摘要
目的:分析广州市社区美沙酮维持治疗(methadone maintenance treatment,MMT)受治者的在治动机情况及其影响因素。方法:对广州市六家社区美沙酮维持治疗门诊的511例受治者进行横断面调查,收集其一般人口学特征、MMT认知、家人和社会支持情况、心理状况、自感治疗压力、在治动机和服务满意度等资料,以在治动机做因变量,其他资料做自变量进行单因素分析和多重线性回归分析。结果:受治者的在治动机平均得分为2.53±3.87,28.8%的受治者在治动机得分低于0。多重线性回归分析显示,年龄(b=-0.130,P<0.001)、非正式压力(b=-1.646,P<0.001)和抑郁(b=-0.109,P=0.007)均会影响受治者的在治动机。结论:部分受治者的在治动机较低,促进在治动机的形成对后续坚持治疗具有重要的意义。
Objective: Our primary aim in this study is to analyze the influencing factors of during -treatment motivation among outpatients to methadone maintenance treatment programs in Guangzhou.Methods: We investigated 511 clients from 6 community-based MMT clinics in Guangzhou city during August 2014. We collected information on socio-demography of the participants,perception of MMT,family and social support, mental state, perceived pressure during treatment, during-treatment motivation and satisfaction to MMT. To identify influencing factors of during-treatment motivation,we use motivation as the dependent variable and other data as the independent variables into single factor analysis and multiple linear regression analysis.Results: Of all the participants,the average during-treatment motivation score was 2. 53 ± 3. 87,of which,28. 8% of the scores were below 0. Multiple linear regression analysis revealed that age( b =-0. 130,P〈0. 001),informal pressure( b =-1. 646,P〈0. 001) and client's depression degree( b =-0. 109,P = 0. 007) were major influencing factors for during-treatment motivation.Conclusion: The during-treatment motivation among part of the participants is not high. For improving long-term adherence,it 's important to foster the during-treatment motivation of clients.
作者
杜璇
张晓
顾菁
郝春
郝元涛
DU Xuan ZHANG Xiao GU Jing HAO Chun HAO Yuantao(Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat - sen, University, Guangzhou,510080)
出处
《中国药物依赖性杂志》
CAS
CSCD
2017年第1期63-67,共5页
Chinese Journal of Drug Dependence
关键词
美沙酮维持治疗
在治动机
认同动机
内射动机
外部动机
methadone maintenance treatment
during-treatment motivation
identified motivation
introjected motivation
external motivation