影響完成電話戒菸諮商個案戒菸成效及維持成效相關因素之探討

Research on the Abstinence and Maintenance of Smoking Cessation for the Ouitline Clients

張景然(Ching-Jan Chang) ； 王珮蘭(Pei-Lan Wang) ； 許世慧(Shih-Hui Hsu)

《輔導與諮商學報》 31卷1期 (2009/05) Pp. 1-15

https://doi.org/10.7040/JGC.200905.0001

摘要

研究目的：評估「戒菸專線中心」完成電話戒菸諮商個案的戒菸成效與維持成效的相關影響因素。研究方法：根據「戒菸專線服務中心」自2003年1月1日至2004年12月30日的相關戒菸服務統計資料，透過實驗法探討人口學、吸菸史、戒菸信心指數、諮商次數與戒菸成效等變數間之相關，並瞭解不同變項預測戒菸成效與維持成效的影響力。研究結果：透過統計分析，發現戒菸成效與維持成效隨時間增加而逐漸遞減。個案的吸菸量越小，戒菸信心指數越高。人口變項及戒菸信心指數與諮商次數無顯著相關。諮商次數與個案一個月的戒菸維持成效有顯著相關。預測不同變項對戒菸成效與維持成效的結果，不論是立即或是一、三、六個月的維持成效，均是戒菸信心指數對於立即與維持成效具有最大的影響力。研究結論：個案吸菸史、戒菸信心指數、諮商次數，均與戒菸成效及維持成效有相關，因此欲戒菸且本身是重度吸菸者，以減量而非直接戒斷的方式，並可邀請重要他人一同協助走過戒菸的歷程，且於立即戒菸後仍持續提供支持與鼓勵，方可在最後戒菸成功。

關鍵字

戒菸成效 ； 戒菸維持成效 ； 自我效能 ； 電話諮商

並列摘要

The purpose of the study was to examine the relevant factors affecting the abstinence and maintenance of smoking cessation, based on the data of ”Taiwan Smokers' Helpline”. We investigated the relevance of variables for smoking cessation including demography, smoking history sentiment index of smoking cessation, times of counseling and abstinence of smoking cessation to understand the influential rate of variables on the abstinence and maintenance of smoking cessation.
We found that smoking history, sentiment index of smoking cessation and times of counseling are related to the abstinence and maintenance of smoking cessation. In consequence, to increase the success in quitting and achieving abstinence, the smokers who intend to quit smoking by gradual nicotine reduction rather than abrupt nicotine withdrawal, could invite significant others to assist during the process of quitting with ongoing support and encouragement.

並列關鍵字

abstinence ； maintenance ； self-efficacy ； telephone counseling

參考文獻

Baer, J. S.,Holt, C. S.,Lichtenstein, E.(1986).Self-efficacy and smoking reexamined: Construct validity and clinical utility.Journal of Consulting and Clinical Psychology.6,846-852.

Borland, R.,Balmford, J.,Segan, C.,Livingston, P.,Owen, N.(2003).The effectiveness of personalized smoking cessation strategies for callers to a quilting service.Addiction.98(6),837-846.

Boyle, R. G.,Solberg, L. I.,Asche, S. E.,Boucher, J. L.,Pronk, N. P.,Jensen, C. J.(2005).Offering telephone counseling to smokers using pharmacotherapy.Nicotine and Tobacco Research.7(1),19-27.

Centers for Disease Control and Prevention(1994).Guidelines for school health programs to prevent tobacco use and addiction.Morbidity and Mortality Weekly Report.43(2),1-19.

Centers for Disease Control and Prevention(1994).Guidelines for school health programs to prevent tobacco use and addiction.Morbidity and Mortality Weekly Report.43(2),1-19.