Ha Young Sun, Choi Yeon Hee
Department of Nursing, Sunlin College, Pohang, Korea.
College of Nursing, Kyungpook National University, Daegu, Korea.
J Korean Acad Nurs. 2015 Jun;45(3):347-56. doi: 10.4040/jkan.2015.45.3.347.
In this study, the effectiveness of a motivational interviewing smoking cessation YOU-TURN program for adolescents was examined. The program was based on the self-determination theory.
The study was carried out with a nonequivalent control group pretest-posttest design. Participants in the present study were 136 high school students living in D city. The students were assigned to the experimental group (n=52) who participated in the motivational interviewing smoking cessation YOU-TURN program based on self-determination theory, or to the control group (n=84) who participated in a general smoking cessation program. Data were collected from September 1, 2013 through April 30, 2014. Collected data were analyzed using SPSS PC+ 21.0 with Chi-square test, Fisher's exact test, t-test, Mann-Whitney U test, Repeated Measures ANOVA, and MANOVA-Wilk's Lambda.
The experimental group had a significant increase in basic psychological needs, and duration of quitting-smoking in comparison with the control group. The experimental group had a significant decrease in cigarettes smoked per day and cotinine in urine in comparison with the control group.
The motivational interviewing YOU-TURN program, when delivered to adolescents who smoked, was effective in discouraging smoking, and can be utilized as an effective nursing intervention for adolescents who smoke.
本研究检验了一项基于自我决定理论的动机性访谈戒烟YOU-TURN项目对青少年的有效性。
本研究采用非等效对照组前测-后测设计。本研究的参与者为居住在D市的136名高中生。学生们被分配到实验组（n = 52），参与基于自我决定理论的动机性访谈戒烟YOU-TURN项目，或被分配到对照组（n = 84），参与一般的戒烟项目。数据收集时间为2013年9月1日至2014年4月30日。使用SPSS PC+ 21.0对收集的数据进行分析，采用卡方检验、Fisher精确检验、t检验、曼-惠特尼U检验、重复测量方差分析和多变量方差分析-威尔克斯λ检验。
与对照组相比，实验组的基本心理需求和戒烟持续时间有显著增加。与对照组相比，实验组每天吸烟量和尿中可替宁水平显著降低。
动机性访谈YOU-TURN项目在应用于吸烟青少年时，在劝阻吸烟方面是有效的，可作为吸烟青少年的有效护理干预措施。
