长期美沙酮维持治疗病人对美沙酮、海洛因和冰毒认知调查  

Investigation of cognition to heroin,methadone and methamphetamine in long-term methadone maintenance treatment patients

作　　者：张亚海[1] 徐筠[2] 李龙辉[1] 刘悦[1] 

机构地区：[1]宁波市微循环与莨菪类药研究所,宁波315010 [2]宁波戒毒研究中心,宁波315010

出　　处：《中国药物滥用防治杂志》2014年第6期311-312,324,共3页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：宁波市科技局自然基金项目(甬科计[2014]44)

摘　　要：目的:调查长期接受美沙酮维持治疗(methadone maintenance treatment,MMT)病人对美沙酮(methadone)和毒品海洛因(heroin)、合成毒品冰毒(methamphetamine)的认知,为门诊日常针对性干预提供依据。方法:采用自制《海洛因、美沙酮和冰毒认知调查表》,进行一对一问卷调查。结果:50例被调查病人,72.0%认为美沙酮对身体有危害,72.0%认为美沙酮有副作用,30.0%不知道冰毒有危害,36.0%不知道冰毒会成瘾,14.0%认为冰毒能替代海洛因,8.0%认为冰毒可以完全替代美沙酮,16.0%认为冰毒能戒掉美沙酮。结论:长期接受美沙酮维持治疗病人毒品海洛因认识比较正确,对维持治疗药物美沙酮和合成毒品冰毒的认知存在一定误区。针对性地开展健康宣教及心理干预有助于提高美沙酮维持治疗人员的依从性。Objective： To understand the cognition to heroin,methadone and methamphetamine in long-term methadone maintenance treatment patients,in order to provide the basis for psychological intervention. Methods： Using heroin,methadone and methamphetamine cognitive questionnaire,one-on-one questionnaire investigation. Results： Among the respondents,72% think that methadone is harmful to the body; 72% think that methadone has side effects; 28% don＇t know methamphetamine＇s hazard; 34% don＇t know methamphetamine is addictive; 14% think that methamphetamine could function as a replacement of heroin; 16% think that methamphetamine could be used in order to get away from methadone. Conclusion： Methadone maintenance treatment patients have right cognition to heroin but wrong cognition to methadone and methamphetamine. Health education and psychological intervention should be used to improve treatment compliance of methadone maintenance treatment patients.

关 键 词：长期 美沙酮维持治疗 海洛因 冰毒 认知 心理干预 

分 类 号：R749.64[医药卫生—神经病学与精神病学]