屏東縣原住民檳榔嚼塊嚼食成癮者口腔衛生教育介入成效之初探

中文摘要屏東縣原住民檳榔嚼塊嚼食成癮者口腔衛生教育介入成效之初探研究背景近十年來，國民生活水準、教育程度大幅提升，嚼食檳榔的風氣似乎也愈演愈烈，醫學界一再提出嚼食檳榔可能會罹患口腔癌的警告，但是對嗜食檳榔者似乎產生不了絲毫的嚇阻作用。為了瞭解對原住民檳榔嚼食習慣介入的效果，我們針對檳榔嚼食成癮者實施介入。研究目的評估實驗組口腔衛生教育之介入，對嚼食檳榔成癮程度、嚼食檳榔知識、態度以及行為的改善程度，是否優於未介入之對照組。方法本研究使用之前的研究資料，成癮者共計148人。針對其所發現的檳榔嚼食成癮者實施介入。設計並製作「民眾嚼食檳榔經驗調查」問卷。其內容包括了：「檳榔嚼食成癮量表」「檳榔健康危害認知量表」「檳榔嚼食態度量表」結果介入組的前、後測，在檳榔知識分數和檳榔成癮程度分數的改變量，分別有顯著差異(P＜0.0001，P＜0.0001)，而在檳榔態度分數和檳榔嚼食行為分數的改變量，卻沒有顯著差異(P=0.626，P=0.926)。結論與建議由本研究結果得知，口腔衛生教育的介入行為，對檳榔嚼食還是有相當的影響。即使在表面上檳榔嚼食的顆粒數並沒有顯著的下降；但是由測試得知介入組，對檳榔的知識以及對檳榔的成癮程度，都有顯著的改善；尤其是針對20-34歲的族群效果特別好。因此我們知道了檳榔防治要越早(年紀越輕)介入越好；而這樣的介入方式如果能持之以恆，假以時日之後必然有更好的成果。

關鍵字

原住民；檳榔嚼食成癮；口腔衛生教育介入；成效

並列摘要

Abstract Background The living and educational levels of our country have been improved in a high degree in recent years.Health care workers also declared the warning about the possibility of oral cancer on chewing betel quid,but it didn't scare the chewers at all. This research was performed to understand the effect of the intervention to the chewers who are dependent on betel quid chewing. Object: To assess the effectiveness of oral health education intervention on experimental group about the effects of improvement on dependent degree,knowledge,attitude and behavior of betel quid chewing better than control group or not. Method The research used formal research data and design a questionnaire which contained 「betel quid chewing knowledge scale」、「betel quid chewing attitude scale」and 「betel quid chewing behavior scale」. Results There is significant difference in the changing amount of betel quid chewing knowledge and denendent degree，but no significant difference in the changing amount of betel quid chewing attitudes and behavior . Conclusion From the result of the present study,the intervention behavior of oral hygiene education still had quite good effect on betel quid chewing,even the amount of betel quid chewing in pieces didn't decrease significantly on the table;but it is known via test that the knowledge and dependent degree of betel quid chewing of the intervention group had significant improvement,especially on the 20-34 years old group. So we know that betel quid chewing prevention should be done as early (younger) as possible；and if this way of intervention can be kept longer, better result will appear in the future.