A pilot intervention for pregnant women in Sichuan, China on passive smoking

A pilot intervention for pregnant women in Sichuan, China on passive smoking
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DOI:
10.1016/j.pec.2008.03.014
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发表时间:
2008-06-01
影响因子:
3.5
通讯作者:
Lee, Anita H.
Lee, Anita H.
中科院分区:
医学2区
文献类型:
--
作者:
Lee, Anita H.

文献摘要

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目的:这项研究旨在减少女性被动吸烟的暴露,被动吸烟与癌症和其他疾病的风险增加有关。通过了解孕妇对家庭环境中二手烟的知识、态度和行为,在受试者的帮助下,设计了孕期二手烟干预模式并进行了试点。第一阶段包括焦点小组讨论和设计干预措施的迭代过程。第二阶段是干预本身,包括一系列激励和患者沟通活动、资源手册、临床医生咨询、电话热线和定期电话咨询。结果:干预后的调查问卷显示,家庭暴露在二手烟环境中的儿童对二手烟的知晓率显著提高,对更强烈的反对态度发生了改变,采取主动行动的可能性增加。实践影响:这项研究的结果表明,有必要在家庭环境中强调被动吸烟,妇女怀孕是增加知识和带来变化的有效渠道。干预模式可以成为在医院环境中护理孕妇的标准方案的一部分。(C)2008爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: The study aimed to reduce women's exposure to passive smoking, which has been linked to increased risk of cancer and other diseases. By exploring the knowledge, attitudes and behaviors of pregnant women with regard to secondhand smoke in the home environment, a model for intervention during the pregnancy was designed with the help of the intended beneficiaries and was piloted.Methods: The study had two phases. Phase 1 included focus group discussions and an iterative process to design an intervention. Phase 2 was the intervention itself, which included a series of motivational and patient communication activities, a resource booklet, clinician counseling, telephone hotline and regular telephone counseling. Pre- and post-intervention questionnaires were used to measure results.Results: Post-intervention questionnaires showed a significant increase in knowledge, a change in attitudes towards stronger disapproval and an increased likelihood of taking assertive action when exposed to secondhand smoke in the family. Practice implications: The results of this study point to the fact that there is a need to give emphasis to passive smoking in the home environment and that the women's pregnancy is an effective conduit to increasing knowledge and bringing about change. The intervention model can become a part of the standard protocol for the care of pregnant women in hospital settings. (C) 2008 Elsevier Ireland Ltd. All rights reserved.