以戒菸行為意圖與尼古丁成癮探討戒菸個案之憂鬱─ 以台北市某區域醫院為例

Smoking cessation intention and nicotine dependence as predictors of depression in patients in a hospital receiving smoking cessation services

張雅苓(Chang Ya-Ling)

指導教授 ： 李思賢

國立臺灣師範大學/教育學院/健康促進與衛生教育學系/碩士(2017年)

https://doi.org/10.6345/NTNU202202915

摘要

目的:探討戒菸意圖及尼古丁成癮度與其憂鬱之相關性。
方法:研究對象為台北市某區域醫院20歲以上之戒菸個案，研究採問卷調查，共計回收71份有效問卷。研究工具以結構式問卷，採用跨理論模式行為改變階段、尼古丁成癮程度測試表(The Fagerstrom Test for Nicotine Dependence FTND)、短版10題憂鬱量表(Center for Epidemiological Studies Depression Scale, CESD-10量表)。
結果:69%之研究個案從未使用過戒菸藥物，認為可以用意志力戒菸；首次吸菸年齡在18歲以前佔53.52%；戒菸行為意圖與憂鬱程度並無顯著相關;教育程度與戒菸行為意圖呈現顯著正相關；菸齡與教育程度呈負相關；尼古丁成癮度、性別、婚姻狀況與憂鬱程度呈現顯著相關；婚姻狀況、首次吸菸年齡與尼古丁成癮度呈現負相關；菸量、有疾病史與尼古丁成癮度呈現正相關。
結論:教育程度越高，菸齡越低，戒菸行為意圖越好；已婚、首次吸菸年齡較低及有疾病史者之研究對象尼古丁成癮度較高；已婚、女性及尼古丁成癮度越高者，憂鬱程度越高。
建議:醫院及藥局須落實推動戒菸衛教及戒菸門診轉介，增加戒菸衛教諮詢之使用，提升吸菸個案之戒菸自我效能及戒菸行為意圖；避免青少年過早接觸菸品之機會，以減少尼古丁成癮情形，應從家庭菸害教育及父母戒菸做起；尼古丁成癮度較高及女性之個案應考量憂鬱程度，轉介具有戒菸衛教師資格之心理師評估憂鬱程度，探討個案之心理問題，協助排除戒菸之障礙。
關鍵字:戒菸服務、戒菸行為意圖、尼古丁成癮、憂鬱

關鍵字

戒菸服務 ； 戒菸行為意圖 ； 尼古丁成癮 ； 憂鬱

並列摘要

Purpose:This study explores the relationship between smoking cessation, level of nicotine dependence and depression.
Method:71 case subjects are individuals over 20 years of age from a hospital in Taipei. The study is investigated by using the Fagerstrom Test for Nicotine Dependence (FTND), 10 questions from Center for Epidemiological Studies Depression Scale (CES-D).
Result: 69% of the 71 participants never used the smoking cessation medication and believed that smoking can be quitted by solely relying on willingness,53.52% of them smoked before 18 years old. There was no significant correlation between smoking cessation intention and the degree of depression. The educational level was significantly positively correlated with smoking cessation intention.The age of smoking was negatively correlated with education level. There was a significant correlation between nicotine dependence, gender, marital status and depression. Marital status, first smoking age were negatively correlated with nicotine dependence. Smoke and history of disease was positively correlated with nicotine dependence.
Conclusion: The higher the education level is, the better the smoking quite motivation is. Married individuals , the first smoking age before 18 years old and history of disease have higher dependence of nicotine . Married individuals , females and higher dependent of nicotine have higher level of depression.
Suggest:The study recommended that hospitals and pharmacies should implement the smoking cessation services and smoking cessation outpatient referral, increase the use of smoking cessation and health education counseling to enhance smoking cessation intention and self-efficacy; We should promote no smoking families to reduce the chances of having teenage smokers. The more severe depression case subjects who are related to higher nicotine dependence are recommended to be transferred to psychiatric professionals to deal with the psychological problems and to help them overcome the obstacles.

Key words: Smoking cessation services, Smoking cessation intention, Nicotine dependence, Depression

並列關鍵字

Smoking cessation services ； Smoking cessation intention ； Nicotine dependence ； Depression

參考文獻

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