本文關(guān)鍵詞： 美沙酮維持治療 海洛因依賴 孤獨感 疼痛 相互關(guān)系　出處：《安徽醫(yī)科大學(xué)學(xué)報》2017年10期 　論文類型：期刊論文

【摘要】：目的分析美沙酮維持治療(MMT)海洛因依賴患者(HDPs)的孤獨感與疼痛的相互關(guān)系。方法 603例MMT門診HDPs完成一般情況問卷、抑郁自評量表、焦慮自評量表、單一條目孤獨感自評問卷和五點口述分級評分疼痛強度自評問題。用有序因變量Logistic回歸分析孤獨感與疼痛的雙向聯(lián)系。結(jié)果孤獨感與疼痛強度評分呈中度顯著正相關(guān)性(r=0.453,P0.001)。控制社會人口學(xué)因素、物質(zhì)使用特征變量、抑郁癥狀和焦慮癥狀的潛在混雜效應(yīng)后,疼痛強度增加與孤獨感風(fēng)險上升呈顯著相關(guān)性(OR=1.53,P0.001),孤獨感水平升高也與疼痛強度增加呈顯著相關(guān)性(OR=1.22,P0.042)。結(jié)論 MMT門診HDPs的孤獨感與疼痛存在雙向作用,社會心理干預(yù)配合合適的疼痛管理有利于HDPs的全面康復(fù)。
[Abstract]:Objective to analyze the relationship between loneliness and pain in heroin addicts with methadone maintenance therapy. Methods 603 MMT outpatients with HDPs completed general condition questionnaire, self-rating depression scale and self-rating anxiety scale. Single item loneliness self-evaluation questionnaire and five-point oral rating scale pain intensity self-evaluation question. Using ordered dependent variable Logistic regression analysis of the relationship between loneliness and pain. Results loneliness and pain intensity score showed moderate significant positive. The correlation was 0.453g P 0.001.The factors of controlling social demography, The potential confounding effects of substance use characteristic variables, depression and anxiety symptoms, There was a significant correlation between the increase of pain intensity and the risk of loneliness. There was also a significant correlation between the increased level of loneliness and the increase of pain intensity. Conclusion there is a two-way effect between loneliness and pain in HDPs in MMT clinic. Psychosocial intervention combined with appropriate pain management is beneficial to the overall rehabilitation of HDPs.
【作者單位】： 華中科技大學(xué)同濟醫(yī)學(xué)院附屬武漢精神衛(wèi)生中心/第九臨床學(xué)院精神科;
【基金】：國家自然科學(xué)基金青年基金(編號:30800364) 米爾斯坦亞美醫(yī)學(xué)基金會研究項目資助 武漢市衛(wèi)生和計劃生育委員會資助課題(編號:WG16A02)
【分類號】：R749.64
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本文編號：1522636