本文關(guān)鍵詞：廣州市美沙酮維持治療者抑郁現(xiàn)狀和影響因素分析　出處：《中國(guó)艾滋病性病》2017年08期 　論文類型：期刊論文

  更多相關(guān)文章： 美沙酮維持治療 抑郁 社會(huì)心理因素

【摘要】：目的了解美沙酮維持治療(MMT)者的抑郁現(xiàn)狀,以及其他因素對(duì)抑郁發(fā)生的影響。方法以219名自愿參加MMT的海洛因成癮者為研究對(duì)象,采用自制問(wèn)卷調(diào)查美沙酮維持治療者的抑郁情況。將抑郁作為應(yīng)變量,構(gòu)建非條件Logistic回歸模型進(jìn)行多因素分析相關(guān)影響因素。結(jié)果 (1)共調(diào)查廣州市MMT者218例,檢出有抑郁癥狀者92例,檢出率為42.20%。(2)單因素分析結(jié)果:教育程度(χ~2=3.33,P0.1)、月收入(χ~2=4.62,P0.1)、工作情況(χ~2=4.40,P0.1)、感染艾滋病病毒(HIV)情況(χ~2=3.03,P0.1)、有無(wú)注射吸毒(χ~2=2.93,P0.1)、生活滿意度(χ~2=0.08,P0.1)、生活態(tài)度(χ~2=4.74,P0.1)、社會(huì)支持度(χ~2=13.85,P0.1)、正向(χ~2=7.46,P0.1)和負(fù)向(χ~2=63.75,P0.1)生活情緒,均會(huì)對(duì)MMT者抑郁產(chǎn)生影響,差異有統(tǒng)計(jì)學(xué)意義。其他社會(huì)人口學(xué)特征、藥物濫用史和社會(huì)心理因素,對(duì)抑郁影響均無(wú)統(tǒng)計(jì)學(xué)意義。(3)應(yīng)用逐步法進(jìn)行篩選,最終進(jìn)入模型的變量為月收入和正負(fù)向情緒。結(jié)論廣州市MMT者抑郁患病率較高,低于吸毒人群但高于正常人群;教育程度、月收入、工作情況、HIV感染情況、注射吸毒、生活滿意度、生活態(tài)度、社會(huì)支持度、正向負(fù)向情緒,是可能影響抑郁的因素。低收入者為抑郁的高危人群。在治療過(guò)程中通過(guò)醫(yī)師、患者和社會(huì)三方面合作共同努力,改善患者生活情緒,可預(yù)防抑郁的發(fā)生,降低MMT者復(fù)吸率。
[Abstract]:Objective to investigate the depression status of patients with methadone maintenance therapy and the influence of other factors on depression. Methods 219 heroin addicts who volunteered to participate in MMT were studied. Self-made questionnaire survey was used to maintain depression in patients treated with methadone. Depression was regarded as a dependent variable. The non-conditional Logistic regression model was constructed to analyze the related factors. Results: a total of 218 cases of MMT in Guangzhou were investigated and 92 cases with depressive symptoms were detected. The results of univariate analysis showed that the educational level was 3.33% (蠂 ~ 2 / 2) and the monthly income was (蠂 ~ (2) 2.20 / 4.62 / P _ (0.1)). Work status (蠂 ~ 2 / 2 / 4.40 / P _ (0.1), HIV / AIDS) (蠂 ~ (2 / 2) 3.03 / P ~ (0.1)), whether injecting drug use or not (蠂 ~ 2 / 2 / 2 / 93). P _ (0.1), life satisfaction (蠂 ~ (20.08) / P _ (0.1)), attitude to life (蠂 ~ (2) 4.74), social support (蠂 ~ (2) = 13.85 / P _ (0.1)). Positive (蠂 2 + 7.46) (P 0.1) and negative (蠂 2) (63.75) (P 0.1) life emotions all had an effect on depression in patients with MMT. The difference was statistically significant. Other social demographic characteristics, history of drug abuse and psychosocial factors were not statistically significant. Conclusion the prevalence of depression in MMT patients in Guangzhou is higher than that in drug users but higher than that in normal subjects. Education, monthly income, work status, HIV infection, injecting drug use, life satisfaction, life attitude, social support, positive negative mood. Low income group is the high risk group of depression. In the course of treatment, doctors, patients and society work together to improve the patients' life mood and prevent the occurrence of depression. The relapse rate of MMT patients was decreased.
【作者單位】： 中山大學(xué)公共衛(wèi)生學(xué)院預(yù)防醫(yī)學(xué)系;中山大學(xué)公共衛(wèi)生學(xué)院醫(yī)學(xué)統(tǒng)計(jì)與流行病學(xué)系;
【分類號(hào)】：R749.4;R749.64
【正文快照】： 美沙酮維持治療(Methadone MaintenanceTreatment,MMT)可以減輕海洛因成癮者的藥物濫用、降低犯罪率和吸毒相關(guān)危險(xiǎn)行為的發(fā)生率,并具有防止艾滋病(AIDS)傳播、改善成癮者健康狀況、提升其社會(huì)家庭功能等作用[1]。MMT雖然可以解決成癮者對(duì)海洛因的軀體依賴,但吸毒相關(guān)的社會(huì)心，

本文編號(hào)：1405097