精神科日間留院病人戒菸專案之成效

The Effectiveness of Tobacco Cessation Program in the Psychiatric Day Hospitalization Patients

林瓊慧(Chiung-Hui Lin) ； 陳錦茗(Chin-Ming Chen) ； 戴春慧(Chun-Hui Tai) ； 黃立琪(Li-Chi Huang)

《醫學與健康期刊》 4卷2期 (2015/09) Pp. 77-91

摘要

提升精神科眼菸病人的菸害認知及戒菸行為。本專案是針對某精神專科醫院日間留院62位吸菸病人，於2010年4月1日至2010年7月15日提供戒菸專案。戒菸專案包括：戒菸教育課程及家屬關心手冊、書寫吸菸日誌、舒壓及運動團體、戒菸分享團體、及戒菸獎勵等。評量方法是於介入戒菸專案前、後，及介入期間的每個月，評估病人之菸害認知、一氧化碳濃度、尼古丁依賴程度改變情形。介入專案後，病人菸害認知正確率由原70%升至94%、檢測一氧化碳濃度由原14.2ppm降至9.2ppm、尼古丁依賴程度由原7.5分降至5分，且達統計之顯著差異（p＜0.01）。結果顯示戒菸專案有效的提升精神病人菸害認知及戒菸行為。這專案提供戒菸知識和策略的整合，可為臨床及政策的參考。

關鍵字

精神科日間留院 ； 戒菸專案

並列摘要

The aim of this project was to improve the knowledge of tobacco and smoking behavior change in psychiatric patients. The project recruited 62 patients in a tobacco cessation program from April 1, 2010 to July 15, 2010 at a psychiatric hospital. The tobacco cessation program included tobacco cessation education courses, a family manual, smoking diary, relaxation and exercise, group sharing, and reinforcement strategies. Outcome measurements were collected by questionnaire and included tobacco knowledge and nicotine dependency score as well as, carbon monoxide level, which were collected before, every month, and after the intervention. We found 1.he pre-intervention tobacco knowledge score of 70% increased to 94% post- intervention; 2.the pre-intervention carbon monoxide level of 14.2ppm first was decreased to 9.2ppm ; and 3.nicotine dependency decreased from 7.5 to 5.0, statistically significant change. (p＜0.01) The results demonstrate that tobacco cessation program improved patients' tobacco knowledge and smoking behavior. This project may be used as a reference for clinical tobacco cessation programs and hospitals.

並列關鍵字

Psychiatric day hospitalization ； Tobacco cessation program

參考文獻

行政院衛生署國民健康局(2007)。96年台灣菸害防制中文年報。

Mackay J, Eriksen M: The tobacco atlas 2007. Available at : http://www.who.int/tobacco/statistics/tobacco_atlas/en/.Accessed September 15, 2013.

Lasser, K,Boyd, JW,Woolhandler, S,Himmelstein, DU,McCormick, D,Bor, DH(2000).Smoking and mental illness: a population based Prevalence study.JAMA.284,2606-10.

de, Leon, J,Diaz, FJ(2005).A meta-analysis of worldwide studies demonstrates an association between schizophrenia and tobacco smoking behaviors.Schizophr Res.76,135-57.

Barnes, M,Lawford, BR,Burton, SC(2006).Smoking and schizophrenia: Symptom profile related to smoking and which antipsychotic medication is of benefit in reducing cigarette use?.Aust NZJ Psychiatry.40,575-80.