参与者在中国长期甲维持治疗时所经历的好处和挑战:一项定性研究
Xijia Tang1, Wenxue Xiong1, Wen Chen1
1Department of Medical Statistics, School of Public Health, Sun Yat-Sen University, No.74 Zhongshan 2Nd Road, Yuexiu District, Guangzhou, Guangdong, PR China, 510080.
BMC medicine
|January 7, 2024
概括
中国的长期甲维持治疗 (MMT) 参与者报告生活质量有所改善,但面临经济和后勤挑战. 解决这些障碍对于计划的有效性和参与者的重新融入至关重要.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
背景情况:
- 甲维持治疗 (MMT) 在中国已经存在近二十年了.
- 最近观察到MMT参与的显著下降.
- 从参与者的角度来看,关于MMT长期有效性的研究是有限的.
研究的目的:
- 检查长期MMT在中国的好处和挑战.
- 确定MMT参与率下降的原因.
- 提高MMT程序的有效性.
主要方法:
- 对21名长期MMT参与者 (≥5年) 进行半结构面试.
- 从中国广东省的6家诊所招募了参与者.
- 采用专题分析与独立和双编码可靠性.
主要成果:
- 参与者证实MMT数量下降,引用死亡,逮捕和自我认知的戒断.
- 报告说健康,家庭和社会功能有所改善.
- 确定经济困难,工作日程冲突,歧视和COVID-19限制是主要的挑战;注意到剂量调整和紧急治疗的问题.
结论:
- 长期的MMT改善了参与者的生活质量.
- 需要关于剂量调整和紧急治疗的官方指南.
- 建议包括健康教育,就业推,灵活的诊所时间,以及后续机制,以支持社会重新融入和预防复发.
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