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伊朗克尔曼美沙酮治疗中心阿片类药物依赖者的经历。

Experiences of opium dependents from performance of methadone centers of kerman, iran.

作者信息

Banazadeh Mahani Nabi, Kheradmand Ali, Abedi Heidarali

机构信息

Assistant Professor of Psychiatry, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.

Psychiatrist, School of Medicine and Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Addict Health. 2009 Fall;1(2):74-9.

Abstract

BACKGROUND

To assess patients' satisfaction and to evaluate methadone therapy program, it is important to understand the experiences of opium dependents during the treatment period in methadone centers and determine the quality of this program and revise standards based on that. This study aimed to describe the nature and structure of patients' experiences during treatment in methadone centers.

METHODS

This was a qualitative method using phenomenology. Sampling was purposive and the participants were selected from opium dependents referred to Kerman methadone centers during 2007. Sampling continued until data saturation and the sample size was 32. Colaizzi's method was applied for data analysis.

FINDINGS

The findings of this study included 27 codes categorized in four main groups: experiences of structure, personnel, patients, and regulations. These four categories showed the main structure of experiences in methadone centers.

CONCLUSION

Lack of treatment centers in near-by cities or the problems of those centers suggest that it is necessary to establish new centers or solve the problems of centers in near-by cities. The type of patients referring to the centers plays a role in treatment process. The regular presence of physicians and other personnel and their concerns and care for patients as well as longer working hours of the centers have roles in patients' satisfaction and increase of consistency with treatment. Discussing the rules and regulations of the center with patients including the obligatory of daily reference to the center to obtain medicine and injections sound necessary. Also, it is necessary to find ways for solving problems of urine tests.

摘要

背景

为评估患者满意度并评价美沙酮治疗项目,了解阿片类药物依赖者在美沙酮中心治疗期间的经历、确定该项目的质量并据此修订标准很重要。本研究旨在描述美沙酮中心患者治疗期间经历的性质和结构。

方法

这是一项采用现象学的定性研究。采用目的抽样法,参与者选自2007年转诊至克尔曼美沙酮中心的阿片类药物依赖者。抽样持续至数据饱和,样本量为32。采用柯莱齐法进行数据分析。

结果

本研究结果包括27个编码,分为四个主要类别:机构、人员、患者和规定方面的经历。这四个类别展示了美沙酮中心经历的主要结构。

结论

附近城市缺乏治疗中心或这些中心存在的问题表明,有必要建立新的中心或解决附近城市中心的问题。转诊至中心的患者类型在治疗过程中起作用。医生和其他人员的定期出诊以及他们对患者的关心和照顾,还有中心较长的工作时间,都对患者满意度和治疗依从性的提高有作用。与患者讨论中心的规章制度,包括每日到中心取药和打针的必要性,似乎很有必要。此外,有必要找到解决尿检问题的方法。

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本文引用的文献

1
Methadone in hair and sweat from patients in long-term maintenance therapy.
Ther Drug Monit. 2007 Aug;29(4):452-4. doi: 10.1097/FTD.0b013e31811f1bbe.
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A 5-year evaluation of a methadone medical maintenance program.
J Subst Abuse Treat. 2006 Dec;31(4):433-8. doi: 10.1016/j.jsat.2006.05.018. Epub 2006 Sep 7.
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User views on supervised methadone consumption.
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