- 學位論文
單一針灸治療與針灸合併尼古丁貼片治療於戒菸成效之比較性研究
Comparative Study of Acupuncture Treatment Alone and Combined Acupuncture and Nicotine Patch Treatment on Smoking Cessation
摘要
背景與目的：吸菸已被證實是影響人類健康的重要因素之ㄧ，，吸菸者如能及早戒菸，將可減少因吸菸所導致相關疾病的負擔，延長預期壽命。因此，本研究目的在於探討施予戒菸者「單一針灸治療」與「針灸合併尼古丁貼片治療」後其在不同時間點之戒菸成效及其戒斷症狀嚴重程度之差異。 研究方法：本研究採取類實驗性實驗設計，研究對象為有戒菸動機之民眾。「針灸合併尼古丁貼片治療組」計有14位戒菸者，接受一週的針灸治療及六週的尼古丁貼片治療；「單一針灸治療組」共計12位戒菸者，接受一週的針灸治療。資料收集工具包含有貝克憂鬱量表第二版、尼古丁成癮量表、威斯康辛香菸戒斷量表及個人吸菸行為問卷，戒菸者都須在療程結束後一個月及三個月接受電話追蹤其戒菸成效。 結果：：一、在治療結束時，針灸合併尼古丁貼片治療之戒菸成效是顯著優於單一針灸治療。二、在治療結束後的一個月及三個月追蹤時，兩種不同治療對於短期追蹤時的戒菸成效是沒有支持效果的。三、在治療結束時，兩組間的戒斷症狀嚴重程度是沒有顯著差異的。
並列摘要
Background and Objective: Tobacco smoking is an important cause of premature disability and mortality worldwide. Smokers who quit in early age will decrease the burdens of smoking-related diseases and prolong life expectancy. The purpose of the study was to investigate the differences of the cessation rate and the severity of the withdrawal symptoms between the acupuncture treatment alone and combined acupuncture and nicotine patch treatment at the different cessation intervals. Method: The quasi-experimental research design was used in this study. Totally 26 motivated subjects were divided into two groups. The combined acupuncture and nicotine patch treatment group (n= 14) received acupuncture for a week and nicotine patch treatment for six weeks. The acupuncture treatment alone group (n=12) only received acupuncture for a week. Four assessment batteries were given including the Beck Depression Inventory-Second Edition (BDI-Ⅱ), Fagerstrom Tolerance Questionnaire (FTQ), Wisconsin Smoking Withdrawal Scale (WSWS) and the individualized smoking behavior questionnaire. Each subject was then asked for their smoking status on followed-up phone-call one and three months later, respectively. Results: (1) At the end of treatment, the initially immediate cessation effect of the combined acupuncture and nicotine patch treatment group was more effective than the acupuncture treatment alone group. (2) No difference in the cessation rate between the different treatment groups on the followed-up one and three months. (3) The severity of the withdrawal symptoms at the end of the treatment had no difference between the different treatment groups.