美沙酮维持治疗患者脱失影响因素分析  

Analysis of influential factors associated with the dropout of outpatients receiving community-based methadone maintenance treatment

作　　者：戴映雪[1] 黄玉玲[1] 许琪[1] 廖劲 陈怀良[3] 张建新[1] 

机构地区：[1]四川大学华西公共卫生学院(华西第四医院),四川成都610041 [2]四川省德阳市红十字会 [3]双流县第二人民医院

出　　处：《现代预防医学》2013年第21期4006-4008,4014,共4页Modern Preventive Medicine

摘　　要：目的分析美沙酮维持治疗患者的脱失情况,探索影响男/女性患者美沙酮维持治疗脱失的因素。方法采用自制问卷对148名美沙酮门诊患者进行一对一调查,采用非条件Logistic回归分析影响男/女性患者美沙酮维持治疗脱失的因素。结果对男性患者而言,影响其脱失的因素包括偷吸经历、戒毒经历和坚持美沙酮治疗时间;对女性患者而言,影响因素包括是否经家人朋友介绍进入美沙酮治疗和坚持美沙酮治疗时间。结论为减少患者脱失,要强化门诊工作人员的治疗和干预技能,强化亲人朋友对患者维持治疗的积极影响,对偶尔偷吸的患者应采取"帮扶为主、惩罚为辅"的策略。OBJECTIVE To explore influential factors associated with the dropout of male and female outpatients receiving community-based methadone maintenance treatment （MMT）. METHODS A sample of 148 outpatients receiving MMT was selected to conduct one-to-one questionnaire survey. Non-conditional Logistic regression analysis was applied to analyze influ- ential factors associated with the dropout of male and female outpatients. RESULTS For male, the influential factors included heroin lapse history, drug addiction treatment history and the duration of retention on MMT. For female, the influential fac- tors included whether she was introduced into MMT by relatives or friends and the duration of retention on MMT. CONCLUSION Treatment and intervention skills of MMT workers and positive influence on outpatients from relatives and friends should be enhanced to reduce the dropout of outpatients, and the strategy of punishment should be applied on outpatients who used heroin occasionally.

关 键 词：美沙酮维持治疗 脱失 影响因素 

分 类 号：R195[医药卫生—卫生统计学]