安徽省美沙酮维持治疗人群保持治疗影响因素分析

Influencing factors about retention rate of people on methadone maintenance treatment in Anhui province

目的了解可能影响美沙酮维持治疗(MMT)人群治疗保持率的相关情况,为提高美沙酮门诊治疗保持率及治疗效果、采取改进措施,提供科学依据。方法采用分层整群抽样法,对安徽省5个市的7个美沙酮门诊中正在接受维持治疗的全部人群进行现场调查。结果调查对象中男性占80.3%,女性占19.7%,平均年龄为(35.12±6.19)岁;93.6%的受治者认为服用剂量合适,知道美沙酮维持治疗需要终身服药的占30.3%,有退出治疗史者占19.1%,51.1%的受治者认为门诊服药方便与否是影响其继续治疗的原因,最近1个月内没有与吸毒朋友交往的占84.0%,家人非常支持和比较支持受治者进行美沙酮治疗的累计占91.0%。结论提高美沙酮门诊治疗保持率需要美沙酮门诊工作人员、受治者本人及其家属亲友,以及社区、公安等相关部门共同的配合与努力。

Objective To understand related situation what impact the retention rate of methadone maintenance treatment（MMT） group,to provide scientific basis for improving the retention rate of methadone maintenance treatment and taking corrective measures.Methods All the patients in seven Methadone clinics were investigated with the method of stratified cluster sampling.Results Among the respondents,80.3% was male and 19.7% was female,the mean age was 35.12（±6.19）;93.6% of the respondents was satisfied with the dosage of methadone,30.3% cognized the fact that they should keep treated all their life,19.1% had once dropped out from the treatment,and 51.1% of the patients thought that whether the clinic was convenient enough was important for them to get treated,84% of the respondents did not get in touch with the drug friends,91.0% of the patients informed their treatment could get support from family.Conclusion It requires cooperation and efforts from clinic staffs,patients,family members,communities,police,and other related people to keep MMT patients under treatment.