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中国内地接受美沙酮维持治疗患者的获得性和感知性社会支持与健康相关生活质量之间的关系。

Relationships between received and perceived social support and health-related quality of life among patients receiving methadone maintenance treatment in Mainland China.

机构信息

Xi'an Jiaotong University Health Science Center, No. 76 Yanta West Road, Xi'an, Shaanxi, 710061, China.

Xi'an Center for Disease Control and Prevention, No. 599 Xiying Road, Xi'an, Shaanxi, 710054, China.

出版信息

Subst Abuse Treat Prev Policy. 2017 Jun 26;12(1):33. doi: 10.1186/s13011-017-0116-3.

DOI:10.1186/s13011-017-0116-3
PMID:28651618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5485611/
Abstract

BACKGROUND

Social support has been considered one of the most important factors of health-related quality of life (HRQoL) evaluations among different populations; however, few studies have explored the relationships of both received and perceived social support to HRQoL among patients undergoing methadone maintenance treatment (MMT). Thus, the purpose of this cross-sectional study was to clarify these relationships.

METHODS

Participants were patients admitted at the two largest privately and publicly funded MMT clinics in Xi'an. The main explanatory variable was social support, both received (i.e., social network support and professional support services) and perceived (Multidimensional Scale of Perceived Social Support). The outcome was HRQoL, which was evaluated using the Short-Form 36 Health Survey version 2 (SF-36v2) and the Quality of Life Scale for Drug Addicts (QOL-DAv2.0). We carried out independent samples t-tests and multiple linear regression analysis to examine the relationships between received and perceived social support and HRQoL.

RESULTS

The study findings revealed that patients with good social support had significantly higher scores on the SF-36v2 and QOL-DAv2.0 (p < 0.05). After controlling for individual characteristics, the significant factors predicting HRQoL were good family relationships, usually communicating with others, a convenient service time, appropriate treatment charges, and good perceived social support (p < 0.05).

CONCLUSIONS

Our results suggest that received and perceived social support influences HRQoL among individuals receiving MMT. Thus, these variables should be considered during health management efforts and interventions directed at this patient population.

摘要

背景

社会支持被认为是不同人群健康相关生活质量(HRQoL)评估的最重要因素之一;然而,很少有研究探讨接受和感知的社会支持与美沙酮维持治疗(MMT)患者的 HRQoL 之间的关系。因此,本横断面研究的目的是阐明这些关系。

方法

参与者为在西安两家最大的私人和公共资助的 MMT 诊所接受治疗的患者。主要解释变量是社会支持,包括接受的(即社会网络支持和专业支持服务)和感知的(多维感知社会支持量表)。结果是 HRQoL,使用简短形式 36 健康调查版本 2(SF-36v2)和药物滥用者生活质量量表(QOL-DAv2.0)进行评估。我们进行了独立样本 t 检验和多元线性回归分析,以检查接受和感知的社会支持与 HRQoL 之间的关系。

结果

研究结果表明,社会支持良好的患者在 SF-36v2 和 QOL-DAv2.0 上的得分显著更高(p<0.05)。在控制个体特征后,预测 HRQoL 的显著因素是良好的家庭关系、通常与他人交流、方便的服务时间、适当的治疗费用和良好的感知社会支持(p<0.05)。

结论

我们的结果表明,接受和感知的社会支持影响接受 MMT 的个体的 HRQoL。因此,在针对这一患者群体的健康管理努力和干预措施中,应考虑这些变量。

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