美沙酮维持治疗患者需求状况调查

目的:了解社区美沙酮维持治疗患者的需求状况,为制定应对对策,提高社区美沙酮维持治疗质量提出相应建议。方法:自制"受治者需求调查表",调查了北京市2009年参加社区美沙酮维持治疗的194例海洛因依赖者的需求状况。结果:64.6%的服药人员存在药物副反应和相关疾病的需求问题,49.5%的服药人员存在心理及精神需求问题,43.7%的服药人员存在家庭功能方面的需求问题,32.6%的服药人员存在社会功能方面的需求问题,32.9%的服药人员存在职业培训需求问题。结论:美沙酮门诊内的海洛因依赖者均不同程度地存在需求问题,必须开展多种综合干预,提高美沙酮维持治疗的维持效果。

REQUIREMENT STATUS OF HEROIN DEPENDENT PATIENTS ON METHADONE MAINTENANCE TREATMENT

Objective:To Understand the requirement status of heroin dependent patients on methadone maintenance treatment(MMT) and make suggestions for proper interventions and improvement of MMT efficacy.Methods:An investigation was conducted among 194 heroin dependent patients who were under MMT in 2009 with a self-designed questionnaire for requirement assessment.Results:MMT patients' requirements were various and related to different aspects,including 64.6% related to adverse drug reactions and diseases;49.5% to psychological and mental problems,43.7% to family function,32.6% to social function and 32.9% to vocational training.Conclusion:Heroin dependent patients on MMT have requirements problems to different extent.Comprehensive interventions are needed so as to improve MMT efficasy.