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Smoking cessation intention and nicotine dependence as predictors of depression in patients in a hospital receiving smoking cessation services
Lee, Tony Szu-Hsien
Smoking cessation services
Smoking cessation intention
方法:研究對象為台北市某區域醫院20歲以上之戒菸個案，研究採問卷調查，共計回收71份有效問卷。研究工具以結構式問卷，採用跨理論模式行為改變階段、尼古丁成癮程度測試表(The Fagerstrom Test for Nicotine Dependence FTND)、短版10題憂鬱量表(Center for Epidemiological Studies Depression Scale, CESD-10量表)。
Purpose:This study explores the relationship between smoking cessation, level of nicotine dependence and depression. Method:71 case subjects are individuals over 20 years of age from a hospital in Taipei. The study is investigated by using the Fagerstrom Test for Nicotine Dependence (FTND), 10 questions from Center for Epidemiological Studies Depression Scale (CES-D). Result: 69% of the 71 participants never used the smoking cessation medication and believed that smoking can be quitted by solely relying on willingness,53.52% of them smoked before 18 years old. There was no significant correlation between smoking cessation intention and the degree of depression. The educational level was significantly positively correlated with smoking cessation intention.The age of smoking was negatively correlated with education level. There was a significant correlation between nicotine dependence, gender, marital status and depression. Marital status, first smoking age were negatively correlated with nicotine dependence. Smoke and history of disease was positively correlated with nicotine dependence. Conclusion: The higher the education level is, the better the smoking quite motivation is. Married individuals , the first smoking age before 18 years old and history of disease have higher dependence of nicotine . Married individuals , females and higher dependent of nicotine have higher level of depression. Suggest:The study recommended that hospitals and pharmacies should implement the smoking cessation services and smoking cessation outpatient referral, increase the use of smoking cessation and health education counseling to enhance smoking cessation intention and self-efficacy; We should promote no smoking families to reduce the chances of having teenage smokers. The more severe depression case subjects who are related to higher nicotine dependence are recommended to be transferred to psychiatric professionals to deal with the psychological problems and to help them overcome the obstacles. Key words: Smoking cessation services, Smoking cessation intention, Nicotine dependence, Depression
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