醫護大學學生戒菸後再回復吸菸的經驗

The Experiences of Resuming Smoking among Medical College Students

本研究以質性研究探討醫護大學學生戒菸後再回復吸菸的經驗，及戒菸期間所需的協助和建議。以低結構問卷進行深度訪談，利用錄音方式及內容分析法將所收集到的資料加以分析，共訪談十六位個案。結果發現醫護大學學生自學再回復吸菸的原因有：受周遭朋友和環境的誘惑、難以控制的菸癮或習慣、負向的情緒反應及對吸菸的正和期待、　不良的戒菸失敗感受。為了避免戒菸後再回復吸菸，對於欲自行戒菸的吸菸者應教導高誘惑情境處理技巧、壓力調適和防禦性認知的重建，以增強戒菸者的自信和動機；同時建議政府提高菸價、擴展禁菸場所至校園、職場，確實執行相關法令之規定，並降低菸害宣導年齡層，及針對不同族群提供多元性防治政策，以減少吸菸造成國民健康的危害程度。

The aim of this qualitative study was to explore the experiences of medical college students who resume smoking and their needs and suggestions for assistance. Low-structured, in-depth, audiotaped interviews and were conducted of sixteen medical college students. The content analysis method was used to analyze the collected data. The major findings were: temptation from friends and social environment, uncontrollable addiction, negative consequences of, alongside positive expectations for smoking, and uncomfortable feelings of failure, etc. In order to prevent resumption of smoking, it's very important to teach quitters how to deal effectively with situations of high temptation, coping with stress, defensive restructuring of cognitions, and how to increasing their confidence and motivation. The government should raise cigarette prices, extend school and work place prohibitions on smoking, and strictly enforce its regulations. The government should also reduce the age for tobacco control education, and bring all ethnic groups within the scope of its smoking prevention policies in order to reduce the harm done to healthy people by smoking.