The Effects of Motivational interviewing for smoking cessation in Patients with Mental Illness - Based on the Mental Health hospital in South of Taiwan

• Main Authors: WANG, HSUEH-YIN, 王雪吟
• Other Authors: 張菊惠
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/v46bka

碩士 === 長榮大學 === 醫務管理學系碩士班 === 103 === Introduction The second generation of smoking cessation pilot program has been launched by Ministry of Health and Welfare since 2012. The smoking cessation health educator using motivational interviews theory, provide smoking cessation clinic cases health education advisory services. Motivational interviews are widely used to help smoking cessation, assisting smokers who try to explore and resolve their motivation to change behavior uncertainty. The study has found that relatively brief motivational interviews inquiries or general routine care, more effective smoking cessation facilitator (Lindson & Thompson, 2015). Psychiatric patients smoking rate up to 70-80% ,significantly higher than the general population, some studies have shown that mental illness through advocacy and encourage participation in smoking cessation plan after, to achieve the goal of smoking cessation（Chen, Ku, Lu, & Chou， 2002；Kelly & McCreadie，2000；McMillan，2009；Robson & Gray，2005), there is still a lack of research on the effectiveness of motivational interviews and psychiatric patients to quit smoking. Purpose The purpose of this study is to understand the Smoking behavior motivation among the general patients and psychiatric patients, and compare their differences, explore the smoking effectiveness and impact of the carbon monoxide concentration after receiving health education counseling services. Method This study is a retrospective and prospective analysis; subjects are the psychiatric out patient who received smoking cessation in outpatient department since Jan. 2013 to June 2014 in a psychiatric hospital in southern of Taiwan. Total of 235 subjects, data collation was the smoking cessation medical records and case management survey, comparison of mental disorders and mental disorders non smokers, the differences between the effectiveness of health education advisory services. Result The study found that non-psychiatric group received health education , the average number of smoking cessation counseling group was less than schizophrenia, and there is significant difference(p = 0.005 **) the schizophrenia groups of smoking behavior improvement is most effective after 1 month of smoking cessation health education counseling , and has a statistically significant difference, non-mental illness and affective mental disorders groups of cases are only in the external situation, habits, specific environmental and social entertainment four projects have lower, and has a statistically significant difference; the effect of smoking and change of carbon dioxide concentration, it is all diagnosis groups, there are results, and has a statistically significant difference. Conclusion Through this study, both subjective and objective performance metrics, 142 smokers has effectiveness in smoking situation, habit, specific environmental and social entertainment after received smoking cessation health education counseling intervention month. Total average daily countless smoke cigarettes 17.41, carbon monoxide value (hereinafter referred to as the CO value) 3.5ppm less. Using motivational interviews provide health education advisory services can improve smokers quit motives, and at the same time allowing smoke and carbon monoxide reduction.