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美沙酮维持治疗辅助康复训练前后病人的应对方式和社会支持变化
引用本文:张程赪,陈世强. 美沙酮维持治疗辅助康复训练前后病人的应对方式和社会支持变化[J]. 中国药物依赖性杂志, 2008, 17(4)
作者姓名:张程赪  陈世强
作者单位:广东省韶关市粤北第三人民医院,乐昌,512200
摘    要:目的:探讨美沙酮维持治疗辅助康复训练对海洛因依赖病人应对方式和社会支持的影响。方法:对50名接受美沙酮维持治疗的病人进行了5个月的康复训练,康复训练以接受美沙酮维持治疗病人的需求、所处的康复阶段及接受能力为中心,包括强化戒毒治疗动机、减少吸毒造成的危害、复吸预防等各种技能训练。康复训练前后测量应对方式和社会支持。结果:康复训练后美沙酮维持治疗病人幻想、退避、自责等不成熟型应对方式分值下降,而求助的分值增加,社会支持增加。结论:美沙酮维持治疗辅助康复训练能够改善门诊病人的社会支持和应对方式。

关 键 词:美沙酮维持  康复训练  海洛因依赖病人  应对方式  社会支持

CHANGES IN COPING STYLES AND SOCIAL SUPPORT OF PATIENTS TREATED WITH METHADONE MAINTENANCE COMBINED WITH REHABILITATION PROGRAM
ZHANG Chengcheng,CHEN Shiqiang. CHANGES IN COPING STYLES AND SOCIAL SUPPORT OF PATIENTS TREATED WITH METHADONE MAINTENANCE COMBINED WITH REHABILITATION PROGRAM[J]. Chinese Journal of Drug Dependence, 2008, 17(4)
Authors:ZHANG Chengcheng  CHEN Shiqiang
Abstract:Objective:To assess the effect of a rehabilitation program on the social support and coping styles of heroin dependent patients on methadone maintenance treatment(MMT). Methods:Fifty heroin dependent patients on MMT took part in a rehabilitation program at least 5 months. The rehabilitation program was tailored to their needs at different stages of recovery and their capacity to learn,and helped to enhance their motivation to change,offered coping strategies against relapse. Social Support Inventory and Coping Style Questionnaire were done before and after rehabilitation program. Results:After rehabilitation,the coping scheme and social support of heroin dependent patients on MMT changed. The scores of "fantasy" , "avoiding" and "self-blame" decreased,while the score of "asking for help" and social support increased. Conclusion:Rehabilitation program could improve the coping ability and social support of heroin dependent patients on MMT.
Keywords:methadone maintenance treatment   rehabilitation program   heroin dependent patients   coping style   social support
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