广州市美沙酮维持治疗者在治动机和影响因素分析

INFLUENCING FACTORS OF DURING-TREATMENT MOTIVATION IN METHADONE MAINTENANCE TREATMENT AMONG OUTPATIENTS IN GUANGZHOU

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.