美沙酮维持治疗者家庭功能的调查分析

Investigation on family function of methadone maintenance treatment patients

目的:探讨美沙酮维持治疗者的家庭亲密度和适应性。方法:采用家庭亲密度与适应性量表中文版(FACESII-CV)对遵义市红花岗区美沙酮维持治疗门诊198名病人进行测评。结果:婚姻状况和工作状况是影响维持治疗者家庭亲密度和适应性及家庭类型的两个最主要因素;与量表正常参考值比较,美沙酮维持治疗者的家庭亲密度与适应性明显降低;FACES-CV"拱极模式"中,平衡型家庭比例(17.7%)明显减少,极端型比例(50.0%)显著增加;"僵硬-松散型"和"僵硬-自由型"家庭是最主要的类型。结论:美沙酮维持治疗者家庭成员之间亲密度降低,家庭体系适应环境的能力降低,应当及早对海洛因戒断者进行家庭干预。

Objective： To explore the family adaptability and cohesion in heroin addicts family. Methods： 198 heroin addicts from the methadone maintenance treatment of outpatient service of Honghuagang District in city of Zunyi were evaluated with Family Adaptability and Cohesion Scales, Second edition, Chinese version. Results： Marriage and working conditions were two of the most important factors which had influence on the family adapt- ability and cohesion; in comparison with the normal controls, the levels of family adaptability and cohesion were lower, and the ratio of the balance category of family was also decreased significantly. Conclusion： It was showed that levels of family adaptability and cohesion of heroin addicts decreased and an early family intervention should be carried out.