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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 李蘭教授 | |
| dc.contributor.author | Chou-Chen Chen | en |
| dc.contributor.author | 陳宙珍 | zh_TW |
| dc.date.accessioned | 2021-06-08T05:12:04Z | - |
| dc.date.copyright | 2006-08-11 | |
| dc.date.issued | 2006 | |
| dc.date.submitted | 2006-07-21 | |
| dc.identifier.citation | 中文部分：
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WHO, 2002。 63.http://www.who.int/tobacco/health_priority/en/ [上網日期：2005年12月] 64.http://www.cdc.gov/tobacco/news/QuitSmoking.htm [上網日 期：2006年02月] 65.http://www.cdc.gov/tobacco/sgr/sgr_2004/posters/20mins.h tm [上網日期：2005年12月] | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23884 | - |
| dc.description.abstract | 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。 | zh_TW |
| dc.description.abstract | 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. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-08T05:12:04Z (GMT). No. of bitstreams: 1 ntu-95-P93845106-1.pdf: 691558 bytes, checksum: 6624aa42cb801dc60b87d3649ca285ad (MD5) Previous issue date: 2006 | en |
| dc.description.tableofcontents | 口試委員會審定書
致謝 …………………………………………………………… i 中文摘要 ………………………………………………………… ii 英文摘要 ………………………………………………………… iii 內容目錄 ………………………………………………………… iv 圖表目錄 ………………………………………………………… vi 第一章 緒論 ……………………………………………………… 1 第一節 研究動機 ……………………………………………… 1 第二節 研究目的 ……………………………………………… 6 第二章 文獻探討 ………………………………………………… 8 第一節 戒菸之定義及測量 …………………………………… 8 第二節 戒菸之方式 …………………………………………… 10 第三節 戒菸之行為改變過程 ………………………………… 16 第四節 影響戒菸成效之因素 ………………………………… 18 第五節 回復吸菸之相關因素 ………………………………… 25 第三章 研究方法 ………………………………………………… 27 第一節 研究架構 ……………………………………………… 27 第二節 資料來源 ……………………………………………… 29 第三節 研究樣本 ……………………………………………… 30 第四節 研究變項 ……………………………………………… 34 第五節 資料分析 ……………………………………………… 38 第四章 結果 ……………………………………………………… 39 第一節 研究樣本背景 ………………………………………… 39 第二節 研究樣本之戒菸成功情形及復吸情形 …………… 44 第三節 研究樣本戒菸成功類型依個人、環境及戒菸治療等因素 之比較 ………………………………………………… 47 第四節 研究樣本復吸類型依個人、環境及戒菸治療因素之比較57 第五節 與研究樣本戒菸結果有關之因素 …………………… 66 第五章 討論 ……………………………………………………… 79 第一節 門診戒菸個案之戒菸結果 …………………………… 79 第二節 研究限制 ……………………………………………… 85 第六章 結論與建議 ……………………………………………… 87 第一節 結論 …………………………………………………… 87 第二節 建議 …………………………………………………… 89 參考文獻 ………………………………………………………… 95 附錄 …………………………………………………………… 105 附錄一 「個案六個月成功率追蹤問卷」 …………………… 105 附錄二 「個案一年成功率追蹤問卷」 ……………………… 109 附錄三 「門診戒菸治療服務計畫個案紀錄表」 …………… 111 附錄四 「職位分類表及說明」 …………………………… 112 個人簡歷 ……………………………………………………… 113 圖表目錄 圖3-1 研究架構 …………………………………………………… 28 圖3-2 各資料檔之建立及串聯 …………………………………… 29 圖3-3 本研究分析樣本之選取流程 ……………………………… 31 圖3-4 研究樣本戒菸成功類型之分佈 …………………………… 32 圖3-5 研究樣本復吸類型之分佈 ………………………………… 32 表2-1 各種戒菸方法成效比較 …………………………………… 11 表3-1 成功追蹤受訪者與未成功追蹤受訪者之比較 ………… 34 表3-2 研究樣本各變項之操作型定義及計分方式 ……………… 35 表4-1 研究樣本之人口學變項及健康狀況之分佈 ……………… 40 表4-2 研究樣本吸菸史戒菸史及生活型態之分佈 ……………… 41 表4-3 研究樣本環境因素及戒菸治療因素之分佈 ……………… 43 表4-4 研究樣本之持續戒菸成功率依性別比較 ………………… 44 表4-5 研究樣本之點戒菸成功率依性別比較 …………………… 45 表4-6 研究樣本之復吸比率依性別比較 ………………………… 46 表4-7 研究樣本之戒菸成功類型依人口學變項及健康狀況比較… 49 表4-8 研究樣本之戒菸成功類型依吸菸史戒菸史及生活型態比較 52 表4-9 研究樣本之戒菸成功類型依環境因素及戒菸治療因素比較 56 表4-10 研究樣本之復吸類型依人口學變項及健康狀況的比較 … 59 表4-11 研究樣本之復吸類型依吸菸史戒菸史及生活型態的比較 62 表4-12 研究樣本之復吸類型依環境因素及戒菸治療因素的比較 65 表4-13 研究樣本之戒菸成功影響因素以polytomous logistic regression多變項分析 ………………………………… 70 表4-14 研究樣本之復吸影響因素以polytomous logistic regression多變項分析 ………………………………… 75 | |
| dc.language.iso | zh-TW | |
| dc.title | 門診戒菸之成效及相關因素探討 | zh_TW |
| dc.title | The Effectiveness of Smoking-Cessation and Related Factors：Based on Outpatient | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 94-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 趙坤郁副局長,陳富莉副教授 | |
| dc.subject.keyword | 戒菸,菸害防制,門診治療,成年人, | zh_TW |
| dc.subject.keyword | smoking cessation,tobacco control,outpatient therapy,adult, | en |
| dc.relation.page | 112 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2006-07-21 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 衛生政策與管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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