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研究生:張淯晴
研究生(外文):Yu-Ching Chang
論文名稱:住院吸菸患者戒菸行動之相關因素探討
論文名稱(外文):The Factors Related to Action for Smoking Cessation in Hospitalized Patients
指導教授:陳俞琪陳俞琪引用關係
指導教授(外文):Yu-Chi Chen
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:護理學系
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:2020
畢業學年度:108
語文別:中文
論文頁數:145
中文關鍵詞:風險感受戒菸意圖戒菸行動計畫戒菸行動計畫執行住院吸菸病患
外文關鍵詞:risk perceptionsmoking cessation intentionsmoking cessation action plansmoking cessation action plan enactmentsmoking inpatients
相關次數:
  • 被引用被引用:1
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目錄
致謝 I
摘要 ii
Abstract iv
目錄 vii
表目錄 x
圖目錄 xii
第一章 緒論 1
第一節 研究背景與現況分析 1
第二節 研究動機與重要性 4
第三節 研究目的 7
第二章 文獻查證 8
第一節 戒菸服務現況與成效評估 8
第二節 Integrated-Change-Model 介紹與應用 10
第三節 戒菸行動之概念與測量 15
第四節 風險感受之概念介紹與測量 19
第五節 戒菸意圖之定義與測量 20
第六節 風險感受、戒菸意圖與戒菸行動之相關性 21
第七節 住院病患之戒菸意圖與戒菸行動之影響因素 23
第三章 研究方法 32
第一節 研究設計 32
第二節 研究架構 33
第三節 名詞界定 34
第四節 研究問題 36
第五節 研究假說 37
第六節 研究場域及對象 38
第七節 研究工具及信效度 40
第八節 研究步驟 47
第九節 資料分析 49
第十節 倫理考量 53
第四章 研究結果 54
第一節 住院吸菸病患基本人口學特性、健康狀態、吸菸行為、情緒困擾、戒菸意圖及戒菸行動之分佈 54
第二節 住院吸菸病患基本人口學特性、健康狀態、吸菸行為、情緒困擾、風險感受與戒菸意圖和戒菸行動之相關及差異性比較分析 62
第三節 吸菸住院病患戒菸行動之預測因子 70
第四節 風險感受中介效應 79
第五章 討論 85
第一節 住院吸菸患者基本人口學特性、健康狀態、吸菸行為、風險感受、戒菸意圖及戒菸行動之概況 86
第二節 住院吸菸患者基本人口學特性、健康狀態、吸菸行為、風險感受與戒菸意圖以及戒菸行動之相關性 91
第三節 住院吸菸患者戒菸行動之預測因子 100
第四節 戒菸意圖之中介效果 104
參考文獻 116
附錄一 研究問卷 131
附錄二 戒菸行動量表授權同意 137
附錄三 專家效度審查意見與問卷修改內容 138
表目錄
表2-1-1. 運用I-Change Model相關研究之彙整 13
表2-6-1. 風險感受與戒菸意圖之相關性 21
表3-8-1. 描述性統計分析方法(一) 49
表3-8-2. 描述性統計分析方法(二) 49
表3-8-3. 推論性統計分析方法(一) 50
表3-8-4. 推論性統計分析方法(二) 51
表3-8-5. 推論性統計分析方法(三) 51
表3-8-6. 推論性統計分析方法(四) 52
表4-1-1. 人口學特性、健康狀態、吸菸行為、心理因素次數分配表 (n=170) 55
表4-1-2. 住院吸菸病患風險感受得分情形 (n=170) 57
表4-1-3. 住院吸菸病患之戒菸意圖 (n=170) 58
表4-1-4. 住院吸菸病患之戒菸行動計畫(n=170) 60
表4-1-5. 住院吸菸病患之戒菸行動計畫執行(n=170) 61
表4-2-1. 基本人口學屬性、疾病特性與戒菸意圖、戒菸行動之檢定分析 (n=170) 65
表4-2-2. 吸菸行為、情緒困擾、風險感受與戒菸意圖、戒菸行動之檢定分析 (n=170) 68
表4-2-3. 戒菸意圖與戒菸行動之檢定分析 (n=170) 69
表4-3-1. 自變項共線性診斷分析表 71
表4-3-2. 基本人口學特性迴歸分析 76
表4-3-3. 吸菸行為迴歸分析 76
表4-3-4. 吸菸住院病患風險感受迴歸分析 77
表4-3-5. 吸菸住院病患戒菸意圖迴歸分析 77
表4-3-6. 吸菸住院病患戒菸行動計畫預測因子逐步迴歸分析 78
表4-3-7. 吸菸住院病患戒菸行動計畫執行預測因子逐步迴歸分析 78
表4-4-1. 吸菸住院病患風險感受對戒菸意圖迴歸分析 81
表4-4-2. 吸菸住院病患戒菸行動計畫之階層迴歸分析 81
表4-4-3. 吸菸住院病患戒菸行動計畫執行之階層迴歸分析 81
表4-4-4. 戒菸意圖對風險感受與戒菸行動計畫之中介效果 82
表4-4-5. 戒菸意圖對風險感受與戒菸行動計畫執行之中介效果 82


圖目錄
圖2-1-2. The I-change Model (第一版) 14
圖2-1-3. The I-change Model(第二版) 14
圖 3-2-1. 研究架構圖 33
圖3-6-1. 樣本數的估計 39
圖3-7-2. 「中文版-戒菸行動量表」發展過程 44
圖4-4-1. 戒菸意圖對風險感受與戒菸行動計畫之中介效應路徑圖 83
圖4-4-2. 戒菸意圖對風險感受與戒菸行動計畫執行之中介效應路徑圖 84
圖6-1-1. 戒菸意圖對風險感受與戒菸行動計畫之中介架構圖 110
圖6-1-2. 戒菸意圖對風險感受與戒菸行動執行之中介架構圖 111
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