强制隔离戒毒的男性药物依赖者生命质量和社会支持的影响因素研究

发布时间：2017-12-28 22:32

本文关键词：强制隔离戒毒的男性药物依赖者生命质量和社会支持的影响因素研究　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的以健康人群为对照,通过对药物依赖者强制隔离戒毒期间的生命质量和社会支持的研究,了解药物依赖者的社会支持现状及强制隔离戒毒期间的生命质量,探讨其影响因素,以提高药物依赖者强制隔离戒毒期间的生命质量和社会支持,为干预措施的制定提供基础信息。方法使用药物依赖者生命质量测定量表(QLICD-DA)、社会支持评定量表(SSRS)对研究对象进行问卷调查,采用秩和检验、多元线性回归、Spearman秩相关分析、结构方程模型等方法进行数据分析,探讨生命质量和社会支持的影响因素。结果戒毒人员生命质量的生理领域、心理领域、社会关系领域、特异性模块、共线性模块及总得分分别为(41.21±7.02)、(43.43±8.25)、(33.26±7.70)、(69.52±12.78)、(117.91±20.04)和(187.43±28.42)。客观支持、主观支持、社会利用度及总分分别为(7.04±2.84)、(14.65±6.74)、(5.56±1.87)、(27.26±9.38)。238名来自普通人群的志愿者的生理领域、心理领域、社会关系领域、特异性模块、共线性模块及总分分别为(48.36±6.63)、(49.14±8.72)、(39.80±6.98)、(75.06±10.68)、(137.29±20.28)、(212.36±27.09);客观支持、主观支持、社会利用度及总分分别为(6.12±2.98)、(19.90±7.12)、(7.61±1.94)、(33.63±9.26)。单因素分析结果显示:校正社会人口学特征等混杂因素后,戒毒组与比对照组生命质量总得分低8.45个单位(p=0.0022),社会支持总得分低2.61个单位(p=0.0001)。多因素分析表明:戒毒者的营养状况(自评)、健康状况(自评)、强制隔离戒毒前生活所在地的自评经济状况、所处的家庭的氛围、朋友圈氛围、吸毒的种类、是否复吸对生命质量的每个领域及总的生命质量影响较大,年龄、吸毒方式、医保的情况对生命质量的某些领域有影响,吸毒的情况中吸毒种类、吸毒方式等因素分别对生命质量部分领域有影响。不同社会特征的戒毒者社会支持的比较研究发现:年龄、健康状况(自评)、家庭的氛围、朋友圈氛围对社会支持的每个维度及总的社会支持影响较大,婚姻状况、文化程度、营养状况(自评)、当地经济情况(自评)、吸毒的种类对生命质量的某些领域有影响,冰毒吸食者的社会利用度及社会总支持得分均高于其他毒品种类的吸食者。结构方程模型的结果显示:一般人口社会特征(general)、吸毒情况(drugs)、社会支持(SSRS)均对戒毒者的生命质量(QLICD-DA)有影响,社交地位(ecobiolt)通过社会支持间接影响生命质量。戒毒者吸毒时间越长、吸毒方式越极端、营养和健康状况越差生命质量则越差,生活的家庭和朋友圈的氛围越好、当地经济越发达,其获得的支持就越多,其生命质量也越高。结论生命质量的各个领域与社会支持各个维度存在弱正相关系,社会支持得分越高伴随着生命质量越高。另外,强制戒毒人群生命质量和社会支持均比普通人群低,因此对药物依赖者进行戒毒干预的同时加强家庭成员的辅导,有利于提高戒毒者的生存质量和社会支持。
[Abstract]:Objective to study the health people as control, quality of life and social support of drug addicts during the forced isolation treatment of drug addicts, understanding social support status and quality of life during the forced isolation treatment, explore its influencing factors, in order to improve the period of drug addicts forced isolation treatment on quality of life and social support provided the basic information for making intervention measures. Using the method of drug addicts of quality of life scale (QLICD-DA), social support rating scale (SSRS) conducted a questionnaire survey on the research object, using the Wilcoxon rank sum test, multiple linear regression, Spearman correlation analysis and structural equation model to analyze the data, to explore the factors affecting the quality of life and social support. Results the quality of life in the physiological, psychological, social relations, specific modules, collinear modules and total scores were 41.21, 7.02, 43.43, 8.25, 33.26, 7.70, 117.91, 20.04, and 187.43, respectively. Objective support, subjective support, social utilization and total score were (7.04 + 2.84), (14.65 + 6.74), (5.56 + 1.87) and (27.26 + 9.38). Physiological field, 238 volunteers from the general population psychology, social relationship, specific module, linear module and total score were (48.36 + 6.63), (49.14 + 8.72), (39.80 + 6.98), (75.06 + 10.68), (137.29 + 20.28), (212.36 + 27.09); objective support, subjective support, utilization of social and total scores respectively (6.12 + 2.98), (19.90 + 7.12), (7.61 + 1.94), (33.63 + 9.26). Univariate analysis showed that after correcting the confounding factors such as social demographic characteristics, the total score of quality of life in the detoxification group was 8.45 units lower than that in the control group (p=0.0022), and the total score of social support was 2.61 units (p=0.0001). Multivariate analysis showed that the nutritional status of drug addicts (self rating), health (self rating), forced isolation treatment of life before the self-assessment of economic conditions, the family atmosphere, friends atmosphere, drug types, whether relapse on quality of life in every field and the total quality of life there are some areas of influence, influence of age, drug, health care on quality of life, the situation of drug drug types, drug factors respectively have impact on quality of life in some areas. The characteristics of different social detoxificatee social support results: age, health status (self rating), atmosphere, atmosphere circle of friends and family support had significant influence on each dimension of social support and total social, marital status, education level, nutritional status (self rating), the local economic situation (self rating), is there some field drug types on the quality of life and social support, the total score of social use of methamphetamine users were higher than other types of drug addicts. The results of structural equation modeling showed that: general population social characteristics (general), drug abuse situation (drugs) and social support (SSRS) all influence the quality of life (QLICD-DA) of drug addicts. Social status (ecobiolt) indirectly influences quality of life through social support. The longer the drug taking time, the more extreme the way of drug addiction, the poorer the nutrition and health condition, the worse the quality of life. The better the atmosphere of family and friends circle is, the more developed the local economy is, the more support it gets and the higher the quality of life. Conclusion there is a weak positive correlation in all areas of life quality and social support, and the higher the social support score is, the higher the quality of life is. In addition, the quality of life and social support of the compulsory detoxification group were lower than those of the general population. Therefore, drug addicts' drug intervention and family members' counseling at the same time will help improve the quality of life and social support of drug addicts.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R749.64

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