門診戒菸衛生教育班成效之探討

Abstract

臺灣男性每年約有一萬八十人因吸菸引起肺癌而死亡，有效的降低吸菸人口的策略之一是加強戒菸教育。本研究的目的是設立有效的門診戒菸班。本 研究自民國84年11月起，實施兩組不同的戒菸課程：甲為上課12小時（地點：門診）、醫護人員諮商、小組討論、戒菸成功者經驗分享、獎品鼓勵；乙為上課2小時（地點：工廠）、護理人員諮商、自我戒菸手冊。兩組均有身體檢查，電話連繫，以及一個月後的身體檢查追蹤。參加戒菸課程學員甲組為15位，乙組為14位。29位個案填寫戒菸者的個人屬性資料吸菸史與戒菸行為、接受血中一氧化碳血色素、及Fagerstrom Tolerance Questionnaire（尼古丁依賴程度）測試。戒菸班結束後一個月收集資料，結果顯示：兩組戒菸課程均能減少學員每日吸菸支數、降低血中一氧化碳血色素、以及使學員對尼古丁的依賴程度滅少。戒菸課程甲使35％學員戒菸，66.7％有戒菸行為的改變；課程乙使7％學員戒菸，78％有戒菸行為的改變。該醫學院門診中心於民國85年5月增設戒菸衛教門診，由護理人員主持提供諮詢、錄影帶教學、身體評估、醫療轉介等服務。

One major limitation in promoting non-smoking programs in Taiwan is the lack of sufficient from evidence research.. Illustrated, are two different smoking cessation programs to gauge smoker's responses. From these we wish to establish an effective smokig cessation program for an outpatient clinic. Program A was held in a hospital. It contained 12 hours of lectures, group discussions and physician and nurse's consultations. Price rewards, physical examinations, and telephone follow-up,were also included. Program B was held in a community factory. It contained 2 hours of lectures, physical examinations, nurse's consulations, and telephone follow-ups. Twenty-nine volunteers were asked to complete a personal smoking history, smoking behavior dairy, Fagerstrom Tolerance Questionnaire(FTQ),and have blood drawn for HgbCO examination.Data was collected one month after the programs finished. Fifteen smokers from program A had results of :35% quit, 66.7% decreased the number of cigarettes per day; whereas, 14 smokers from program B indicate 7%, and 78%. The hgbco and FTQ scores correlated with the partiupants smoking habits.