新疆海洛因成瘾者美沙酮维持治疗受治病人脱失因素调查

Survey of Attrition Factors of Xinjiang Heroin Addicts Treated on Methadone Maintenance

目的在新疆以往海洛因成瘾者社区药物维持治疗研究的基础上,进一步探讨影响进入维持治疗受治病人脱失的因素。方法对进入维持治疗的156名治疗期限半年以上的在治病人及已脱失的130名曾经的受治病人进行现场问卷调查、电话问卷调查,采用Logist回归分析对脱失者的脱失因素进行分析,从中找出与脱失有关的影响因素。结果脱失病人中37.7%自述治疗期间受公安部门影响,25.4%受吸毒朋友的影响,14.6%对维持治疗缺乏信心是导致脱失的主要原因;采用Logist回归分析,影响病人脱失的因素有治疗期间是否继续同毒友交往及是否可以负担每日的治疗费用。结论日常工作中应采取有针对性的干预措施,延长受治病人的保持时间。

Objective To explore the impact of loss factors on enrolled patients with methadone care in order to adopt scientifically-sound intervention measures aiming at reducing such loss factors in the future.Methods The survey was conducted face-to-face in 156 patients currently enrolled in program treatment for more than six months and 130 people who were not currently.The study used a Logist regression analysis of loss factors.Results Among the 130 patients,primary reasons for attrition from methadone treatment are patients＇ encounters with the PSB（37.7%）,the influence of drug-user friends（25.4%） during the period of treatment.Patients＇ lack of confidence（14.6%） is also a factor.The results of the Logist regression analysis showed that whether patients contact with drug-abusing friends continuously or not and whether patients can afford the daily cost of treatment or not are factors that affect patient attrition.Conclusions In order to maintain the treatment programs and their positive results,future work should strive to reduce the rates of attrition.Such efforts should adopt targeted interventions that prolong patients＇ treatment time.