were used to declare factors as significantly associated with the outcome variable.

Results: About 97% of health care workers had poor practice on smoking cessation interventions. About 7.4% (23) health workers reported as they were current smokers. Moreover, only 28% of health workers asked their patients about smoking status. Being females, having <10 years of service, training and having good knowledge was significantly associated with the outcome variable.

Conclusion: Majority of the healthcare workers surveyed did not provide smoking cessation interventions. Identified statistically significant factors with the practice of smoke cessation interventions in this study were sex, knowledge, training and service years. Therefore, strategies should be designed and implemented to improve and equip the health workers towards practising of smoke cessation interventions by instituting smoke cessation programs.

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埃塞俄比亚南部Hadiya区公立医院卫生工作者基于5A模型的戒烟干预实践及相关因素
背景:烟草大流行是世界上最严重的公共卫生问题之一,每年造成800多万人死亡。低收入和中等收入国家的负担最重。除非采取适当行动,否则负担可能会加重。卫生工作者是实施戒烟干预措施的行为者之一。然而,对戒烟的干预程度并没有明确定义。目的:了解公立医院卫生工作者实施基于5A模型的戒烟干预的实践情况及其影响因素。方法:采用基于设施的横断面设计。在Hadiya地区发现的所有公立医院都包括在研究中。从每家公立医院,符合纳入标准的具有代表性的卫生工作者被纳入研究。总共使用了323名卫生工作者的样本。采用自填问卷收集资料。描述性和高级分析均使用SPSS 20.0软件进行。在双变量分析中,考虑p值< 0.25的变量进行多变量分析。最后,使用95% CI和p值< 0.05的优势比来宣布因素与结果变量显著相关。结果:约97%的卫生保健工作者对戒烟干预措施的实践不佳。约7.4%(23人)的卫生工作者报告他们目前是吸烟者。此外,只有28%的卫生工作者询问病人的吸烟状况。作为女性,结论是:大多数接受调查的医护人员没有提供戒烟干预措施。在这项研究中,性别、知识、培训和服务年限与戒烟干预的实践有统计学意义的因素。因此,应设计和实施战略,通过制定戒烟规划来改进和装备卫生工作者实施戒烟干预措施。
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来源期刊
Patient Related Outcome Measures
Patient Related Outcome Measures HEALTH CARE SCIENCES & SERVICES-
自引率
4.80%
发文量
27
审稿时长
16 weeks
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