MMT患者服药依从性影响因素主成分的线性回归分析

发布时间：2018-03-02 12:50

本文选题：美沙酮门诊　切入点：服药依从性　出处：《中国卫生事业管理》2017年06期 　论文类型：期刊论文

【摘要】：目的:了解长沙市美沙酮门诊患者服药依从性现状及主要影响因素,分析各因素对其服药依从性的综合影响。方法:分层抽样的方法使用修订问卷调查长沙市3个美沙酮门诊共734名毒品成瘾者。相关性分析的方法了解12个因素对门诊患者服药依从性的影响,因子分析的方法筛选出若干主成分,回归分析的方法对各主成分进行线性拟合,分析各主成分对门诊患者服药依从性的综合影响。结果:影响美沙酮患者服药依从性的12个因素可以归纳为5个主成分:服药环境和疗效(贡献率32.150%)、心理状态(贡献率21.005%)、社会和朋友支持(贡献率10.686%)、家人关怀(贡献率9.181%)、其他(贡献率7.976%)。5个主成分所拟合的多元线性回归方程有统计学意义(F=43.82,P=0.00),相关系数R=0.81,决定系数R2=0.66。结论:影响长沙市美沙酮门诊患者服药依从性的主要原因是:服药环境和疗效不佳、心理状态失衡、社会和朋友支持缺失、家人关怀不强。
[Abstract]:Objective: to investigate the status of drug compliance and main influencing factors of methadone outpatients in Changsha City. Methods: the stratified sampling method was used to investigate 734 drug addicts in 3 methadone clinics in Changsha City by means of stratified sampling. The influence of drug compliance of outpatients, Several principal components were screened by factor analysis, and linear fitting of each principal component was carried out by regression analysis. Results: the 12 factors that influence the compliance of methadone patients can be divided into 5 principal components: the drug environment and the curative effect (contribution rate 32.150%, psychological state (P < 0.05). The contribution rate is 21.005%, the social and friend support (contribution rate 10.68665), family care (contribution rate 9.181), other (contribution rate 7.97661). The multivariate linear regression equation fitted by the five principal components is statistically significant, the correlation coefficient is 0.81, and the determining coefficient is R20.66Conclusion:. The main reasons for the drug compliance of methadone outpatients in Changsha City are: the medication environment and the curative effect are not good. Psychological imbalance, lack of social and friends support, family care is not strong.
【作者单位】：长沙医学院;长沙市望城区疾病预防控制中心;
【基金】：2015年湖南省教育厅项目“认知与行为干预对美沙酮维持治疗患者滥用新型毒品的影响”(编号:15C0139)
【分类号】：R749.64

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