Abstract
The purpose of this study was to examine the effect of motivational counseling program for improving knowledge and attitude of smoking cessation and smoking cessation behaviors of middle school students. The research design was nonequivalent control group pre- and post-test design. The subjects were 42 third grade students of M and D middle school in G city (experiment group 21, control group 21). The treatment of this study, motivational counseling program was modified by author based on Lim(2010), developed by Valasquez(2001). The effects of this study were evaluated with the scales for smoking knowledge, smoking attitude, daily cigarette consumption, and the scales of stage of change. The data were analyzed with percentage and t-test using SPSS 21.0. The results of this study were summarized as follows: The experiment group who participated in the motivation counseling program had higher scores in knowledge(t=8.99, p=.000) and attitude(t=2.77, p=.008) of smoking cessation and stage of change(t=3.85, p=.000), and lesser daily cigarette consumption(t=-3.68, p=.001) than those of the control group. Based on these results, it was verified that the motivational counseling program may be effective in improving smoking cessation of middle school students. It is recommended that the motivational counseling program will be used as useful psychiatric nursing intervention for smoking prevention, smoking cessation, and mental health promotion for middle school students.
본 연구의 목적은 동기강화상담 프로그램이 중학생들의 금연지식, 금연태도 및 금연행위에 미치는 효과를 파악하는 것이다. 본 연구의 대상자는 G광역시에 소재한 M중학교 3학년 21명(실험군)과 D중학교 3학년 21명(대조군), 총 42명이었다. 본 연구의 독립변인인 동기강화상담 프로그램은 Valasquez(2001)가 개발하고 임애리(2010)가 재구성한 집단 형태의 동기증진면담 매뉴얼을 본 연구자가 수정 보완하였으며, 프로그램의 효과는 금연지식, 금연태도, 일일흡연량 및 금연변화단계 척도를 사용하여 평가하였다. 수집된 자료는 SPSS 21.0을 이용하여 백분율, t-test 등을 통해 분석하였으며, 연구 결과는 다음과 같다. 동기강화상담 프로그램에 참여한 실험군은 참여하지 않은 대조군보다 금연지식(t=8.99, p=.000), 금연태도(t=2.77, p=.008) 및 금연변화단계점수(t=3.85, p=.000)가 통계적으로 유의하게 증가하였으며 일일흡연량(t=-3.68, p=.001)이 통계적으로 유의하게 감소하였다. 따라서 동기강화상담 프로그램은 청소년들의 흡연예방과 금연 및 정신건강증진을 위한 유용한 정신간호중재로 사용될 수 있으리라 사료된다.