Huriwai T, Sellman J D, Sullivan P, Potiki T
Department of Corrections, Christchurch School of Medicine.
N Z Med J. 1998 Apr 24;111(1064):145-7.
To document key clinical characteristics of a group of Maori being treated for alcohol and drug problems; compare the characteristics of Maori accessing dedicated Maori alcohol and drug treatment services with Maori accessing non-dedicated services; and investigate these clinical characteristics in relation to patient satisfaction.
A sample of 105 Maori with alcohol and drug problems, accessing the range of treatment services in the Canterbury area, undertook a semi-structured interview.
Overall this sample of Maori were socially disadvantaged. Their main drug of use was alcohol, followed by cannabis, opioids and sedatives/hypnotics. There were no significant differences between the subjects who attended Maori dedicated services and those who attended non-dedicated Maori services in terms of demographic variables, alcohol and drug use history, current level of dependence, or anxiety/depression state. Subjects in dedicated Maori services were more likely to have had greater than 21 days of treatment compared to those in non-dedicated Maori services and were more likely to have been to their home marae than those in non-dedicated services. In multivariate analysis, Maori in dedicated Maori services were significantly more likely to be satisfied with treatment than those in non-dedicated services (odds ratio = 5.5, 95% confidence interval = 1.81-16.78).
Further research is required to investigate the relationship between high patient satisfaction by Maori with alcohol and drug problems attending dedicated Maori treatment services, treatment effectiveness and the components of dedicated Maori services that may contribute to higher retention rates, greater patient satisfaction and increased positive treatment outcome.
记录一组接受酒精和药物问题治疗的毛利人的关键临床特征；比较使用专门的毛利酒精和药物治疗服务的毛利人与使用非专门服务的毛利人的特征；并调查这些临床特征与患者满意度的关系。
对105名有酒精和药物问题、使用坎特伯雷地区一系列治疗服务的毛利人进行了半结构化访谈。
总体而言，这组毛利人在社会上处于不利地位。他们主要使用的药物是酒精，其次是大麻、阿片类药物和镇静剂/催眠药。在人口统计学变量、酒精和药物使用史、当前依赖水平或焦虑/抑郁状态方面，接受毛利人专门服务的受试者与接受非专门毛利人服务的受试者之间没有显著差异。与接受非专门毛利人服务的受试者相比，接受毛利人专门服务的受试者接受治疗超过21天的可能性更大，并且比接受非专门服务的受试者更有可能去过他们的家乡毛利会堂。在多变量分析中，接受毛利人专门服务的毛利人对治疗的满意度明显高于接受非专门服务的毛利人（优势比=5.5，95%置信区间=1.81-16.78）。
需要进一步研究，以调查有酒精和药物问题的毛利人对接受毛利人专门治疗服务的高患者满意度、治疗效果以及可能有助于提高保留率、提高患者满意度和增加积极治疗结果的毛利人专门服务组成部分之间的关系。
