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題名：社區精神分裂症病患吸菸與戒菸失敗之主觀經驗
書刊名：中華心理衛生學刊
作者：周易瑩／洪翠妹／楊翠媛／蘇淑芳／張珏／謝佳容 引用關係
作者(外文)：Chou, Yi-ying／Hung, Tsui-mei／Yang, Tsui-yuang／Su, Shu-fang／Chang, Chueh／Hsieh, Chia-jung
出版日期：2012
卷期：25:4
頁次：頁517-544
主題關鍵詞：精神分裂症；吸菸；戒菸；主觀感受；健康促進；Schizophrenia；Smoking；Smoking cessation；Health promotion
原始連結：連回原系統網址new window
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  • 共同引用共同引用:1330
  • 點閱點閱:157
研究背景：過去研究指出精神分裂病患的吸菸問題較一般人嚴重，且戒菸困難度極高，然而對於精神病患吸菸問題的探討多為量性研究，罕見質性研究深入了解其主觀經驗。研究目的：本文為探討社區精神分裂症病患的吸菸與戒菸經驗，萃取病患於吸菸與戒菸歷程的主觀感受，藉以瞭解其菸品使用經驗的觀點。研究方法：以立意取樣方式，針對北部社區復健機構的吸菸精神分裂症患者，透過半結構式指引，進行深度訪談與錄音收集資料，共十五位個案（男性73.3%，平均年齡49.67±5.74）。再以逐字稿將資料文字化，應用質性分析軟體NVIVO 8加以歸納與分析類目。研究結果：研究對象吸菸主觀感受呈現三個主題，分別為「正面知覺」、「負面知覺」與「中性知覺」；戒菸經驗的主觀感受呈現五個主題，分別為「無法解套的菸癮（頭）」、「無法延續成功的戒菸經驗」、「體認戒菸輔助方法的成效」、「衡量支付吸菸與戒菸的物品價格」與「建構持續吸菸行為的論述」。研究結論：本研究結果有助於心理衛生工作人員深入體會社區精神分裂病患面對香菸問題於其生活過程之主觀感受，期望能提供未來協助社區精神病患面對吸菸行為時，多些了解與尊重，於個案社區復建的過程中，扮演正向心理支持與資訊提供的角色，以協助其渡過戒菸困難，並藉此作為發展精神病患菸害防治方案之參考。
Background: Several studies have demonstrated that the problem of smoking among schizophrenic patients is much higher than in the normal population. Schizophrenics also have more difficulty with smoking cessation. Many previous quantitative studies investigated smoking problems with schizophrenics; few studies applied qualitative methods to explore schizophrenics' own perceptions of smoking. Purpose: This study explored schizophrenics' experience of cigarette smoking and smoking cessation. Methods: Qualitative techniques were applied using a purposive sampling method, followed by semi-structured interviews. Interviews with 15 schizophrenia patients (73.3% male, mean age: 49.67±5.74) were conducted at a community rehabilitation center. Interviews were recorded and transcribed for analysis of themes. Results: Three themes of cigarette smoking experiences emerged from the analysis: positive perceptions, negative perceptions, and borderline perceptions. We identified 5 themes in the smoking cessation experiences: hard to get over cravings, never had a successful experience with smoking cessation, realized the effectiveness the alternative of smoking cessation, judged the price in payment for smoking and quitting, and found reasons to continue smoking. Conclusions: The results will help mental health workers to understand schizophrenic patients' tobacco issues, and how patients interpret the phenomenon of smoking and quitting. Community rehabilitation can play a positive role in mental health support and offer information to assist patients with the difficulties of quitting smoking.
Other
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期刊論文
1.鄭學慧、林琴玲、史麗珠、涂慧慈、蔡玉霞、藍旻暉(20091200)。某區域醫院認知行為團體戒菸班課程之成效。中山醫學雜誌，20(2)，161-176。  延伸查詢new window
2.張景然、王珮蘭(20041200)。吸菸行為的形成、持續、戒斷與復發歷程。中華心理衛生學刊，17(4)，29-66。new window  延伸查詢new window
3.鄭秀月、李茹萍(20090500)。戒菸門診個案持續戒菸行為與自我效能之研究。臺灣醫學，13(3)，223-230。  延伸查詢new window
4.穆佩芬(19960600)。現象學研究法。護理研究，4(2)，195-202。new window  延伸查詢new window
5.彭若瑄、王琪珍、董旭英、王文玲(20070900)。以問題行為理論探討高中職學生吸菸行為之相關因素。實證護理，3(3)，236-245。new window  延伸查詢new window
圖書
1.World Health Organization(1998)。Guidelines for Controlling and Monitoring the Tobacco Epidemic。Geneva：World Health Organization。  new window
2.陳向明(2008)。社會科學質的研究。臺北市：五南圖書。new window  延伸查詢new window
3.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
其他
1.行政院衛生署國民健康局(2009)。菸的危害。  延伸查詢new window
2.行政院衛生署國民健康局(2012)。成年人吸菸行為調查。  延伸查詢new window
3.行政院衛生署國民健康局(2012)。實施二代戒菸治療試辦計畫。  延伸查詢new window
4.何清松、蕭婷云、陳成欽、林玲欽(2011)。慢性住院精神分裂病患者對禁菸政策意見之因素探討。  延伸查詢new window
5.邱南英、周中和(1995)。戒菸團體心理治療。  延伸查詢new window
6.許月英(2000)。門診精神病患戒菸團體成效評估。new window  延伸查詢new window
7.許秀月(1993)。醫護人員對於菸害觀念之認知與反菸行為間差異性之探討。new window  延伸查詢new window
8.陳快樂(2010)。精神科住院患者戒菸治療服務前驅性計畫。  延伸查詢new window
9.陳碧霞(1996)。精神病人吸菸管制問題探討。new window  延伸查詢new window
10.楊若梅(2004)。精神分裂症住院病患吸菸行為之相關因素探討。  延伸查詢new window
11.管賢世(2008)。戒菸才是保障健康的不二法則--提高菸品健康捐一舉兩得。  延伸查詢new window
12.劉秋丹(1985)。復建精神病患團體戒菸之探討。  延伸查詢new window
13.鄭淑利(2011)。戒菸處置措施於精神分裂症病人之成效研究。  延伸查詢new window
14.賴美淑(2000)。吸菸與心臟血管疾病的關係：可能之病理生理機轉。  延伸查詢new window
15.謝淑卿、尹祚芊(1996)。成人菸害認知、吸菸行為及相關因素之探討。  延伸查詢new window
16.謝維綱、戴佛香(2007)。談吸菸。  延伸查詢new window
17.蘇玫尹、林嘉志、黃香萍、謝伸裕(2008)。運動與吸菸對氧化壓力的影響。  延伸查詢new window
18.Addington, J., el-Guebaly, N., Campbell, W., Hodgins, D. C., & Addington, D.(1998)。Smoking cessation treatment for patients with schizophrenia。  new window
19.Barr, A. M., Procyshyn, R. M., Hui, P., Johnson, J. L., & Honer, W. G.(2008)。Self-reported motivation to smoke in schizophrenia is related to antipsychotic drug treatment。  new window
20.Benowitz, N. L.(2008)。Neurobiology of nicotine addiction: Implications for smoking cessation treatment。  new window
21.Bohadana, A., Nilsson, F., Rasmussen, T., & Martinet, Y.(2000)。Nicotine inhaler and nicotine patch as a combination therapy for smoking cessation。  new window
22.Campion, J., Lawn, S., Brownlie, A., Hunter, E., Gynther, B., & Pols, R.(2008)。Implementing smoke-free policies in mental health inpatient units: learning from unsuccessful experience。  new window
23.Chou, K. R., Chen, R., Lee, J. F., Ku, C. H., & Lu, R. B.(2004)。The effectiveness of nicotine-patch therapy for smoking cessation in patients with schizophrenia。  new window
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31.Leonard, S., Breese, C., Adams, C., Benhammou, K., Gault, J., Stevens, K., Freedman, R.(2000)。Smoking and schizophrenia: abnormal nicotinic receptor expression。  new window
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33.McMurray, R. G.(1985)。The effects of passive inhalation of cigarette on exercise performance。  new window
34.McNeill, A.(2001)。Smoking and mental health: A review of the literature。  new window
35.Moss, T. G., Sacco, K. A., Allen, T. M., Weinberger, A. H., Vessicchio, J. C., & George, T. P.(2009)。Prefrontal cognitive dysfunction is associated with tobacco dependence treatment failure in smokers with schizophrenia。  new window
36.Moira, C. & Ciara, K.(2005)。Lifestyle and physical health in schizophrenia。  new window
37.Peele, R.(1988)。Nicotine addiction in the psychiatric hospital: a preliminary report。  new window
38.Rezvani, A. H., Kholdebarin, E., Dawson, E., & Levin, E. D.(2008)。Nicotine and clozapine effects on attentional performance impaired by the NMDA antagonist dizocilpine in female rats。  new window
39.Saha, S., Chant, D., & Mcgrath, J.(2007)。A systematic review of mortality in schizophrenia: is the differential mortality gap worsening over time。  new window
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41.Tang, Y. L., George, T. P., Mao, P. X., Cai, Z. J., & Chen, Q.(2007)。Cigarette smoking in Chinese male inpatients with schizophrenia: a cross-sectional analysis。  new window
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圖書論文
1.高淑清(2000)。現象學方法及其在教育研究上的應用。質的研究方法。高雄：麗文。  延伸查詢new window
 
 
 
 
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