某三甲精神专科医院门诊奥沙西泮滥用现况调查

A survey on the abuse of Oxazepam in outpatient clinics of a tertiary psychiatric hospital

目的了解奥沙西泮滥用现况,探索药物滥用和依赖的影响因素。方法选取2023年5月至10月在某三甲精神专科医院门诊开具奥沙西泮的患者为研究对象,对其采用问卷调查。结果共调查345例患者,其中男性151例,女性194例,平均年龄(46.46±17.82)岁;筛查出符合依赖诊断患者32例,其中男性12例,女性20例,平均年龄(53.34±13.75)岁;采用logistic回归分析结果显示,患者家人对药品不合理管理、患者合理用药知识掌握差及不随诊同一医生可能是奥沙西泮依赖的影响因素。结论奥沙西泮滥用和依赖有一定风险,临床医生应引起注意。对于家人疏于药品管理的患者,合理用药知识掌握差的患者及多次不复诊的患者应采取不同的干预措施,发现药物依赖患者及时进行戒断干预治疗。

Objective To understand the current situation of Oxazepam abuse and explore the influencing factors of its abuse and dependence.Methods From May to October 2023,patients who were prescribed Oxazepam in the outpatient department of the hospital were selected as the study subjects and were surveyed using a questionnaire.Results A total of 345 patients were in⁃vestigated,including 151 males and 194 females,with an average age of(46.46±17.82)years;32 patients with dependency di⁃agnosis were screened,including 12 males and 20 females,with an average age of(53.34±13.75)years old.The results of logis⁃tic regression analysis showed that family members'unreasonable management of drugs,patients'poor knowledge of rational drug use,and not following the same doctor may be influencing factors for Oxazepam dependence.Conclusion The abuse and depend⁃ence of Oxazepam pose certain risks,clinical doctors should also pay attention.For patients with family members neglecting drug management,those with poor knowledge of rational drug use,and those who do not revisit multiple times,different intervention measures should be taken.If drug dependence patients are found,timely withdrawal intervention treatment should be carried out.