Abstract：Objective To analyze the quality of life status and its influencing factors of drug addicts with methadone maintenance treatment（MMT） in Wenzhou,in order to provide a basis for developing health service measures to improve their quality of life. Method s A total of 199 drug addicts with MMT in Wenzhou were investigated by the Quality of Life for Drug Addicts （QOL-DA） and Self-made questionnaire,influencing factors on quality of life were analyzed by multiple linear regression analysis. Results Most of 199 drug addicts with MMT were male,middle aged,local residents,lower educational level,and unemployed. Most of them used traditional drugs such as heroin by intravenous injection,and the proportion of who continually used drugs more than 10 years was 78.39%. The majority of them had abandoned drug habits many times. The proportions of abandoning drug habits more than 12 months this time and self-reported involving drug abuse related diseases were 77.39%,61.81%,respectively. Scores of physical function and hunger sensory （PH）,psychological spirit and self-esteem （PS）,withdrawal syndrome and toxic effects （ST）,social support and operational capability （SO）were 32.96±6.75,33.03±5.96,47.61±8.51 and 38.42±6.86,respectively. The total score of QOL-DA was 152.01±23.55. Marital status,occupation,age of first using drug,time of drug use and drug abuse related diseases were its influencing factors. Conclusion The quality of life of drug addicts with MMT is lower. Comprehensive health service measures for influencing factors should be taken to improve their quality of life.
郑剑, 赵丽娜, 王大勇, 张鹤美, 胡允雷, 陈丽秀. 温州市美沙酮维持治疗患者生存质量及影响因素研究[J]. 预防医学, 2017, 29(8): 777-781.
ZHENG Jian, ZHAO Li-na, WANG Da-yong, ZHANG He-mei, HU Yun-lei, CHEN Li-xiu. A study on quality of life and its influencing factors of drug addicts with methadone maintenance treatment in Wenzhou. Preventive Medicine, 2017, 29(8): 777-781.
[1] FISCHER J A,CONRAD S,CLAVARINO A M,et al. Quality of life of people who inject drugs： characteristics and comparisons with other population samples[J]. Qual Life Res,2013,22（8）： 2113-2121. [2] ENSIYEH B,NADER R. Comparing the effects of methadone maintenance treatment,therapeutic community,and residential rehabilitation on quality of life and mental health of drug addicts[J]. Addiction & health,2013,5（1-2）： 16-20. [3] BAHAROM N,HASSAN M R,ALI N,et al. Improvement of quality of life following 6 months of methadone maintenance therapy in Malaysia[J]. Subst Abuse Treat Prev Policy,2012,7（1）：32. [4] 赵丽娜,王大勇,叶振淼,等. 2004—2013年温州市美沙酮维持治疗开展现状分析[J]. 现代预防医学,2015, 42（13）： 2434-2436,2447. [5] 万崇华,张玉祖. 药物成瘾者生存质量测定量表的制定方法[J]. 中国公共卫生,1998,14（1）： 59-60. [6] 赵丽娜,王大勇,叶振淼,等. 浙江省温州市新型毒品与传统毒品滥用者HIV、HCV及梅毒螺旋体感染风险的比较研究[J]. 疾病监测,2015,30（9）： 737-741. [7] 王玮,肇恒伟,刘明,等. 海洛因与新型毒品滥用者生存质量比较研究[J]. 中国药物依赖性杂志,2013,22（1）： 52-55. [9] 陆贤杰,梁峰,廖建英,等. 桂西社区吸毒人员生存质量调查[J]. 现代预防医学,2010,37（16）： 3067-3068. [8] 张广,刘惠,薛珲,等. 云南省德宏州美沙酮维持治疗海洛因依赖者生存质量及影响因素[J]. 中华预防医学杂志,2011,45（11）：985-989. [9] 朱武通,胡洁,徐文贤,等. 吸毒人群艾滋病相关危险因素调查[J]. 浙江预防医学,2012,24（3）：31,34. [10] CHOU Y C,SHIH S F,TSAI W D,et al. Improvement of quality of life in methadone treatment patients in northern Taiwan：a follow-up study[J]. BMC Psychiatry,2013,13（1）：190. [11] WANG P W,WU H C,YEN C N,et al. Change in quality of life and its predictors in heroin users receiving methadone maintenance treatment in Taiwan： an 18-month follow-up study[J]. Am J Drug Alcohol Abuse,2012,38（3）： 213-219. [12] 赵丽娜,王大勇,张洪淼,等. 美沙酮维持治疗依从性影响因素的多元Logistic回归分析[J]. 疾病监测,2012,27（5）：388-391. [13] 李福娟,朱乐娜. 社区美沙酮维持治疗患者偷吸海洛因相关因素调查[J]. 浙江预防医学,2013,25（6）：84,87.
