美沙酮维持治疗海洛因依赖患者的孤独感与疼痛的相互关系

发布时间：2018-02-21 19:06

  本文关键词： 美沙酮维持治疗 海洛因依赖 孤独感 疼痛 相互关系　出处：《安徽医科大学学报》2017年10期 　论文类型：期刊论文

【摘要】：目的分析美沙酮维持治疗(MMT)海洛因依赖患者(HDPs)的孤独感与疼痛的相互关系。方法 603例MMT门诊HDPs完成一般情况问卷、抑郁自评量表、焦虑自评量表、单一条目孤独感自评问卷和五点口述分级评分疼痛强度自评问题。用有序因变量Logistic回归分析孤独感与疼痛的双向联系。结果孤独感与疼痛强度评分呈中度显著正相关性(r=0.453,P0.001)。控制社会人口学因素、物质使用特征变量、抑郁症状和焦虑症状的潜在混杂效应后,疼痛强度增加与孤独感风险上升呈显著相关性(OR=1.53,P0.001),孤独感水平升高也与疼痛强度增加呈显著相关性(OR=1.22,P0.042)。结论 MMT门诊HDPs的孤独感与疼痛存在双向作用,社会心理干预配合合适的疼痛管理有利于HDPs的全面康复。
[Abstract]:Objective to analyze the relationship between loneliness and pain in heroin addicts with methadone maintenance therapy. Methods 603 MMT outpatients with HDPs completed general condition questionnaire, self-rating depression scale and self-rating anxiety scale. Single item loneliness self-evaluation questionnaire and five-point oral rating scale pain intensity self-evaluation question. Using ordered dependent variable Logistic regression analysis of the relationship between loneliness and pain. Results loneliness and pain intensity score showed moderate significant positive. The correlation was 0.453g P 0.001.The factors of controlling social demography, The potential confounding effects of substance use characteristic variables, depression and anxiety symptoms, There was a significant correlation between the increase of pain intensity and the risk of loneliness. There was also a significant correlation between the increased level of loneliness and the increase of pain intensity. Conclusion there is a two-way effect between loneliness and pain in HDPs in MMT clinic. Psychosocial intervention combined with appropriate pain management is beneficial to the overall rehabilitation of HDPs.
【作者单位】： 华中科技大学同济医学院附属武汉精神卫生中心/第九临床学院精神科;
【基金】：国家自然科学基金青年基金(编号:30800364) 米尔斯坦亚美医学基金会研究项目资助 武汉市卫生和计划生育委员会资助课题(编号:WG16A02)
【分类号】：R749.64
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本文编号：1522636