美沙酮维持治疗者家庭功能现状及其影响因素调查分析

发布时间：2018-11-22 09:15

【摘要】：目的了解美沙酮维持治疗者的家庭功能和家庭类型,为采取有针对性的干预措施提供科学依据。方法对武汉市3家美沙酮门诊217名受治者进行调查测试,分析研究对象的家庭亲密度、适应性和家庭"拱级模式"类型。结果研究组的家庭理想亲密度高于常模参考值(t=4.79,P0.001);研究对象的实际适应性和理想适应性得分为(45.4±10.2)分和(51.8±8.4)分,均低于常模参考值(均有P0.001);研究组与常模的16种"拱级模式"类型比较,其中"灵活-亲密型、无规律-亲密型、有规律-缠结型、僵硬-亲密型、僵硬-松散型"5种类型的差异有统计学意义(均有P0.05);研究组与常模的平衡型家庭类型、中间型家庭类型、极端型家庭类型构成比较,差异均有统计学意义(P0.05)。结论美沙酮维持治疗者的家庭理想亲密度高,家庭实际适应性和理想适应性偏低;美沙酮受治者的家庭"拱级模式"类型主要表现为平衡型家庭类型偏少、极端型家庭类型偏多,特别是极端型家庭中"僵硬-松散型"比例较多。
[Abstract]:Objective to investigate the family function and family type of patients treated with methadone and to provide scientific basis for targeted intervention. Methods 217 subjects in 3 methadone outpatient clinics in Wuhan were investigated and tested. The family affinity, adaptability and the type of "arch model" of family were analyzed. Results the ideal family affinity of the study group was higher than the reference value of the norm (t = 4.79, P 0.001). The scores of practical adaptability and ideal adaptability of the subjects were (45.4 卤10.2) and (51.8 卤8.4), which were lower than the reference values of the norm (P0.001). The study group was compared with 16 "arch mode" types of norm, which included "flexible intimate" type, irregular-intimate type, regular-tangled type, rigid-intimate type, inflexible-closeness type, regular-tangled type, rigid-closeness type, There were significant differences among the five types of rigid-loose type (P0.05). There were significant differences between the study group and the norm in balanced family type, intermediate family type and extreme family type (P0.05). Conclusion the family ideal affinity of methadone maintenance therapy is high and the family practical adaptability and ideal adaptability are low. The types of "arch model" of methadone patients are mainly as follows: the balance type is less, the extreme type is more, especially the proportion of "rigid loose type" in extreme family is more.
【作者单位】：武汉科技大学医学院公共卫生学院;武昌理工学院生命科学学院;
【基金】：教育部人文社科基金(12YJAZH219) 湖北省教育厅人文社科项目(13y016)
【分类号】：R395

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