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題 名 | 南部某醫院門診戒菸治療成效及相關因子分析=Smoking Cessation Rate and Associated Factors Analysis in a Southern Hospital of Taiwan |
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作 者 | 王建楠; 李璧伊; 洪雅珊; | 書刊名 | 中華職業醫學雜誌 |
卷 期 | 21:2 2014.04[民103.04] |
頁 次 | 頁101-109 |
分類號 | 411.84 |
關鍵詞 | 尼古丁成癮度量表; 尼古丁戒斷症候群; 尼古丁依賴; Nicotine dependence; Nicotine withdrwal syndrome; FTND; |
語 文 | 中文(Chinese) |
中文摘要 | 背景及目的:國民健康署自101年3月1日實施二代門診戒菸治療試辦計畫,將戒菸藥物列為健保給付,吸菸者每次看診藥費部分負擔最高為200元,同時提供急診及住院病人戒菸治療服務與免費衛教諮詢,以提升成人戒菸率。方法:本研究針對101年1月至12月止,參加門診戒菸治療服務之病人,將每位之個人基本資料、菸齡、尼古丁成癮度(FTND)、戒菸 藥物、治療週數等,分別以EXCELL 7.0建檔,透過但腦體SPSS 7.0求得平均值、中間值與標準差等數值。就一些變數如菸齡、每天吸菸量、尼古丁成癮度、年齡、性別、戒菸藥物等,以t-test或Chi-square test看是否有統計學上之差異,另外利用ANOVA test探討各變數間是否具有統計相關。結果:101年1月至12月共有150位戒菸,其中男性132人(88.0%),女性18人(12.0%),男女比為7.3:1,具有統計學上差異。參加戒菸者之平均年齡為44.7±12.1歲,男女分別為45.1±12.7歲與42.1±9.8歲,無統計學上之差異,其中以25-54歲年齡層占大多數,計有117人(77.3%)。參與者平均菸齡為23.2±11.0,男女平均菸齡分別為24.0±10.7及17.4±10.9,平均菸齡男大於女,具有統計學上之差異。參與者每天吸菸量統計分析,每天吸11-20支者有55人,吸21-30支者有53人,兩者合計108人(72.0%)。參與者尼古丁成癮度平均為6.7±1.9,屬中度尼古丁依賴,男女分別為6.6±1.9與7.6±2.2,顯然女性成癮度高於男性,且有統計學上之差異(p<0.05),參與者絕大多數為中高度尼古丁依賴,計有142人(94.7%)。追蹤戒菸治療結果,整體點戒菸成功率(即開始戒菸半年後未再吸菸者)為30.7%(46/150),其中男性有40人,女性有6人。結論:統計分析結果發現,菸齡愈長(≥20年),每天吸菸量愈大(≥31支),及尼古丁高成癮度者(≥7分),較不易戒菸成功,進入第二療程的機會亦較高。戒菸藥物納入健保給付,可降低戒菸者之藥費負擔,對於戒菸之動機及意願有所提升,且涵蓋住院與急診病人,擴大戒菸服務對象,戒菸成效預期會提升。 |
英文摘要 | Introduction: Tobacco use continues to be Taiwan's leading preventable cause of death and disease, as it caused 18,800 tobacco-related death annually, which was on aver age one death every half an hour. In Taiwan, cigarette smoking rate of adults approximates 19.1%, and male smokers are predominant (33.5%).Hence the reduction of adult's smoking rate is mandatory for promotion of public health.Methods: A cross-sectional study was conducted from Jan. 2012 to Dec. 2012 in a southern hospital of Taiwan. A total of 150 smokers were enroll- ed. All participants should complete their demographic informations and scores of Fagerstrom Test for Nicotine dependence (FTND). Stastitical analyses were performed using the SAS version 9.2 software. Categorical variables were analysed using the Chi- Square test or t-test.Results: There were 132 male smokers and 18 female smokers ,the male smokers were predominant and statistically significant(88.0% vs 12.0%, p<0.05). Most participants belonged to moderate- high nicotine dependence, while the female smokers had higher FTND scores than the male smokers (7.6±2.2 vs 6.6±1.9, p<0.05). As for the duration of cigarette smoking, the male smokers had longer duration than the female smokers(24.0±10.7 vs 17.4±0.9, p<0.05). As for daily quantity of smoking, there were 108 participants (72.0%) smoking more than 10 cigarettes per day. After telephone call follow-up, the overall smoking cessation rate was 30.7%(46/150), including 40 male smokers and 6 female smokers.Conclusion: Tobacco use is a curable and preventable addiction disease.Current smokers with longer duration, higher FTND scores, and more daily cigarettes smoking have more difficulty in quitting smoking due to severe nicotine withdrwal syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。