某技術學院學生戒菸教育介入成效之研究

A research on the efficacy of intervention of smoking cessation program for vocational college students

方美蘭(Mei-Lan Fang)

指導教授 ： 姜逸群

國立臺灣師範大學/教育學院/衛生教育學系在職進修碩士班/碩士(2005年)

摘要

本論文的主要目的是以跨理論為基礎，發展一套適合青少年的戒菸教育，並探討教育介入對大專學生在每日吸菸量、一氧化碳值、尼古丁依賴程度值、拒絕技巧、戒菸行為改變階段、戒菸改變過程、戒菸決定平衡以及戒菸自我效能的影響，以及課程滿意度。於九十四學年度上學期，以筆者任教的台北縣某技術學院，五專一年級及二專一年級吸菸學生共20位為實驗組，選擇本校五專部、二專部一年級吸菸學生，班上沒有同學參加戒菸班者共22位為對照組，實驗組提供六週共十二小時的戒菸課程，並於課程期間提供二次個別的醫師戒菸諮詢對照組則不提供任何介入。
戒菸教育介入前後，實驗組與對照組皆實施測驗。研究資料以spss11.0視窗版套裝軟體進行資料分析。
研究的主要發現如下:
一、戒菸教育的介入，能顯著降低實驗組學生的「每日吸菸量」、「一氧化碳值」。
二、戒菸教育的介入，能顯著增加實驗組學生「行動面向戒菸改變過程」、「經驗面向戒菸改變過程」、「戒菸決定利益」、及「拒絕技巧」使用的可能性。
三、戒菸教育的介入，能顯著增加實驗組學生「正向情境拒菸自我效能」、「習慣情境拒菸自我效能」。
四、戒菸教育的介入前、後，能顯著促使實驗組學生的「戒菸改變階段」，由沉思前期及沉思期，往準備期及行動期移動。
五、實驗組學生對戒菸教育計畫在課程、師資、醫師戒菸諮詢、書面資料等多採正面肯定且皆持正向評價。

關鍵字

戒菸教育 ； 跨理論模式 ； 技術學院學生 ； 醫師戒菸諮詢

並列摘要

－A research on the efficacy of the intervention of smoking cessation program for vocational collage students－
A Master Thesis
By
mei-lan Fang
The purpose of this study was to evaluate the efficacy of smoking cessation program based on transtheoretical model(TTM) for college students. The study outcomes included the reduction of the number of cigarettes smoking per day, the score of Fagerstrom test for nicotine dependence, the expiratory carbon monoxide(CO) level, improvement of TTM-related variables such as stages of change, process of change, decisional balance for smoking cessation, and enhancement of self-efficacy to resist the smoking temptation.
A quasi-experimental design was employed in the study. The intervention and control groups consisted of 20 and 22 smoking college students respectively. The interventions included 12-hour structured courses and individual smoking cessation counseling by doctor twice. The intervention group was assessed by the questionnaires before and after interventions. The control group was assessed similarly at the same time frame. The data was analyzed by SPSS11.0/pc for Windows. Frequency, mean, standard deviation, percentage, paired t-test, one-way ANOVA were used for statistical analyses.
The main results of this study were as follows:
1.The smoking cessation program significantly decrease the level of CO, number of cigarettes per day among the students of the intervention group.
2.The smoking cessation program enhance the Process of Change significantly among the students of the intervention group. There was a significant increase in the score of decisional pros and the skill of cessation.
3.The smoking cessation program significantly increase the self-efficacy of smoking cessation in habitual and positive situations among the students of intervention group.
4.There was a significant acceleration in the Stage of Change for the intervention group.
5.Most students from the intervention group found that the interventions were interesting, useful and helpful.

並列關鍵字

smoking cessation program ； transtheoretical model ； vocational college students ； individual smoking cessation counseling by doctor

參考文獻

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