Title:
ประสิทธิผลของรูปแบบการมีส่วนร่วมของครอบครัวเพื่อครอบครัวไทยไร้ควันบุหรี่
Keywords:

รูปแบบการมีส่วนร่วมของครอบครัว
การมีส่วนร่วมของครอบครัว
การเลิกบุหรี่
family participation model
family participation
smoking cessation

Issue Date:
May 2015
Publisher:
วารสารพยาบาลโรคหัวใจและทรวงอ
Abstract:
This quasi-experimental of one group pre-posttest research was aimed to investigate the achievement of Family Participation Model (F.P. model) for smoking cessation. 260 smokers and 260 family members receiving services at antenatal unit, postpartum unit, well-baby clinic, or pediatric ward in nine hospitals were selected by purposive sampling to participate in F. P. Model for 3 months. The F.P. Model consisted of three stages: pre-cessation, cessation, and pre-discharge. Nurse’s role in each stage should encourage empowerment and participation among smokers and their families. They independently planed their own motivation and smoking cessation method by choosing, employing and evaluating the outcome. Research instruments comprised F. P. Model and its manual, questionnaires for smoker’s stage of change and nicotine dependence form including questionnaires for family members’ perceived capability of smoking cessation, perceived benefits of smoking cessation, and intention of smoking cessation. Quantitative data were analyzed using descriptive statistics, and paired t-test. The findings revealed that family members perceived capabilities to stop smoking and had smoking cessation behaviors significantly higher than before implementing the F. P. model (p<.05, p<.001). Smokers had nicotine dependence level significantly lower than before implementing the F. P. model (p<.001). Suggestion of new model of smoking cessation included: 1) nurses should have major role in directly working with family, 2) more collaboration with networks to support Tobacco control, 3) enhancing motivation with tangible example, and 4) providing more media and role models with positive and negative meaning and easily understanding. This study indicated that the Family Participation Model could empower family members for smoking cessation. This model supported family members to participate in problem solving of health problem in family. This model should be applied for capacity building family members for smoking cessation in other communities.
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