Shamsalinia Abbas, Norouzi Kiyan, Fallahi-Khoshknab Masoud, Farhoudian Ali, Ghaffari Fatemeh
Ramsar Nursing Care Research Center, Babol University of Medical Sciences, School of Nursing and Midwifery. Babol, Mazandaran, Iran.
Nursing Department, University of Social Welfare and Rehabilitation Sciences. Tehran, Iran.
Med J Islam Repub Iran. 2017 Aug 12;31:45. doi: 10.14196/mjiri.31.45. eCollection 2017.
Substance abusers are not able to withdraw drugs eternally despite the abundance of different treatments; therefore, withdrawal programs are not quite successful and notwithstanding all the successes of methadone maintenance therapy, there are some defects found in the manner this treatment is applied. Thus, this study was conducted to explore the experience of drug abusers regarding methadone maintenance therapy. This is a qualitative study using content analysis methodology. The research community includes drug abusers admitted to the treatment centers of the western cities of Mazandaran Province, Iran in 2016. The sampling was purposive and the data were collected by face-to-face single interviews with 20 patients. The interviews were continued up to data saturation. Finally, the Lundman and Grenheim method was used to analyze the interviews and the four criteria of Guba and Lincoln were applied to check data integrity. "Buying time," "methadone dependence," and "looking from a narrow view to the patient" were the main three categories that fit the results. Governmental free services for drug abusers; paying attention to different aspects of treatment such as mental, emotional, and social recovery; lifelong support of the family and society members; and balance in prescribing and following the treatment process prescribed by health care providers can enhance both the quality and safety of the treatment process. Psychological consultation alongside social services can facilitate the recovery process in methadone maintenance therapy.
尽管有大量不同的治疗方法，药物滥用者仍无法永远戒除毒品；因此，戒毒项目并不十分成功，而且尽管美沙酮维持治疗取得了诸多成功，但在这种治疗方法的应用方式上仍发现了一些缺陷。因此，本研究旨在探索药物滥用者对美沙酮维持治疗的体验。这是一项采用内容分析法的定性研究。研究群体包括2016年在伊朗马赞德兰省西部城市治疗中心接受治疗的药物滥用者。抽样是有目的的，通过与20名患者进行面对面的单次访谈收集数据。访谈持续到数据饱和。最后，采用伦德曼和格雷内姆方法对访谈进行分析，并应用古巴和林肯的四个标准来检验数据完整性。“争取时间”、“美沙酮依赖”和“从狭隘视角看待患者”是符合研究结果的主要三类情况。为药物滥用者提供政府免费服务；关注治疗的不同方面，如心理、情感和社会康复；家庭和社会成员的终身支持；以及在开处方和遵循医疗保健提供者规定的治疗过程中保持平衡，都可以提高治疗过程的质量和安全性。心理咨询与社会服务相结合可以促进美沙酮维持治疗中的康复过程。
