台灣戒菸訓練課程教材使用及醫師尋求資訊來源之研究

The Evaluation of Teaching Materials of a Smoking Cessation Training Course and Information Needs of Physicians in Taiwan

背景：為了幫助吸菸者戒菸，我國自2002年開辦門診戒菸治療計畫及戒菸訓練課程。本問卷調查目的在於了解曾經參加過戒菸訓練課程的醫師對於課程教材利用之經驗與心得，及醫師獲取戒菸知識的管道。
方法：斷面性問卷調查。針對2011年1月1日起至2013年12月31日止初次參加戒菸訓練課程之醫師，進行課程教材及戒菸資訊來源的調查，與臨床運用相關性、使用頻率及滿意度。
結果：共寄出1,757份問卷，回收之有效問卷293份，回覆率為16.7%。結果顯示：曾經翻閱過課程基本教材的醫師達96.9%，對於其內容有逾七成的滿意度，且認為對工作有所幫助。教材中與臨床戒菸最相關的單元為戒菸的藥物治療及治療菸品依賴的臨床技巧。健康署出版教材中，醫師多以利用課程基本教材及戒菸服務指引為主。隨著醫師執行戒菸治療業務的時間增加，需要使用教材的頻率下降。除了健康署出版教材外，醫師常用戒菸資訊管道以隨機使用搜尋引擎找尋最多。
結論：健康署所發行戒菸教材的正確性、完整性深獲醫師肯定，同時對戒菸臨床服務也有不少幫助。未來仍應持續更新，以提供最佳的參考依據，提昇戒菸服務的品質。

Background: To help more smokers to quit, the Taiwanese government began to reimburse smoking cessation in 2002. Certification from a training program was required for physicians who wanted reimbursement. The objective of this study was aimed to evaluate the experience and satisfaction of the teaching materials published by Health Promotion Administration (HPA). The other aim was to investigate the information-seeking behavior toward smoking cessation among the trained physicians.
Methods: This was a cross-sectional design study. All physicians who completed the HPA training program from January 1, 2012 to December 31, 2013 were recruited. The preference, efficacy, using frequency, and satisfaction of the teaching material and information-seeking behavior were evaluated by using a questionnaire.
Results: A total of 1757 questionnaires were issued and 293 were replied, resulting in a response rate of 16.7%. Of the responding physicians, 96.9% had ever read “basic training materials” with high satisfaction. “Basic training materials” and “smoking cessation guidelines” were the most frequently used materials among publications issued by HPA. As time passed by, the need of using learning materials decreased. Except for HPA publications, the most frequent source of smoking cessation information of physicians was from the search engine.
Conclusion: The learning materials published by HPA were satisfactory and effective to the physicians. Regular renewal and amendment in the future are required to maintain the high quality of smoking cessation services.