无锡市美沙酮维持治疗门诊患者偷吸的相关因素研究  

RELATIVE FACTORS ON HEROIN LAPSE OF METHADONE MAINTENANCE TREATMENT OUTPATIENTS IN WUXI

作　　者：丁蕾[1] 钱兴才[2] 潘晓雯[1] 赵君[1] 高倩[1] 王蓓[1] 

机构地区：[1]江苏东南大学公共卫生学院流行病与卫生统计学系,南京210009 [2]无锡市疾病预防控制中心

出　　处：《现代预防医学》2009年第14期2601-2603,共3页Modern Preventive Medicine

基　　金：2007年国家艾滋病防治社会动员项目(07-II-7)

摘　　要：[目的]分析无锡市美沙酮维持治疗患者的偷吸率及其原因、时间分布,探索其影响因素。[方法]对江苏省无锡市美沙酮维持治疗社区门诊的病人进行一对一的问卷调查,分析其偷吸状况与人口学特征、治疗期间服药的相关情况以及家庭、社会功能情况等因素间的关联性。[结果]被调查的570名患者中,53.0%的患者在治疗过程中存在偷吸现象,偷吸时间主要集中在刚开始服药的两个月之内。经过分析,患者的性别、治疗时间、患者与配偶之间的关系及其心理状况对其偷吸均有影响。[结论]应该重视美沙酮维持治疗过程中存在的偷吸现象,综合采取家庭及社会心理干预措施以提高患者的依从性和保持性。[Objective] To analyze the incidence, reasons, time distribution and its influencing factors on heroin lapse of MMT outpatients in Wuxi. [MethodS] Face-to-face questionnaire investigation was conducted among the outpatients of community out-patient clinic （OPD）. We analyzed the relationship of their heroin lapse with the demographic characteristics, medicine-taking, their family and social function. [ Results] Among the 570 MMT outpatients, 53.0% of them used heroin （Lapse） during the methadone maintenance treatment, and the time of heroin lapse concentrate on the first two months when the patients entered. The influencing factors on heroin lapse were sex, treat time, the relationship of the patients with spouse, and the psychological status. [Conclusion] We should pay attention to the heroin lapse of MMT outpatients, and adopt some family and social psychological intervention to elevate the outpatients＇compliancc and retention.

关 键 词：美沙酮维持治疗 偷吸 影响因素 

分 类 号：R457.11[医药卫生—治疗学]