广州市首批社区美沙酮维持治疗门诊病例脱失的影响因素  

Impact factors of dropping out of the patients receiving the community-based methadone maintenance treatment in Guangzhou

作　　者：赵宇腾[1] 徐慧芳[1] 胡文生[2] 林思雄 蔡荣[4] 秦发举[1] 梁颖茹[1] 张晋昕[5] 

机构地区：[1]广州市疾病预防控制中心,广州510440 [2]广州市脑科医院,广州510370 [3]广州市越秀区华山医院,广州510080 [4]广州市番禺区人民医院,广州511400 [5]中山大学公共卫生学院,广州510080

出　　处：《中国艾滋病性病》2012年第2期89-91,共3页Chinese Journal of Aids & STD

基　　金：中盖基金艾滋病预防合作项目~~

摘　　要：目的了解广州市首批阿片类物质成瘾者美沙酮维持治疗门诊病例的治疗脱失情况,探讨影响本地病例治疗脱失的相关因素。方法分别从荔湾等三个美沙酮维持治疗门诊的维持及脱失治疗病例中,招募符合研究要求的病例,共230例,脱失组116例,对照组114例。采用自行设计的问卷对其进行调查,了解影响治疗脱失的相关因素。结果美沙酮剂量低于60mL、吸毒年限、每天吸毒量、治疗期间出现恶心或呕吐、未享受治疗奖励政策及因治疗与工作/生活冲突而中断治疗,是影响病例治疗脱失的主要原因。结论应针对吸毒年限较长、吸毒量较少的病例,提供个性化、有针对性的治疗服务,同时加大减免治疗费用等奖励政策的覆盖面,合理调整治疗服务时间,增强治疗服务的便利性。Objective To explore and discover the situation and factors associated with dropping out of patients receiving MMT in Guangzhou city. Methods Investigation on factors associated with MMT patients＇ dropping out was conducted by self-designed questionnaire with 230 cases recruited from Liwan.Yuexiu and Panyu MMT clinics. Results Factors associated with dropping out of MMT included lower methadone dose, （below 60 ml） ,fewer daily drug using ,length of drug using , lack of incentive policies and discontinuing MMT because of contradiction between treatment, live and work. Conclusions Treatment services should be adiusted by some targeted services including appropriate methadone dose, psychological intervention, meanwhile, the coverage of incentive policies should be enlarged and treatment service time should be adjusted in order to ensure the convenience of patients.

关 键 词：美沙酮 美沙酮维持治疗 脱失 影响因素 

分 类 号：R512.91[医药卫生—内科学]