本文關鍵詞：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：《中國艾滋病性病》2017年08期 　論文類型：期刊論文

  更多相關文章： 美沙酮維持治療 抑郁 社會心理因素

【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象,采用自制問卷調查美沙酮維持治療者的抑郁情況。將抑郁作為應變量,構建非條件Logistic回歸模型進行多因素分析相關影響因素。結果 (1)共調查廣州市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)、社會支持度(χ~2=13.85,P0.1)、正向(χ~2=7.46,P0.1)和負向(χ~2=63.75,P0.1)生活情緒,均會對MMT者抑郁產生影響,差異有統(tǒng)計學意義。其他社會人口學特征、藥物濫用史和社會心理因素,對抑郁影響均無統(tǒng)計學意義。(3)應用逐步法進行篩選,最終進入模型的變量為月收入和正負向情緒。結論廣州市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、社會支持度、正向負向情緒,是可能影響抑郁的因素。低收入者為抑郁的高危人群。在治療過程中通過醫(yī)師、患者和社會三方面合作共同努力,改善患者生活情緒,可預防抑郁的發(fā)生,降低MMT者復吸率。
[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】： 中山大學公共衛(wèi)生學院預防醫(yī)學系;中山大學公共衛(wèi)生學院醫(yī)學統(tǒng)計與流行病學系;
【分類號】：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危險行為的發(fā)生率,并具有防止艾滋病(AIDS)傳播、改善成癮者健康狀況、提升其社會家庭功能等作用[1]。MMT雖然可以解決成癮者對海洛因的軀體依賴,但吸毒相關的社會心，

本文編號：1405097