Dayal Prabhoo, Sarkar Siddharth, Balhara Yatan Pal Singh
Department of Psychiatry and NDDTC, All India Institute of Medical Sciences, New Delhi, India.
Indian J Psychol Med. 2017 Jul-Aug;39(4):464-468. doi: 10.4103/0253-7176.211769.
Studies have reported that females who drop out prematurely from inpatient treatment have poor treatment outcome. However, literature from India is limited in this regard.
We reviewed case records of female patients admitted with opioid use disorder at NDDTC, Ghaziabad between January 1, 2008 and December 31, 2012 to study the predictors of inpatient treatment completion among female patients with opioid use disorder in relation to their sociodemographic and clinical profile.
Over the 5 years, 72 female patients were admitted with opioid dependence. During the study period, out of 72 patients, 44 (61.1%) were inpatient treatment completers and 28 (38.9%) were noncompleters. Mean length of ward stay was 5.1 ± 3.8 days and 16.2 ± 11.8 days for inpatient treatment noncompleters and completers, respectively, the difference being statistically significant ( = 4.845, < 0.001). The multivariable analysis (adjusted for selected demographic characteristics as marital status, education, and employment) revealed that most women taking drug for relief from pain, having medical morbidity, and onset of opioids at age 25 years or more had a significantly greater likelihood for being treatment completers.
Certain factors can help in identification of women opioid users who are at risk of leaving the treatment.
研究报告称,过早退出住院治疗的女性治疗效果不佳。然而,印度在这方面的文献有限。
我们回顾了2008年1月1日至2012年12月31日期间在加济阿巴德国家药物依赖治疗中心收治的阿片类药物使用障碍女性患者的病例记录,以研究阿片类药物使用障碍女性患者住院治疗完成情况的预测因素与其社会人口统计学和临床特征的关系。
在这5年中,72名女性患者因阿片类药物依赖入院。在研究期间,72名患者中,44名(61.1%)完成了住院治疗,28名(38.9%)未完成。未完成和完成住院治疗的患者平均住院时间分别为5.1±3.8天和16.2±11.8天,差异具有统计学意义(=4.845,<0.001)。多变量分析(根据婚姻状况、教育程度和就业等选定的人口统计学特征进行调整)显示,大多数为缓解疼痛而服药、患有内科疾病以及25岁及以上开始使用阿片类药物的女性完成治疗的可能性显著更高。
某些因素有助于识别有退出治疗风险的女性阿片类药物使用者。