| Summary: | 碩士 === 國立台北護理學院 === 護理助產研究所 === 96 === The aim of this study is to research the factors of smoking behavior in pregnant women in Hualian area. Adopting the cross sectional design and convenience sampling, this study targeted the pregnant women receiving prenatal period checks in medical centers, area hospitals, regional hospitals and clinics in Hualian County. There were 395 pregnant womem were recruited in this study. The method was line with structural questionnaire, which includes: the Knowledge of Smoking Damage Scale, the Smoking Attitude Scale, the Self-Efficacy of Quitting Smoking, the measurement list for Fagerstrom Tolerance questionnaire and the Edinburgh Perinatal Depression Scale for the depression in pregnancy. The methods of analysis were as follows: descriptive statistics, Chi-square test, one way ANOVA, linear regression analysis, logistic regression analysis.
The smoking rate of pregnant women was 11.14%, after pregnancy, 42.86% pregnant women would quit smoking. ( 2 ) The features of the women smoking in pregnancy were as follows: aboriginal women, young age, first fetus, poorer education, married, lower income, drinking habit. ( 3 ) With the increase of smoking damage knowledge score, the rate of quitting smoking would increase. When score increases one point, the rate increases by 110% ( 95% CI = 1.0 - 1.2 ). ( 4 ) With the increase of score in Self-Efficacy for quitting smoke, the rate of quitting smoking would increase. When score increases one point, the rate increases by 109% ( 95% CI = 1.05 - 1.14 ). These result all showed significant level in statistics. ( 5 ) Compared with the pregnant women of Nicotine dependence, the rate of quitting smoking of highly smoke obsessed pregnant women was lower 0.17 ( 95% CI = 0.01 - 38.53 ). ( 6 ) Compared with the pregnant women depression scoring under 9 points, 34% of the pregnant women scoring between 10 and 30 in depression during pregnancy were liable to continue their smoking habit. ( 7 ) The stages of quitting smoking of pregnant women could be divided into contemplation stage ( 30% ), preparation stage ( 39% ). In addition, successfully quitting groups could be divided into action stage ( 30% ), and maintenance stage ( 64% ). The statistic distribution had significant differences.
The results of the study can serve references for the governmental sections as well as practitioners of nursing affairs and education, providing suggestion for future research.
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