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美沙酮维持治疗患者的社会支持状况及相关因素:COVID-19大流行期间越南的一项多中心横断面研究

Social support status and associated factors among methadone maintenance patients: a multicentre, cross-sectional study in Vietnam during the COVID-19 pandemic.

作者信息

Nguyen Huong Thi Thanh, Tran Dien Quang, Dinh Dai Xuan

机构信息

Faculty of Pharmaceutical Management and Economics, Hanoi University of Pharmacy, Hanoi, Vietnam.

Faculty of Pharmaceutical Management and Economics, Hanoi University of Pharmacy, Hanoi, Vietnam

出版信息

BMJ Open. 2024 Dec 27;14(12):e081519. doi: 10.1136/bmjopen-2023-081519.

Abstract

OBJECTIVES

To investigate the social support status and associated factors among Vietnamese methadone maintenance patients during the COVID-19 pandemic.

DESIGN

Cross-sectional study.

SETTING

Three methadone clinics.

PARTICIPANTS

540 patients.

PRIMARY AND SECONDARY OUTCOME MEASURES

The Medical Outcomes Study-Social Support Survey questionnaire was employed to measure patients' social support. Factors associated with the social support status of patients were determined through multivariate linear regression models. Variables in these models were selected using the Bayesian model averaging method.

RESULTS

The average social support score of patients was 63.50±26.54 (ranger: 0-100). The average social support scores of patients living in mountainous areas (Dien Bien: 63.74±23.67, Son La: 46.15±20.31) were significantly lower than that of patients residing in metropolitan areas (Hanoi: 80.61±23.47) (p<0.001). The likelihood of gaining high social support was 1.31 times more likely among patients living with at least one person (64.21±26.25) in comparison with those living alone (48.84±28.69) (p=0.013). The higher the number of family members living with the patient and close friends/relatives, the higher the social support score. Factors significantly associated with patients' social support included the place of residence, the patient's occupation, the family's monthly income, the number of people living with the patients, and the number of close friends/relatives (p<0.001).

CONCLUSION

Methadone maintenance patients in Vietnam received a moderate level of social support during the COVID-19 pandemic. In the context of pandemics, not only the authorities but also family members and the community should give succour and strength to the patients, thereby contributing to the success of methadone treatment and the recovery of patients.

摘要

目的

调查越南美沙酮维持治疗患者在新冠疫情期间的社会支持状况及相关因素。

设计

横断面研究。

地点

三家美沙酮诊所。

参与者

540名患者。

主要和次要结局指标

采用医学结局研究社会支持调查问卷来衡量患者的社会支持情况。通过多元线性回归模型确定与患者社会支持状况相关的因素。这些模型中的变量使用贝叶斯模型平均法进行选择。

结果

患者的社会支持平均得分为63.50±26.54(范围:0 - 100)。生活在山区的患者(奠边:63.74±23.67,山萝:46.15±20.31)的社会支持平均得分显著低于居住在大城市地区的患者(河内:80.61±23.47)(p<0.001)。与独居患者(48.84±28.69)相比,至少与一人同住的患者(64.21±26.25)获得高社会支持的可能性高出1.31倍(p = 0.013)。与患者同住的家庭成员以及亲密朋友/亲属数量越多,社会支持得分越高。与患者社会支持显著相关的因素包括居住地点、患者职业、家庭月收入、与患者同住的人数以及亲密朋友/亲属的数量(p<0.001)。

结论

越南美沙酮维持治疗患者在新冠疫情期间获得了中等水平的社会支持。在疫情背景下,不仅当局,而且家庭成员和社区都应给予患者帮助和力量,从而有助于美沙酮治疗的成功及患者的康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc14/11683885/b40a27e4dbe0/bmjopen-14-12-g001.jpg

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