强戒所管教干警及学员对美沙酮维持治疗的知晓情况及可接受性研究  

Investigation on the knowledge and acceptability of the police officers and drug addicts in mandatory drug rehabilitation centers on methadone maintenance treatment project

作　　者：覃莎莎[1] 贺健梅[1] 丁林[1] 易再明[1] 陈曦[1] 

机构地区：[1]湖南省疾病预防控制中心,湖南长沙410005

出　　处：《国外医学（医学地理分册）》2011年第2期98-101,共4页Foreign Medical Sciences：Section of Medgeography

基　　金：全球基金第四轮艾滋病防治项目(No2009GF4SY17)

摘　　要：目的了解强戒所管教干警及学员对美沙酮维持治疗的知晓情况及可接受性。方法以正在强戒所工作的管教干警和正在进行强制戒毒的学员为调查对象,采用自行设计的调查问卷,收集管教干警对美沙酮维持治疗的知晓情况及可接受性、接受相关知识培训、给学员提供培训以及转介情况;学员基本情况、出所后是否愿意参加美沙酮维持治疗等相关资料。结果共调查了66名管教干部和281名学员。66名管教干部中,接受过维持治疗相关知识培训的占18.2%;给学员上过有关美沙酮维持治疗培训课的占25.8%;在学员出所时将其转介到当地美沙酮门诊的占27.3%;可以接受在强戒所内开展美沙酮治疗的占45.5%。281名学员中,表示出所后即使再犯瘾也不愿意参加美沙酮维持治疗的占34.5%。既往治疗组与从未治疗组比较,不同性别、年龄差异无统计学意义,参加过治疗的学员倾向于出所后继续接受治疗。结论利用强制戒毒所的优势,加大对领导政策开发以及管教干警培训、开展所内培训、建立一种切实有效的转介平台、实行出所后动态监管,将使美沙酮维持治疗工作更好地在艾滋病防治和禁吸戒毒工作中充分地发挥作用。Objective To explore the knowledge and acceptability of the police officers and drug addicts in mandatory drug rehabilitation centers on Methadone Maintenance Treatment （MMT） Project. Methods The police officers working in mandatory drug rehabilitation centers and drug addicts under compulsory rehabilitation were surveyed, through a self-designed questionnaire, including knowledge and acceptability on MMT, relative training experiences and trainingprovided to the addicts and referral for drug addicts was designed and launched among the police officers. Another questionnaire including demographics and possibilities of participating in MMT discharged from centers was launched among drug addicts. Results 66 administrative police officers and 281 drug addicts were interviewed. Of these officers, 18.2% ever attended relative training; training courses for drug addicts were 25.8%, 27.3% referred drug addicts from rehabilitation center to MMT clinics and 45.5% agreed to provide MMT for drug addicts in centers. Of these drug addicts, 34.5% are unwilling to participate in MMT even they get released. Different gender and age showed no significant statistical difference between drug addicts registered in MMT clinics and not registered. And the drug addicts registered in MMT clinics preferred to participate in the treatment again.Conclusion Taking the advantages of rehabilitation centers, strengthening the policy implementation, enhancing the staff training, establishing an effective referral platform between mandatory drug rehabilitation center and MMT clinics and undertaking dynamic supervision to the released addicts will help enhance the effects of MMT in AIDS prevention, as well as the narcotics prohibition and the rehabilitation of addicts.

关 键 词：强戒所 美沙酮维持治疗 知晓 可接受性 警察 吸毒者 

分 类 号：R971[医药卫生—药品]