[四川省三个城市阿片类物质依赖吸毒人员生活质量及其影响因素研究]

[Study on the quality of life and its impact factors of drug users with opiate dependence in three cities in Sichuan].

作者信息

Zhang Ben, Yang Jiyun, Luan Rongsheng, Zhang Yuan

机构信息

Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, China.

出版信息

Wei Sheng Yan Jiu. 2007 Sep;36(5):591-5.

PMID:18095575

Abstract

OBJECTIVE

To analyze the quality of life (QOL) of drug users with opiate dependence in 3 cities in Sichuan, find the impact factors of QOL, and provide some foundation for improving the QOL of this population.

METHODS

The short form 36 ( SF-36) and perceived social support scale (PSSS) were used to assess QOL and social support, respectively. A self-designed questionnaire that was utilized to investigate the general characteristics and factors related to drug dependence. The data were tested by the Student t test, correlated analysis, variance analysis, and linear stepwise multivariate regression.

RESULTS

(1) The score of physical functioning, role-physical, body pain, general health, vitality, social functioning, role-emotional, mental health of opiate users were significantly lower than that of the control (P < 0.001). The social support of opiate users was significantly lower than the control when used the PSSS to evaluate various domain of social support (P < 0.001). (2) The univariate analysis showed that total 17 factors included age, marital status, education, occupation, economic income, smoking, chronic disease, 3 domains of social support, drug-taking manner, co-use syringe, drug-taking of family member, duration of drug-taking, dose of drug-taking, abstinence manner and relapse time were correlated with the all or part of the domains of the QOL. (3) The multivariate analysis indicated that the main factors involved in influenced the QOL of the opiate users were duration of drug-taking, dose of drug-taking, external social support of family, total social support, co-use syringe and economic income. Marital status, internal social support of family, drug-taking manner, chronic disease, smoking, drug-taking of family members, abstinence manner and relapse times had impacts on a few domains of the QOL.

CONCLUSION

The QOL of opiate users in 3 cities in Sichuan was low and they were lack of enough social support.

摘要

目的

分析四川省3个城市阿片类物质依赖吸毒人员的生活质量（QOL），找出影响生活质量的因素，为提高该人群的生活质量提供依据。

方法

采用简明健康状况调查问卷（SF-36）和领悟社会支持量表（PSSS）分别评估生活质量和社会支持。采用自行设计的问卷调查一般特征及与吸毒相关的因素。数据采用t检验、相关分析、方差分析和线性逐步多元回归进行检验。

结果

（1）阿片类物质使用者的生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康得分均显著低于对照组（P<0.001）。用PSSS评估社会支持各领域时，阿片类物质使用者的社会支持显著低于对照组（P<0.001）。（2）单因素分析显示，年龄、婚姻状况、文化程度、职业、经济收入、吸烟、慢性病、社会支持3个领域、吸毒方式、共用注射器、家庭成员吸毒、吸毒时间、吸毒剂量、戒毒方式及复吸次数等共17个因素与生活质量的全部或部分领域相关。（3）多因素分析表明，影响阿片类物质使用者生活质量的主要因素为吸毒时间、吸毒剂量、家庭外部社会支持、总体社会支持、共用注射器及经济收入。婚姻状况、家庭内部社会支持、吸毒方式、慢性病、吸烟、家庭成员吸毒、戒毒方式及复吸次数对生活质量的部分领域有影响。