Abstract
[Background] There exists no simultaneous research examin-ing actual conditions of second-hand smoke prevention meas-ures at a number of universities and knowledge and awareness of faculty members working there on them. Due to this, the actual situations of knowledge and awareness of faculty mem-bers on second-hand smoke prevention measures implemented at universities have not been clarified. Thus, we researched the current conditions of second-hand smoke prevention measures at medical/welfare related universities and knowl-edge and awareness of faculty members on them.
[Methods] We sent requests for cooperation to the research to the presidents of 21 universities with medical, nursing or welfare departments in Hyogo Prefecture and conducted a survey on anti-smoking conditions at 6 universities which agreed to cooperate. At the same time, we also targeted 861 faculty members at the 6 universities and researched their knowledge and awareness on second-hand smoke prevention measures. For the survey, we adopted the placement method utilizing anonymous automatic-recording questionnaires and conducted the survey from February to September 2011. The survey was implemented after ethical review by the university the researchers belonged to.
[Results] 502 of 861 faculty members (58.3%) at the 6 univer-sities responded. For analysis, we only used valid responses from 495 people (57.5%). According to the anti-smoking clas-sification, 3 universities (285 members belonged to) were non-smoking facilities and 3 universities (210 members belonged to) were smoking facilities. 73% of the faculty members at non-smoking facilities and 59.6% at smoking facilities properly understood their anti-smoking classifications. 21.5% of re-spondents from non-smoking facilities and 47.9％ from smok-ing facilities answered that they were exposed to second-hand smoke, indicating a significant difference (p＜0.001).
[Conclusion] Although medical/welfare related universities are supposed to have many faculty members with medical exper-tise, 30% faculty members at non-smoking facilities and 40% at smoking facilities did not properly understand their universi- ties’ anti-smoking classifications. In addition, even at non-smoking facilities, where on-campus smoking is supposedly prohibited, second-hand smoke existed too.

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要 旨
諸言：大学付属病院精神科病棟の敷地内禁煙化実施率は60％を超えている。しかし、これらの病院では、禁煙化までにどのような困難があったのか、その困難は先駆に取り組んだ病院と同様のものであったのか、異なるのかは報告されていない。そこで、2009年に敷地内禁煙を実施したA大学病院精神科病棟における禁煙化までの取組みと現状についてのキーパーソンインタビューを実施した。
方法：東京都内にある60床の精神科病棟を有するA大学病院の禁煙化ワーキンググループメンバー1名に半構造化インタビューを行った。調査は2010年3月に行い、実施にあたっては調査実施時に筆者が所属していた施設において倫理審査委員会の承認を受けた。
結果：A大学病院では、禁煙外来の開設を契機とし、敷地内禁煙化実施について院長通達を出し、強い強制力のもと実施に至った。また、初期に禁煙化した精神科病院では、様々な禁煙治療や禁煙指導が行われていたが、A大学病院では、禁煙教育や禁煙指導を実施することなく禁煙化に成功していた。
結論：精神科における禁煙化導入では、入院患者への禁煙治療や禁煙指導を行わずとも、患者の精神症状が悪化することなく導入できる可能性がある。

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