| 喻新华,王鹏,张胜,杨巍,徐再锋,陈绘景.综合干预对美沙酮维持治疗脱失患者的作用[J].中国康复,2012,27(1):64-66 |
| 综合干预对美沙酮维持治疗脱失患者的作用 |
| Effects of Combined Intervention in Patients Who Escaped from Methadone Maintenance Therapy |
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| DOI： |
| 中文关键词: 海洛因依赖 康复治疗 综合干预 脱失率 |
| 英文关键词: heroin addiction rehabilitative treatment combined intervention rate of escape |
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| 中文摘要: |
| 目的：分析海洛因依赖患者美沙酮维持治疗（MMT）期脱失患者综合干预的效果，并探索针对性强、效果显著的综合干预模式。方法：对MMT门诊114例脱失患者采用门诊、家属、社区及公安为干预主体对患者进行健康教育、心理咨询，提供社会保障，社区戒毒及转诊等干预方式。综合干预前后比较不同干预方式、不同干预主体的有效率。结果：经过最长1个月的综合干预后，61.4%的脱失患者重新回到治疗中。不同干预主体及干预方式在对因健康、旅居外地、妊娠、经济及自认为戒毒成功等原因脱失治疗的患者干预前后的有效率比较差异有统计学意义（P<0.05）。结论：对MMT脱失患者的综合干预需要卫生、公安、社区、家庭等多方面的共同参与才能达到戒毒作用，提高戒毒效率。 |
| 英文摘要: |
| Objective: To analyze the effects of combined intervention in patients with heroin addiction who escaped from rehabilitative treatment and to find combined intervention modes with powerful direction and significant effects. Methods: The patients accepting methadone maintenance therapy (MMT) who escaped from treatment were intervened by combined mode. The effects of different modes were analyzed. Results: After combined interventions, 61.4% of the patients who escaped from MMT came back. There was no significant difference in effective rate of intervention among all patients who escaped from rehabilitative treatment. There was significant difference in effective rate of intervention among all patients who escaped from rehabilitative treatment because of health, residence abroad, pregnancy, economic status, thinking of successful detoxification (P<0.05). There was significant difference in using different ways for patients who escaped from rehabilitative treatment for different reasons (P<0.05). Conclusion: Combined intervention modes need the co-participation from all sections such as health, police, community and family, which had significant effects. |
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