Advance Search
Volume 30 Issue 9
Sep.  2014
Turn off MathJax
Article Contents
LI Xiao-ling, ZOU Xia, XIA Ying-hua.et al, . Satisfaction to community methadone maintenance treatment and its influencing factors among drug users[J]. Chinese Journal of Public Health, 2014, 30(9): 1180-1183. doi: 10.11847/zgggws2014-30-09-23
Citation: LI Xiao-ling, ZOU Xia, XIA Ying-hua.et al, . Satisfaction to community methadone maintenance treatment and its influencing factors among drug users[J]. Chinese Journal of Public Health, 2014, 30(9): 1180-1183. doi: 10.11847/zgggws2014-30-09-23

Satisfaction to community methadone maintenance treatment and its influencing factors among drug users

doi: 10.11847/zgggws2014-30-09-23
  • Received Date: 2013-12-25
  • Publish Date: 2014-09-10
  • Objective To examine service provision in 15 community methadone maintenance treatment(MMT) clinics in Guangdong province and to identify factors influencing the satisfaction to the MMT among drug users.Methods We investigated 747 drug users from 15 community-based MMT clinics in Guangdong province during December 2011 to January 2012.We collected information on sociodemography of the participants,the services provided in MMT clinics,and the expectation of the participants towards the MMT clinics.A questionnaire including 18 items was used to assess the satisfaction to MMT clinics in the participants.Results Of all the participants,671 were male and 76 were female,with an average age of 38.34±5.84 years.Most of the participants reported the services provided by the MMT clinics,such as methadone related knowledge(95.72%),adjustment of methadone dose(96.12%),health education(89.02%),and consultation for rehabilitation(85.27%) and a part of participants reported the services of treatment planning(57.16%),human immunodeficiency virus(HIV) treatment(52.21%),and the referral service for hepatitis C diagnosis(61.85%) and treatment(50.47%).More than a half of the participants(54.22%) expected to use MMT service at night;25.03% expected to keep the status quo of the MMT clinics 18.21% excepted treatment to other diseases or referral services by the clinics;and 16.20% excepted the decrease of treatment cost.The average satisfaction score of the participants was 69.74±12.08.Multivariate linear regression analyses revealed that factors influencing satisfaction status of the participants included adjustment of methadone dose(β'=0.11),establishment of treatment plan(β'=0.08),discussion for rehabilitation(β'=0.09),education on methadone related knowledge at the enrollment(β'=0.08),health education(β'=0.09),hepatitis C treatment(β'=0.17),and HIV treatment(β'=-0.15).The participants expecting the clinics to keep the status quo of the MMT had a higher satisfaction score(β'=0.09) and those expecting treatment to other diseases or referral services(β'=-0.11) and adjustment of MMT charge by the clinics(β'=-0.13) had a lower satisfaction score.Conclusion The services provided by community MMT clinics could not meet the requirements of the participants and further efforts are needed urgently to improve the accessibility of MMT and the satisfaction of MMT users.
  • loading
  • [1]
    陈雯,赵醴丽,凌莉,等.广东省首批社区美沙酮维持治疗试点效果评价[J].中国公共卫生,2009,25(12):1416-1418.
    [2]
    封苏琴,周建波,郭燕丽,等.海洛因成瘾者社区美沙酮维持治疗效果评价[J].中国公共卫生,2010,26(7):924-925.
    [3]
    俸卫东,翁毓秋,甘志高,等.柳州市吸毒人群艾滋病预防干预效果评价[J].中国公共卫生,2010,26(1):37-38.
    [4]
    中华人民共和国卫生部,中华人民共和国公安部,国家食品药品监督管理局.社区药物维持治疗方案[R].北京:卫生部,2006.
    [5]
    Marchand KI,Oviedo-Joekes E,Guh D,et al.Client satisfaction among participants in a randomized trial comparing oral methadone and injectable diacetylmorphine for long-term opioid-dependency[J].BMC Health Serv Res,2011,11:174.
    [6]
    杨跃进,贠赟.414例美沙酮维持治疗门诊患者偷吸海洛因相关因素分析[J].中国保健营养(中旬刊),2013(2):590-592.
    [7]
    杨放,林鹏,龙其穗,等.阿片类物质成瘾者参加社区美沙酮维持治疗影响因素的定性研究[J].华南预防医学,2008(3):15-18.
    [8]
    卫生部、公安部、国家食品药品监督管理局关于印发《滥用阿片类物质成瘾者社区药物维持治疗工作方案》的通知[Z].卫疾控发
    [9]
    杨放,林鹏,何群,等.美沙酮维持治疗患者脱失情况影响因素的 Logistic 分析[J].中国艾滋病性病,2011(5):543-546.
    [10]
    杜存,刘英杰,熊晓燕,等.影响美沙酮维持治疗依从性及相关因素的定性研究[J].中国药物依赖性杂志,2009(5):413-419.
    [11]
    温添娣,孔燕群,罗颖照,等.健康教育干预对美沙酮门诊患者生活质量的影响[J].中国医药指南,2012(18):681-682.
    [12]
    Perez De Los Cobos J, Trujols J,Valderrama JC,et al.Patient perspectives on methadone maintenance treatment in the Valencia Region:dose adjustment,participation in dosage regulation,and satisfaction with treatment[J].Drug Alcohol Depend,2005,79(3):405-412.
    [13]
    程晓莉,肖永康.安徽省首批社区美沙酮维持治疗基本情况分析[J].安徽医学,2009(8):907-909.
    [14]
    胡珺,周志英,朱福,等.和谐的医患关系与病人满意度[J].中国医学伦理学,2009(1):51-52.
    [15]
    张锐敏,冯忠堂,张力群.海洛因等阿片类物质依赖的临床诊断与治疗[M].太原:山西科学技术出版社,1999:399-411.
    [2006]
    256号.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索
    Article views (767) PDF downloads(28) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return