澎湖縣某高職學生戒菸教育介入效果研究

Abstract

摘 要 本研究旨在探討戒菸教育介入對澎湖縣高職學生之戒菸成效；本研究採準實驗設計，採用李景美教授等編製-青春踢踏行教學模組為主要教材。研究對象為102學年度澎湖縣某高職學生，實驗組施行戒菸團體課程12小時及個別輔導3次；對照組未給予任何介入，兩組均進行前測（介入前）、後測（介入後一週）及後後測（介入後一個月），結果分析為實驗組31人、對照組32人共63人。資料以廣義估計方程式（Generalized estimating equation,GEE）檢定分析戒菸教育介入的效果，結果如下： 一、戒菸教育介入能顯著增進學生之「戒菸知識」、「戒菸態度」及「戒菸 自我效能」。 二、戒菸教育介入能顯著降低學生之「每日吸菸量」及「一氧化碳值」。 三、戒菸教育介入後，實驗組學生之七日點戒菸率（22.6%）、一個月點戒菸 率（12.9%）、一個月及三個月持續戒菸率（12.9%），實驗組戒菸率均 顯著高於對照組。 研究結果顯示，戒菸教育確實能增進學生戒菸知識、態度、自我效能及戒菸行為，故建議學校能將戒菸教育列入學期計畫，定期舉辦戒菸教育與後續追蹤，以持續維持學生之戒菸行為。

關鍵字：高職生、戒菸、教育、知識、態度、自我效能Abstract This study aims to examine the effects of a smoking cessation education program for vocational high school students in Penghu County. The quasi-experiment design was used. The smoking cessation education program which was developed by Professor Ching-Mei Lee included 12 hours smoking cessation courses and 3 times individual counseling. A total of 31 students in the experimental group and 32 students in the control group completed the baseline survey, 1-week and 1-month follow-up surveys. Generalized Estimating Equation was used to examine the effects. The results indicated that the smoking cessation program had positive effects on increasing students’ knowledge, attitude, and self-efficacy of quitting smoking. In addition, students’ daily number of cigarettes smoking and level of carbon monoxide significantly decreased after implementing the smoking cessation education program. The quit rates at 1-week and 1-month follow-up surveys for the experimental group were 22.6% and 12.9%, respectively. It is suggested that the incorporation of smoking cessation program into school education curricula and health services each semester to promote smoking cessation for students.

Keywords: vocational high school student, smoking cessation, education, knowledge, attitude, self-efficacy