美沙酮维持治疗人员风险认知状况初探

Investigation on Risk Perception among Patients in Methadone Maintenance Treatment Clinics in Lanzhou

目的调查兰州市某美沙酮门诊的维持治疗人员对吸毒事件的风险认知状况。方法采用风险认知调查表和背景资料调查问卷、复吸倾向问卷对200名治疗人员进行测量,对照组150人按要求完成风险认知调查表。结果①治疗人员对吸毒事件的风险认知评分与年龄、民族、婚姻状况、文化程度、工作情况因素无显著相关,与戒毒次数有显著负相关,与服用美沙酮的时间有显著正相关,与复吸倾向有显著负相关;②治疗人员对吸毒事件的风险认知水平显著低于普通人群。结论治疗人员对吸毒事件的风险认知可能是复吸的一个预测因子,有必要采用认知干预方法提高治疗人员对吸毒及其他高危事件的风险认知水平。

Objective To investigate the risk perception of taking drug for the patients in one methadone maintenance treatment clinic in Lanzhou. Methods Using Risk Perception Questionnaire and Re-addiction Tendency Questionnaire,200 patients were investigated and 150 people in compare group were required to finish risk perception questionnaire. Results ①The level of risk perception of patients showed that it had no significant correlation with age,nationality,marriage status,work status,but had positive correlation with time of taking methadone and negative correlation with re-addiction tendency;②The risk perception of patients was lower than that ordinary people. Conclusion The risk perception of patients may be a predictor of drug re-addiction. It is necessary using cognitive therapy to improve their risk perception of risky activities.