CAJ | 학술논문

目的探讨心理咨询干预措施对提高参加美沙酮维持治疗(MMT)者的美沙酮治疗剂量以降低尿吗啡检测阳性率、减少毒品使用和增加治疗依从性的效果.方法在16个社区MMT门诊招募近12周尿吗啡检测至少有1次阳性记录的治疗人员,由医务人员进行每2周1次、同伴教育员每1周1次的心理咨询干预,干预时间12周,记录研究对象干预前和干预期12周内尿吗啡检测、日均服用美沙酮剂量和服药天数,比较干预前和干预期间的变化.结果共对492名研究对象实施了干预,3项指标均有明显的变化:尿吗啡检测阳性率从干预前的50.1％下降低到干预期间的27.1％,平均日服用美沙酮剂量从干预前1周的63.0 mg增加到72.6 mg,12周内服用美沙酮的天数从干预前的人均69.4 d增加到干预期间的人均73.9 d.结论强化咨询干预措施对于减少参加MMT海洛因成瘾者治疗期间偷吸毒品,增加其服用美沙酮剂量,提高治疗依从性有良好的效果.
목적 탐토심리자순간예조시대제고삼가미사동유지치료(MMT)자적미사동치료제량이강저뇨마배검측양성솔、감소독품사용화증가치료의종성적효과.방법 재16개사구MMT문진초모근12주뇨마배검측지소유1차양성기록적치료인원,유의무인원진행매2주1차、동반교육원매1주1차적심리자순간예,간예시간12주,기록연구대상간예전화간예기12주내뇨마배검측、일균복용미사동제량화복약천수,비교간예전화간예기간적변화.결과 공대492명연구대상실시료간예,3항지표균유명현적변화:뇨마배검측양성솔종간예전적50.1％하강저도간예기간적27.1％,평균일복용미사동제량종간예전1주적63.0 mg증가도72.6 mg,12주내복용미사동적천수종간예전적인균69.4 d증가도간예기간적인균73.9 d.결론 강화자순간예조시대우감소삼가MMT해락인성은자치료기간투흡독품,증가기복용미사동제량,제고치료의종성유량호적효과.
Objective To learn about the effects of psychological counseling intervention on reducing heroin use,increasing methadone dosage and improving compliance rate of methadone maintenance treatment (MMT).Methods Subjects who had had at least one positive result for regular urine morphine tests during the past three months were recruited from 16 MMT clinics.During the three-month intervention period,the subjects received regular psychological counseling provided by doctors (once every other week) and peer education (once a week).Positive rates of urine morphine tests,average days receiving MMT during three months before the intervention and during the intervention,and average daily dosage of methadone during the last week before intervention and during the last week of the intervention programs conducted were recorded and compared.Results A total of 492 patients receiving MMT were surveyed.There were significant changes in positive rates for urine morphine tests,average daily dosage,and average days on MMT before and during the intervention programs.The positive rate for urine morphine tests dropped from 50.1％ to 27.1％;the average daily dosage of methadone increased from 63.0 mg to 72.6 mg;the average days receiving MMT increased from 69.4 days to 73.9 days.Conclusion Intensive psychological counseling intervention was effective in reducing heroin use,increasing methadone dosage and improving compliance rate of MMT among patients receiving MMT.