門診戒菸之成效及相關因素探討

The Effectiveness of Smoking-Cessation and Related Factors：Based on Outpatient

陳宙珍(Chou-Chen Chen)

指導教授 ： 李蘭教授

國立臺灣大學/公共衛生學院/衛生政策與管理研究所/碩士(2006年)

https://doi.org/10.6342/NTU.2006.10232

摘要

為探討接受門診戒菸治療者之戒菸成效，並進一步找出相關因素，本研究利用行政院衛生署國民健康局建置之門診戒菸治療資料庫，進行次級資料分析。2003年11月至2004年12月期間，接受門診戒菸治療之18歲以上吸菸者為本研究的分析樣本。結果發現，六個月及一年的「持續戒菸成功率」分別為18.9%及7.9%；六個月及一年的「點戒菸成功率」分別為22.5%及16.8%。依戒菸後回復吸菸的時間長短分類，估算早期、中期及晚期的「復吸比率」時，分別為25.3%，13.8%及35.5%；整體的復吸比率則為74.5%。根據多變項統計分析結果，與「持續戒菸成功」有關之因素，在個人因素方面有年齡、職業等級、菸齡、尼古丁成癮度、過去戒菸次數、睡眠品質、是否運動、飲酒頻率、喝咖啡頻率；在環境因素方面為同住有吸菸家人數；在戒菸治療因素方面有戒菸治療次數、醫療院所層級。與已戒菸者「回復吸菸」有關之因素，在個人因素方面有尼古丁成癮度、過去戒菸次數、睡眠品質、是否運動、飲酒頻率；在環境因素方面為同住有吸菸家人數；在戒菸治療因素方面為醫療院所層級。因此建議，分別參考本研究發現有利戒菸成功及容易復吸之因素，在提供戒菸治療的醫療院所內設計並推動有效的戒菸介入計畫和措施，以提高戒菸成功率及預防已戒菸者回復吸菸。

關鍵字

戒菸 ； 菸害防制 ； 門診治療 ； 成年人

並列摘要

In order to investigate the effectiveness and related factors of outpatient therapy for smoking-cessation, the database of outpatient therapy for smoking-cessation established by the Bureau of Health Promotion, Department of Health, Executive Yuan was used for secondary data analysis. The smokers of 18 years old and above who had received the outpatient therapy for smoking cessation between November 2003 and December 2004 were the study subjects. Results show that the “continuous abstinence rates” of 6 months and 1 year are 18.9% and 7.9%, respectively. The “point-prevalence abstinence rates” of 6 months and 1 year are 22.5% and 16.8%, respectively. Relapse rates in terms of early stage, middle stage and late stage after quitting are 25.3%, 13.8% and 35.5%, respectively while the overall relapse rate is 74.5%. The factors related to “continuous abstinence” are individual factors including age, occupational level, smoking age, nicotine dependence degree, past quit smoking attempts, sleep quality, exercise, frequencies of drinking and coffee use; the environmental factor of the number of family members who are smoking; and therapy factors including the number of therapy sessions and the level of medical institution. The factors related to the “relapse of smoking” are individual factors including nicotine dependence degree, past quit smoking attempts, sleep quality, exercise and drinking frequency; the environmental factor of the number of family members who are smoking; and the therapy factor of the level of medical institution. It was suggested that the factors related to successful cessation and relapse of smoking should be referred to develop an effective intervention for smoking cessation in medical institutes.

並列關鍵字

smoking cessation ； tobacco control ； outpatient therapy ； adult

參考文獻

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