心理支持提高美沙酮维持治疗效果的探讨

Discussion on psychological support improving the effect of methadone maintenance treatment

目的:探讨在不同阶段进行心理支持对美沙酮维持治疗的效果。方法:在美沙酮维持治疗过程中引入心理支持,在入组前、引入期和维持治疗期等不同阶段为受治者提供相应的心理支持,同时进行同伴教育的心理支持。结果:受治者改变了对药物维持治疗的认识与态度,恢复正常的生理、社会功能,提高心理健康水平,提高治疗依从性,降低脱失率。结论:在不同阶段提供心理支持能够改变受治者的高危行为和恢复其各种功能,提高美沙酮维持治疗的效果。

Objective： To discuss the psychological support improving the effect of methadone maintenance treatment （MMT） in different stages. Methods： Psychological supports provided for the outpatients were drew into MMT earlier at the period of fore-grouping, draw-in and MMT, and carried out through the peer-education at the same time. Results： Understanding and attitudes about MMT of outpatients were changed, normal physiological and social functions were recovered, the mental health level and treatment adherence were improved, and loss rate was reduced. Conclusion： Psychological support improving the effect of MMT in different stages can help outpatients change the high-risk behaviors, restore their various functions and improve MMT effect.