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研究生:顏效禹
研究生(外文):Xiao-Yu Yan
論文名稱:應用跨理論模式在台北市國中生的吸菸行為
論文名稱(外文):Application of the Transtheoretical Model to Smoking Behavior of Junior High School Students in Taipei City
指導教授:陳慧霞陳慧霞引用關係
指導教授(外文):Huey-Shys Chen
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:社區護理研究所
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:2001
畢業學年度:89
語文別:中文
論文頁數:123
中文關鍵詞:跨理論模式吸菸行為改變階段自我效能決策權衡
外文關鍵詞:Transtheoretical ModelSmoking BehaviorStages of changeSelf-efficacyDecisional balance
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本研究之目的乃是應用跨理論模式在台北市國中生的吸菸行為,以瞭解國中生的吸菸行為的階段分期,及不同吸菸階段自我效能及決策權衡的差異。並以多步驟抽樣方式,選取台北市兩所國中學生進行問卷調查,利用吸菸階段問卷、拒菸自我效能問卷及吸菸決策權衡問卷收集568名國中生的資料。
本研究結果發現(1)國中生吸菸階段因素分析之後可分為三個階段,分別命名為思變前期、決策期及維持期。(2)不同吸菸階段國中生之拒菸自我效能有顯著差異,處於思變前期的國中生拒菸自我效能顯著高於決策期及維持期學生。(3)處於決策期及維持期的學生認為吸菸的好處是大於吸菸的壞處,並顯著高於思變前期的學生。
雖研究結果與先前的理論有所出入,但仍對吸菸行為階段理論提供了基礎的驗證。因此本研究建議,若要進行青少年吸菸教育,應針對不同吸菸階段學生提供不同預防計劃,並加強學生面臨這些吸菸誘惑情境時的拒絕技巧,以提升其拒菸自我效能,並降低學生對吸菸好處的認同,將有助於改善學生的吸菸行為。
The purpose of this research was to examine the application of the stages of change framework to adolescents’ smoking behavior in Taipei; and to assess relationships of the stages of change with self-efficacy and decisional balance in school-age children. A self-administered structured questionnaire survey was collected. For instruments, the STAQ, the SE, and the DBS scales were used to gather data in this study. A random sample of 568 seventh, eighth, and ninth grade students was recruited from two junior high schools in Taipei. The results of this study showed that (1) for the stages of smoking of adolescents, there were three stages labeled as precontemplation, decision making, and maintenance, emerged from the principle component factor analysis, (2) students who were at precontemplation stage had significant higher self-efficacy to resist in starting smoking than those who were at decision making stage or maintenance stage, and (3) the decision makers and the maintainers weighed the advantages of smoking greater than the disadvantages of smoking, in contrast to the precontemplators'' decision making. Although the findings of this study were different from the original model, they provided preliminary evidence that there were three stages of smoking behavior. The study findings suggested that nurses and the health care providers use stage-specific skills to develop effective smoking prevention programs.
第一章 緒論
第一節研究背景及動機--------------------------------------- 1
第二節研究重要性------------------------------------------- 6
第三節研究目的--------------------------------------------- 8
第四節理論架構-跨理論模式------ -------------------------- 8
第五節名詞界定---------------------------------------------11
第六節倫理考量---------------------------------------------12
第七節研究限制---------------------------------------------12
第二章文獻探討
第一節青少年吸菸對健康的危害及其吸菸概況-------------------15
第二節改變階段與青少年吸菸相關性研究-----------------------25
第三節自我效能與青少年吸菸相關性研究-----------------------27
第四節決策權衡與青少年吸菸相關性研究-----------------------31
第三章研究方法
第一節研究對象及抽樣---------------------------------------37
第二節研究工具---------------------------------------------39
第三節研究步驟---------------------------------------------46
第四節資料處理與分析---------------------------------------47
第四章 研究結果
第一節研究對象基本資料-------------------------------------51
第二節國中生吸菸行為階段-----------------------------------55
第三節國中生不同吸菸階段的拒菸自我效能---------------------59
第四節國中生不同吸菸階段的決策權衡-------------------------67
第四章討論
第一節國中生吸菸行為階段-----------------------------------79
第二節不同吸菸階段國中生拒菸自我效能-----------------------81
第三節不同吸菸階段國中生之吸菸決策權衡---------------------82
第五章結論與建議
第一節結論-------------------------------------------------85
第二節建議-------------------------------------------------86
參考文獻------------------------------------------------------91
附錄一 專家考驗名單------------------------------------------109
附錄二 研究問卷之專家修訂意見--------------------------------110
附錄三 問卷使用同意函----------------------------------------115
附錄四 公文--------------------------------------------------116
附錄五 研究對象同意函----------------------------------------117
附錄六 問卷--------------------------------------------------118
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