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研究生:游育苓
研究生(外文):You, Yuh-Ling
論文名稱:以健康信念模式探討某高職吸菸學生之戒菸意向
論文名稱(外文):The Study of Health Beliefs Model and Smoking Cessation Intention of Students in A Vocational High School
指導教授:張媚張媚引用關係---
指導教授(外文):Chang Mei
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:護理學系研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:1998
畢業學年度:86
語文別:中文
論文頁數:109
中文關鍵詞:健康信念戒菸意向青少年
外文關鍵詞:health beliefsmoking cessation intentionadolescent
相關次數:
  • 被引用被引用:50
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本研究目的在了解高職階段青少年之吸菸盛行率,並探討吸菸學生個人特性及菸害與戒菸
健康信念對戒菸意向之關係.本研究採結構式問卷調查法.以台北縣某公立高職全體學生為
了解吸菸率之母全體,其中目前仍有吸菸的所有學生為了解戒菸意向及相關因素的母群體.
抽樣方法先以分層隨機集束抽樣, 抽得共27班1242位學生(實際施測人數為1183人)是為了
解吸菸率之 研究樣本.從此研究 樣本中問卷調查結果篩選出123位目前仍吸菸學生,扣除1
0份無效問卷之後再加上預試所得15位吸菸者,共計128位吸菸研究對象做為了解戒菸意向
及相關因素的樣本.所得資料以卡方檢定,t-檢定,單因子變異數分析.皮爾森積差相關,複
迴歸等統計方法進行分析.主要研究結果如下一.全校吸菸盛行率是10.4 %.二.吸菸研究對
象對於菸害罹患性,嚴重性及利益性均有中等以上之認知,而戒菸障礙性認知亦是在中等程
度.三.全體吸菸研究對象之戒菸意向是介於無法確定到有點可能之間;而未來一個月最有
可能之吸菸行為,以維持目前吸菸量者最多,有47.7 %. 四.個人特性及健
康信念對戒菸意向
之預測情形1.個人特性中父母親吸菸情形,個人吸菸情形,及有無戒菸經
驗,三個變項共可解釋
戒菸意向27 % 的變異量.2.單獨考驗健康信念的預測力時,嚴重性認知與
戒菸障礙性認知可有
效解釋戒菸意向變異量12%. 3.同時考驗父母親吸菸情形,個人吸菸情形,有無戒菸經驗,
嚴重性認知與戒菸障礙性認知時,共可解釋戒菸意向29%的變異量,但此時
嚴重性認知與戒菸障礙性認知.
不再具有顯著預測力.
最後根據研究結果,分別就菸害防制教育及未來研究方面提出數點建議.
The purposes of this study were :(1)to know the smoking rate of adolescent
s in a vocational high school and (2) to explore the correlations of smoking s
tudents'' cessation intention with individual characters and their health belie
fs A cross - sectional design and structural qurstionaire survey were adopte
dAll the students of one public vocational high school in Taipei County was ch
oosen as population 1 to declare the smoking rate, and then all of the smoking
students from population 1 was defined as population 2 for exploringsmoking c
essational intention and correlating factors .By stratified and clusterrandom
sampling, 1242 students in 27 classes were enrolled into this study as sample
1 (1183 students were surveyed actually ). After preliminary screeningthere we
re 123 smoking students but only 113 questionaires were valid.By including 15
smoking students obtained from pilot study, there weretotal 128 subject as the
sample 2 for researching smoking cessational intention and correlating facto
rs. The obtained deta were analyzed by chi-square , t-test, one- way ANOVA,
Pearson''s product-moment, logistic regression and mutiple regression with a co
mmercial available software SPSS. The major results were as follows:1. The smo
king rate was 10.4% in this vocational high school.2. The smoking students'' pe
rceived vulnerability, perceived severity of smoking disease and perceived ben
efits of cessation were at upper middle level , while the perceived barriers
of cessation was also at middle level . 3. The smoking subjects'' cessation in
tention was located between "uncertainty " and "a little possible ". And th
e majority of smoking subjects would tend to maintain the same amount of ci
garrete comsumption. 4. In 13 items of individual characters , only parents'' s
moking condition , subjects'' smokig condition and their experience of cessat
ion were significant predictors , which would explain 27 % variance of cessa
tion intention . Two of the four components of health beliefs , i.e. percei
ved severity of smoking disease and the perceived barriers , were also sign
ificants predictors of cessation intention . They would explain 12 % varianc
e of cessation intention.5. When all the 5 significant predictors of 3 individ
ual characters and 2 factors of health beliefs were analyzed by mutiple reg
ression at the same time , only the 3 factors of individual characters rema
ined significant. The two factors of health beliefs were no more significan
t.Based on the results of this study , some recommendations for anti- smoking
health education and further investigations were suggested.
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