美沙酮维持治疗者接受社会功能康复干预后社会支持和总体幸福感的变化(1)
【摘 要】 目的:探讨美沙酮维持治疗者接受社会功能康复综合干预后社会支持和总体幸福感变化。方法:对82例美沙酮维持治疗者进行社会功能康复综合干预,并选取了未接受干预的美沙酮维持治疗者72例作为对照,干预前后分别用社会支持评定量表和总体幸福感量表进行评定。结果:(1)干预前,干预组和对照组的社会支持评定量表得分差异无统计学意义[(32.57±8.42)vs.(30.46±7.01),P=0.097],干预后,干预组得分(36.18±7.17)提高(P=0.004),对照组(30.62±8.34)无明显变化(P=0.897),且干预组得分高于对照组(P<0.001)。(2)干预前,干预组和对照组总体幸福感量表评分差异无统计学意义[(106.74±18.05)vs.(105.71±19.13),P=0.730];干预后,干预组得分(113.09±15.46)明显提高(P=0.017)。而对照组(107.63±16.28)无明显变化(P=0.518),且干预组得分高于对照组(P=0.035)。结论:在美沙酮维持治疗者中开展社会功能综合康复干预,能提高病人的社会支持和幸福感。
, http://www.100md.com
【关键词】 美沙酮维持治疗;社会功能康复;社会支持;幸福感;对照研究
中图分类号:R749.059,R595.5 文献标识码:A 文章编号:1000-6729(2010)007-0486-05
doi:10.3969/j.issn.1000-6729.2010.07.002
Effects of social function rehabilitation intervention on social support and happiness
in patients receiving methadone maintenance treatment
LI Pei-Kai,LUO Jian,ZHANG Cun-Min,YANG Guo-Gang,LI Jian-Hua
, 百拇医药
Department of Prevention and Education,Yunnan Institute for Drug Abuse,Kunming 650228,China
Corresponding author,LI Jian-Hua,E-mail:leejianhua77@gmail.com
【Abstract】 Objective:To explore the change of social support and happiness among the patients with methadone maintenance treatment(MMT)after intervention about social function.Methods:Intervention about social function was executed among 82 patients with MMT,and 72 patients with MMT were as control group.The Social Support Assessment Schedule and General Well-Being Schedule(GWB)were assessed at the beginning and the end of the intervention.Results:Before the intervention,there was no difference between the intervention group and control group in scores of Social Support Assessment Schedule[(32.57±8.42)vs.(30.46±7.01),P=0.097].After the intervention,the scores in the intervention group(36.18±7.17)were increased(P=0.004),while that in the control group(30.62±8.34)had no change(P=0.897).The scores in the intervention group were higher than that in control group(P<0.001).Similarly,there was no difference between the two groups in scores of GWB before intervention[(106.74±18.05)vs.(105.71±19.13),P=0.730].After intervention,the scores in intervention group(113.09±15.46)were increased(P=0.017)and the scores of control group(107.63±16.28)had no change(P=0.518).The scores in the intervention group was higher than that in the control group(P=0.035).Conclusion: Intervention about social function rehabilitation can increase the social support and happiness of the patients with methadone maintenance treatment.
, http://www.100md.com
【Key words】 methadone maintenance treatment(MMT);social function rehabilitation;social support;happiness;control study
我国自2004年在药物滥用人群中开展美沙酮维持治疗以来,已累计为全国22万名药物滥用者提供了美沙酮维持治疗服务。这些服务在国内减少毒品需求、降低毒品危害等方面发挥了积极的作用[1]。美沙酮维持治疗在国内的开展和推广,不仅极大地减轻了药物滥用人群对毒品的依赖,也在一定程度上提高了其心理健康水平及改善了社会、家庭功能,在其所在社区甚至全社会产生了积极的效应。
与美国和中国香港等一些国家和地区相比,国内开展美沙酮维持治疗的时间相对较短,提供的服务相对较为单一,大多数美沙酮维持治疗门诊仅为病人*****维持治疗,欠缺相关的心理干预及后续服务,在一定程度上影响了美沙酮维持治疗的成效。随着全国美沙酮维持治疗的快速开展,这一问题日益凸显。
在上述背景下,第四轮中国全球基金/中英艾滋病项目在全国七省市开展了促进美沙酮维持治疗者社会功能康复的方法研究试点工作,以探索促进美沙酮维持治疗者社会功能康复的有效方法。2007年,云南省药物依赖防治研究所受第四轮中国全球基金艾滋病项目委托,在云南省楚雄市疾病预防控制中心美沙酮维持治疗门诊开展了系统的美沙酮维持治疗者社会功能康复干预试点工作,由于干预内容及评估指标较多,本文仅报告干预内容和干预前后病人的社会支持和总体幸福感,其他部分内容将在后续论文中作进一步报告。, 百拇医药(李培凯 罗 健 张存敏 杨国纲 李建华)
, http://www.100md.com
【关键词】 美沙酮维持治疗;社会功能康复;社会支持;幸福感;对照研究
中图分类号:R749.059,R595.5 文献标识码:A 文章编号:1000-6729(2010)007-0486-05
doi:10.3969/j.issn.1000-6729.2010.07.002
Effects of social function rehabilitation intervention on social support and happiness
in patients receiving methadone maintenance treatment
LI Pei-Kai,LUO Jian,ZHANG Cun-Min,YANG Guo-Gang,LI Jian-Hua
, 百拇医药
Department of Prevention and Education,Yunnan Institute for Drug Abuse,Kunming 650228,China
Corresponding author,LI Jian-Hua,E-mail:leejianhua77@gmail.com
【Abstract】 Objective:To explore the change of social support and happiness among the patients with methadone maintenance treatment(MMT)after intervention about social function.Methods:Intervention about social function was executed among 82 patients with MMT,and 72 patients with MMT were as control group.The Social Support Assessment Schedule and General Well-Being Schedule(GWB)were assessed at the beginning and the end of the intervention.Results:Before the intervention,there was no difference between the intervention group and control group in scores of Social Support Assessment Schedule[(32.57±8.42)vs.(30.46±7.01),P=0.097].After the intervention,the scores in the intervention group(36.18±7.17)were increased(P=0.004),while that in the control group(30.62±8.34)had no change(P=0.897).The scores in the intervention group were higher than that in control group(P<0.001).Similarly,there was no difference between the two groups in scores of GWB before intervention[(106.74±18.05)vs.(105.71±19.13),P=0.730].After intervention,the scores in intervention group(113.09±15.46)were increased(P=0.017)and the scores of control group(107.63±16.28)had no change(P=0.518).The scores in the intervention group was higher than that in the control group(P=0.035).Conclusion: Intervention about social function rehabilitation can increase the social support and happiness of the patients with methadone maintenance treatment.
, http://www.100md.com
【Key words】 methadone maintenance treatment(MMT);social function rehabilitation;social support;happiness;control study
我国自2004年在药物滥用人群中开展美沙酮维持治疗以来,已累计为全国22万名药物滥用者提供了美沙酮维持治疗服务。这些服务在国内减少毒品需求、降低毒品危害等方面发挥了积极的作用[1]。美沙酮维持治疗在国内的开展和推广,不仅极大地减轻了药物滥用人群对毒品的依赖,也在一定程度上提高了其心理健康水平及改善了社会、家庭功能,在其所在社区甚至全社会产生了积极的效应。
与美国和中国香港等一些国家和地区相比,国内开展美沙酮维持治疗的时间相对较短,提供的服务相对较为单一,大多数美沙酮维持治疗门诊仅为病人*****维持治疗,欠缺相关的心理干预及后续服务,在一定程度上影响了美沙酮维持治疗的成效。随着全国美沙酮维持治疗的快速开展,这一问题日益凸显。
在上述背景下,第四轮中国全球基金/中英艾滋病项目在全国七省市开展了促进美沙酮维持治疗者社会功能康复的方法研究试点工作,以探索促进美沙酮维持治疗者社会功能康复的有效方法。2007年,云南省药物依赖防治研究所受第四轮中国全球基金艾滋病项目委托,在云南省楚雄市疾病预防控制中心美沙酮维持治疗门诊开展了系统的美沙酮维持治疗者社会功能康复干预试点工作,由于干预内容及评估指标较多,本文仅报告干预内容和干预前后病人的社会支持和总体幸福感,其他部分内容将在后续论文中作进一步报告。, 百拇医药(李培凯 罗 健 张存敏 杨国纲 李建华)