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目的分析温州市强制隔离戒毒人员的生存质量状况及其影响因素,为制定提高戒毒人员生存质量的卫生服务措施提供依据。方法采用药物成瘾者生存质量评定量表(QOL-DA)及自制问卷对温州市207名强制隔离戒毒人员进行生存质量测定,运用多元线性回归分析其影响因素。结果 207名强制隔离戒毒人员以男性、年龄在30~50岁之间、本地户籍、初中及以下文化程度、无业者为主;首次吸毒年龄在20~40岁之间者占71.50%,单纯吸食传统毒品、新型毒品的比例分别为14.01%和50.24%,单纯口吸、烫吸比例为68.12%,多次戒毒、当前戒毒持续时间小于6个月的比例分别为66.67%和78.64%,32.85%的戒毒人员自我报告患有吸毒相关疾病。戒毒人员躯体功能(PH)、心理功能(PS)、戒断症状及毒副反应(ST)、社会功能(SO)4个维度得分分别为(34.04±6.82)分、(32.33±5.93)分、(49.49±6.61)分和(37.01±7.29)分,生存质量评价总分为(152.87±21.00)分。吸毒相关疾病、毒品类型、吸毒方式、户籍是其生存质量的影响因素。结论强制隔离戒毒人员生存质量较低,应针对影响因素采取综合卫生服务措施以提高其生活质量。
Objective To analyze the quality of life and its influencing factors of compulsory isolation and treatment of drug addicts in Wenzhou City, and to provide basis for establishing health service measures to improve the quality of life of drug addicts. Methods QOL-DA and self-made questionnaires were used to measure the quality of life of 207 compulsory isolated drug addicts in Wenzhou City. Multivariate linear regression was used to analyze the influencing factors. Results 207 forced isolation drug abusers, male, aged between 30 and 50 years old, had a local census, a junior high school education and below, and were unemployed. The first drug users aged 71 to 50 years were 20 to 40 years old. The rates of traditional drugs and new drugs were 14.01% and 50.24% respectively. The rates of simple mouth-smoking and hot-smoking were 68.12%, multiple detoxification and 66.67% and 78.64% and 32.85% respectively. The current detoxification duration was less than 6 months, Of drug addicts self-reported suffering from drug-related diseases. The scores of physical function (PH), psychological function (PS), withdrawal symptoms and side effects (ST) and social function (SO) of drug addicts were 34.04 ± 6.82 and 32.33 ± 5.93 respectively, (49.49 ± 6.61) points and (37.01 ± 7.29) points respectively. The total quality of life evaluation score was (152.87 ± 21.00) points. Drug-related diseases, drug types, drug use patterns, and household registration are the influencing factors of their quality of life. Conclusion Forced isolated drug addicts have lower quality of life. Comprehensive health service measures should be taken according to the factors to improve their quality of life.