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目的了解阿片类物质依赖者对美沙酮维持治疗(MMT)的认知情况,为针对性地开展综合干预和健康教育工作提供依据。方法自行设计调查问卷,分别对甘肃省酒泉市肃州区水三社区美沙酮维持治疗门诊受治者和酒泉市强制戒毒所戒毒者进行美沙酮维持治疗相关调查,并进行描述性分析。结果 125名受治者中,已是第2次治疗的15人;戒毒者中,有34人接受过美沙酮维持治疗,其中第2次治疗脱失10人;受治者中有偷吸现象12人、占9.6%,脱失戒毒者有偷吸现象的34人、占100.0%,差异有统计学意义(χ~2=106.24,P<0.05);受治者64人因各种原因想退出治疗;受治者把美沙酮看作是药品的比例高于戒毒者,差异有统计学意义(χ~2=20.775,P<0.05);戒毒者中不知道美沙酮维持治疗的48人、占36.6%,因不熟悉申请流程而不接受美沙酮维持治疗的34人、占40.9%;艾滋病基本知识调查受治者125人,知晓101人、知晓率80.8%,调查戒毒者131人,知晓91人、知晓率69.5%,差异有统计学意义(χ~2=4.383,P<0.05)。结论受治者和戒毒者对美沙酮和美沙酮维持治疗的认知水平较低,存在较多影响美沙酮维持治疗的因素,亟需开展或加强综合干预和健康教育工作。
Objective To understand the cognition of methadone maintenance therapy (MMT) in opioid dependent patients and provide basis for comprehensive intervention and health education. Methods The questionnaire was designed by ourselves. Methadone maintenance treatment was investigated in methadone maintenance treatment outpatients in Qushui community of Jiuquan city, Jiuquan city, Gansu province, and those in Jiuquan city, and the descriptive analysis was conducted. Results Among the 125 subjects who were treated, 15 were already treated for the second time. Of the drug addicts, 34 were treated with methadone maintenance treatment, of which 10 were lost in the second treatment and 10 were smoked in the subjects. 12 , Accounting for 9.6% of the total. Among 34 patients who took off the drug addict, there were 100.0% of them who had the phenomenon of stealing and smoking. The difference was statistically significant (χ ~ 2 = 106.24, P <0.05) (Χ ~ 2 = 20.775, P <0.05). Among 48 drug addicts who did not know methadone maintenance treatment, 36.6% of them were treated with methadone, , 34.9% did not receive methadone maintenance treatment due to unfamiliarity with the application process, accounting for 40.9%; 125 people were investigated for AIDS basic knowledge, 101 were aware, 80.8% were aware, 131 were drug addicts, 91 were drug abusers, 91 The rate was 69.5%, the difference was statistically significant (χ ~ 2 = 4.383, P <0.05). Conclusions There is a low cognitive level of methadone and methadone maintenance therapy in both treated and drug addicts. There are more factors that affect the maintenance treatment of methadone. There is an urgent need to carry out or strengthen comprehensive interventions and health education.