社会心理干预对美沙酮维持治疗者生存质量的影响  

STUDY ON THE EFFECT OF PSYCHOSOCIAL INTERVENTION ON LIFE QUALITY OF METHADONE MAINTENANCE TREATMENT PATIENTS

作　　者：江静静[1] 李林涛[2] 孔抗美[3] 

机构地区：[1]汕头大学医学院MPH中心,广东汕头515041 [2]深圳市罗湖区疾病预防控制中心,广东深圳518020 [3]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《现代医院》2014年第3期95-97,共3页Modern Hospitals

基　　金：广东省科技厅科技计划项目(编号:C31405)

摘　　要：目的探讨社会心理干预对美沙酮维持治疗者生存质量的效果。方法在深圳市选择2所符合条件的美沙酮门诊,将纳入的病例分别作为对照组和干预组。对照组(n=65)进行常规美沙酮治疗,干预组(n=90)在常规治疗基础上进行社会心理干预。采用世界卫生组织编制的生存质量量表(WHOQOLBREF)对干预组和对照组患者进行评估,比较组间生存质量各领域得分情况。结果干预组治疗前后在生存质量主观感受、健康状况主观感受、生理领域、心理领域和环境领域均有统计学差异(p<0.05)。6个月后,干预组生存质量高于对照组,差异有统计学意义(p<0.05)。结论在美沙酮维持治疗过程中加入社会心理干预,能够提高治疗者生存质量,加强治疗效果。Objective To explore the effect of psychosocial intervention on life quality of methadone maintenance treatment（MMT） patients. Methods 2 MMT clinics in Shenzhen were chosen, taking the enrolled patients as control group and intervention group respectively. The patients （ n = 65 ） in control group was treated by common MMT, while the intervention group patients（ n = 90 ） was treated by common MMT added psychosocial intervention. WHOQOL - BREF developed by WHO was used to evaluate the result. To compare the scores between the 2 groups. Results In intervention group before and after treatment the scores of life quality subjective concept, health status subjective concept, physiologic field, psychological field and circumstance field were deferent statistically （p 〈 0.05 ）. After six months, the life quality of intervention group was higher than control group, the deference had statistical significance （p 〈 0. 05 ）. Conclusion Psychosocial intervention can improve the life quality of MMT patients, and strengthen the treatment effect.

关 键 词：美沙酮维持治疗 社会心理干预 生存质量 

分 类 号：R512.91[医药卫生—内科学]