探討結構化戒菸計畫的影響因素以改善未來的衛生教育

Abstract

在近年大力推動戒菸後，吸菸在台灣仍然位居死亡相關風險因子的第二名。僅四成的人戒菸成功，近三成的在嘗試戒菸後又復吸。本研究目的在分析戒菸民眾之人格特質與戒菸成效的相關性。針對2017年起參與馬偕紀念醫院「醫事機構戒菸服務補助計畫」之病友，實施紙本問卷調查。除收錄去連結之個人基本資料和戒菸動機外，另有「人格特質量表」及「夥伴支持量表」。收150位病友後，利用卡方檢定及獨立樣本t檢定來分析戒菸成功和失敗者間的特質差異。另外，利用二元羅吉斯迴歸(Binary Logistic Regression)來進一步分析戒菸動機、人格特質、夥伴支持和戒菸成敗的相關性。單變項分析時發現短期戒菸成功與否與個人月所得、開始吸菸年齡、和盡責性相關。多變項分析的時候發現短期戒菸成功與否與開始吸菸年齡、戒菸次數、月所得、因為生病而戒菸、和正向支持有相關。在長期戒菸成功與否上，在單變項和多變項分析中皆顯示戒菸次數和正向支持有顯著相關。未來在戒菸衛生教育上，如何讓現有結構化的戒菸計畫更臻完善，提供戒菸者足夠的正向支持或許是現今最需要加強的。

Smoking is still the second leading risk factor of death in Taiwan even though the government has been taking several measures for smoking cessation these years. Only forty percent people has successful smoking cessation, and around thirty percent people smokes after quitting attempts. This study aimed to analysis the correlation between the efficacy of smoking cessation and the personality in people seeking medical care. We aimed to enroll 150 those patients joined the smoking cessation program and a paper-based survey questionnaire would be collected. Personal information, motivations for smoking cessation, modified big five personality tests, and partner interaction questionnaire were included. We would perform statistical analysis by using descriptive statistics, Chi-square test, Independent Sample t test, and logistic regression analysis. Univariate analysis reveals short-term smoking cessation is related to income, age of smoking initiation, and conscientiousness, while multivariate analysis reported short-term smoking cessation is related to age of smoking initiation, quit attempts, income, smoking cessation due to illness, and positive support. For long-term smoking cessation, both univariate and multivariate analysis disclosed quit attempts and positive support have the crucial role. How to provide sufficient positive support may be an important measurement to improve smoking cessation in the health education.