碩士 / 國防醫學院 / 公共衛生學研究所 / 93 / According to the Department of Health, malignant tumor has been on the top of the Ten Leading Causes of Death for the past 23 year. Among various types of cancers, lung cancer is the number one killer in Taiwan and smoking is considered the number one cause of premature death worldwide. Quitting smoke could reduce the onset of smoking related diseases.
The purpose of this study is twofold: (1) to evaluate a smoking cessation intervention, using both health education and nicotine patch, conducted among the employees of a navy shipyard and (2) to establish the application model of health education and nicotine patch for smoking cessation.
This study uses a quasi-experimental design. After receiving informed consents from the subjects recruited from a navy shipyard, a self-administered questionnaire was distributed to collect information on their demographics, smoking habits, blood samples and urine specimens. The specimens were analyzed with OSM3 blood oxygen analyzer for carbon monoxyhemoglobin and IMMULITE 2000 for the nicotine concentration in urine. All participants were then divided into three groups. The first group (N=71) received instructions regarding how to quit smoking. The second group (N=22) received both the quitting information and nicotine patches. The third group (N=100) served as the control and received nothing. Three sessions of health education programs were delivered on the first, fourth and eighth week. Each session lasted 20 minutes. The nicotine patch treatment was available during the 8-week period.
Results showed that the smoking cessation rate for the intervention (health education plus nicotine patch) group was 45.5% after 4 months, which was significantly higher than the control group (6.0%) and health-education-only group (5.6%). In terms of reducing the daily smoke, the intervention group (90.9%) was also significantly higher than that of the health-education-only group (45.1%) and control group (23.0%). Logistic regression (using the pre-test data to predict the reduction of the daily smoke) analyses showed that motivation to quit was the most significant factor for smoking cessation. Those who had stronger motive and expressed a specific date of quitting were more likely to reduce their daily smoke. Better smoking cessation outcomes were also related to the subjects’ smoking attitude in the pre-test and self-efficacy to refrain from smoking. As for the number of health education sessions received, higher attendance rate in the health education would increase the success of smoking cessation and reduce the motive for daily smoke.
In sum, based on these preliminary results, we conclude that this intervention could improve the success of smoking cessation among these shipyard workers. Smoking attitude, anti-smoking self-efficacy, and positive attitude in smoking cessation in the health education could improve the success of smoking cessation. However, more studies are needed to confirm the long-terms effectiveness of this intervention program.
| Identifer | oai:union.ndltd.org:TW/093NDMC0058009 |
| Date | January 2005 |
| Creators | Cheng Hsien Chung, 鄭仙忠 |
| Contributors | Yang Tsan, 楊燦 |
| Source Sets | National Digital Library of Theses and Dissertations in Taiwan |
| Language | zh-TW |
| Detected Language | English |
| Type | 學位論文 ; thesis |
| Format | 129 |
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