澎湖縣某高職學生戒菸教育介入效果研究

Effects of a Smoking Cessation Program on Vocational High School Students in Penghu County

本研究旨在探討戒菸教育介入對澎湖縣高職學生之戒菸知識、態度、自我效能及戒菸行為之影響。本研究採準實驗設計，採用「元氣青春──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31人，施行戒菸團體課程12小時及個別輔導3次；對照組32人未給予任何介入，兩組均進行前測、後測及後後測，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：(1) 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」，並具延宕效果；(2) 戒菸教育介入能顯著降低實驗組學生之「每日吸菸量」及「一氧化碳值」；(3) 實驗組學生之七日點戒菸率為22.6%、一個月點戒菸率為12.9%、一個月及三個月持續戒菸率為12.9%。結論：戒菸教育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，以增進學生之戒菸行為。

This study aims to examine the effects of a smoking cessation education program for vocational high school students in Penghu County Taiwan. The quasi-experiment design was used. The smoking cessation education program ＂youth tap teaching model＂ 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.