CAJ | 학술논문

目的:了解美沙酮维持治疗门诊中影响阿片类依赖患者治疗依从性的原因,以及依从性对其工作生活状态的影响.方法:自行设计问卷对369例接受美沙酮维持治疗患者的依从性、服药期间毒品使用情况、工作、家庭状态的改善情况以及造成中断治疗和复吸的原因进行调查.结果:依从性好和比较好的占39.57%;依从性差的为60.43%.停用毒品和使用毒品减少50%以上的有230例(62.33%);恢复正常工作或工作状态明显改善者188例(50.94%)、家庭关系恢复正常或明显改善者169例(45.80%).恢复工作和生活的正常状态的程度均与治疗依从性显著相关.造成复吸最主要的社会因素为受到朋友(毒友或毒贩)诱惑(89.70%),回到原来的吸毒环境(88.08%).结论:自愿进行门诊美沙酮维持治疗的吸毒人员具有良好依从性的比例低;治疗效果与依从性好坏明显相关;依从性的好坏与环境、躯体和心理因素等有关.美沙酮门诊治疗是阿片依赖患者进行脱毒治疗的有效方式之一,提高依从性是提高有效率的关键.
목적:료해미사동유지치료문진중영향아편류의뢰환자치료의종성적원인,이급의종성대기공작생활상태적영향.방법:자행설계문권대369례접수미사동유지치료환자적의종성、복약기간독품사용정황、공작、가정상태적개선정황이급조성중단치료화복흡적원인진행조사.결과:의종성호화비교호적점39.57%;의종성차적위60.43%.정용독품화사용독품감소50%이상적유230례(62.33%);회복정상공작혹공작상태명현개선자188례(50.94%)、가정관계회복정상혹명현개선자169례(45.80%).회복공작화생활적정상상태적정도균여치료의종성현저상관.조성복흡최주요적사회인소위수도붕우(독우혹독판)유혹(89.70%),회도원래적흡독배경(88.08%).결론:자원진행문진미사동유지치료적흡독인원구유량호의종성적비례저;치료효과여의종성호배명현상관;의종성적호배여배경、구체화심리인소등유관.미사동문진치료시아편의뢰환자진행탈독치료적유효방식지일,제고의종성시제고유효솔적관건.
Objective:To understand the factors influencing herion dependent patients' compliance to methadone maintenance treatment(MMT)in clinic. Methods:An investigation was conducted among 369 patients who received MMT in clinic on the compliance to MMT, drug use state during MMT, the reasons for leaving treatment and drug re-use, the status of job and family, etc. With a self-designed questionnaire. Results:Among 369 patients, 39.57% had good compliance to MMT and 60.43% had poor compliance;230(62.33%)drug users stopped or reduced(over 50%) narcotics administration; 188(50.94%)drug users regained their jobs, and 169(45.80%)had their family relationship become normal. The criticality factor made patients relapse to drug use was going back to their old environments(88.08%)and influenced by their peers(89.70%). Reducing drug use, regaining their jobs, having normal relationship with their family were significantly correlated with treatment compliance. Conclusion:The proportion of having good compliance to MMT in clinic is low; treatment results are closely correlated with compliance; compliance is closely correlated with the patients' living environments, psychological and physical states. MMT in clinic is an effective way to help patients getting rid of drugs and increasing compliance can produce effective treatment.