社區藥師提供戒菸諮詢之服務

Smoking Cessation Counseling by Community Pharmacists

莊佳雯(Chia-Wen Chuang) ； 黃珊(Shan Huang) ； 黃慧文(Hui-Wen Huang) ； 黃芷苓(Chih-Ling Huang)

《台灣醫學》 18卷6期 (2014/11) Pp. 624-633

https://doi.org/10.6320/FJM.2014.18(6).02

摘要

2012年起提供吱菸者「全人、全程、全面」的二代戒菸服務，社區藥師提供民眾戒菸服務日益受到重視，但是國內較少相關研究。本文目的乃探討社區藥師提供戒菸諮詢服務情形及其相關影響因素。研究設計為橫斷性相關性研究，針對全國社區藥局戒菸諮詢站進行分層隨機取樣，有效樣本數為208位。結構式問卷內容共69題，包括戒菸諮詢服務、自覺諮詢之知識、態度、自覺技能、自我效能、菸害防制政策、諮詢時間、尼古丁替代藥物之產品設置及人口學變項，統計方法為t檢定、單因子變異數分析、相關像數與複迴歸分析。研究結果發現二代戒菸合約藥局提供戒菸諮詢服務高於非合約藥局，達統計上的顯著差異(ρ＜.01)，有接受各種訓練的藥師在提供戒菸諮詢服務分別高於未接受者，達統計上的顯著差異(ρ＜.01)。回歸模式分析發現自覺諮詢技能(β=.36,ρ=.01)與態度(β=.15,ρ=.01)是預測社區藥師提供諮詢服務的重要因素。本文建議健康專業人員應該針對戒菸諮詢技能與態度來設計訓練內容，以提升社區藥師參與戒菸服務。

關鍵字

社區藥師 ； 戒菸諮詢服務 ； 因素

並列摘要

A second generation and nationwide smoking cessation program has provided comprehensive services for smokers. Community pharmacists have increasingly important roles in helping smokers quit. However, research about their practice and influencing factors regarding offering smoking cessation counseling is lacking. The purposes were to determine the current smoking cessation counseling of community pharmacists in Taiwan and to examine related factors of their practices. A cross-sectional and correlated survey was conducted. A list of community pharmacies making contracts for providing cessation services was provided by the Department of Health in counties and Health Promotion Administration, Ministry of Health and Welfare. Two hundred and eight participants were included using a stratified random sampling. The 69-item structured questionnaire included demographic information, setting cessation products, service time, and cessation counseling regarding self-perceived knowledge, attitudes, self-perceived skills, self-efficacy, policy, and counseling practices. Data analyses were conducted using t test, ANOVA, correlation and multiple regression. Participants receiving cessation counseling training provided more services than those who not receiving (p＜.01). A multiple regression model showed that skills (β=.36, ρ=.01) and attitudes (β=.15, ρ=.01) were important factors associated with pharmacists' cessation counseling. This result suggested that health professionals should develop cessation training courses specific to skills and attitudes of cessation counseling to promote pharmacists' cessation counseling.

並列關鍵字

community pharmacist ； cessation counseling ； factor