應用跨理論模式於發展孕產婦之戒菸衛教媒體

Using the Transtheoretical Model to Develop Educational Media to Promote Smoking Cessation in Pregnant and Postpartum Women

吸菸對孕產婦及嬰幼兒的健康危害甚劇，但國內針對孕產婦所研發之戒菸衛教媒體研究仍較缺乏，而詳實依據行為改變理論發展的套裝衛教媒體也是不多見，本文介紹如何運用跨理論模式發展孕產婦戒菸的相關衛教媒體，並以表格及圖示呈現衛教訊息及多元媒體型式發展，也舉出實際衛教媒體樣本供讀者後續參考，有助於護理人員發揮戒菸衛教功能於此一特殊族群，提供將來有心以理論發展衛教媒體的實務工作者一個示範與參考，讓護理的衛教功能可因融合行為改變理論的有效要素而更加彰顯。

Smoking endangers the health of pregnant and postpartum women. However, there is lack of health education materials related to smoking cessation that targets this particular group-especially such developed based on behavior change theory. This paper describes how to develop smoking cessation educational materials for pregnant and postpartum women based on the Transtheoretical Model (TTM). The theoretical foundations of various educational materials were presented using tables and figures. Demonstrations and examples were provided for clinical nurses to conduct smoking cessation educational counseling and to develop theoretically-based educational materials. The effectiveness of nursing education may be improved by applying effective components of the theory to educational materials.