【作者】 王琳琅；

【导师】 穆世惠；

【作者基本信息】 四川大学 ， 流行病学与卫生统计学， 2004， 硕士

【摘要】 目的 比较自愿戒毒和强制戒毒模式下吸毒者生存质量总体及各维度上的差异,探讨吸毒者生存质量的影响因素,为提高吸毒人群的生存质量和制定更科学的戒毒方法提供科学依据。方法 采用吸毒者生存质量测定量表QOL-DA和自行设计的问卷,对吸毒者生存质量进行测定,并对吸毒者一般情况、吸毒戒毒情况和家庭社会情况等生存质量相关因素进行调查。采用因子分析、Hotelling T~2检验、一元线性回归、多元线性回归和集团因素分析等方法,比较两组吸毒者的生存质量,探讨两组吸毒者生存质量的影响因素及其相对重要性。结果 自愿戒毒组吸毒者生存质量总体上好于强制戒毒组吸毒者,差异主要反映在心理机能和社会功能维度上,两组在戒断症状及毒副作用和躯体机能维度上无明显差异。自愿组吸毒者生存质量影响因素单因素分析结果是:年龄、职业、婚姻、开始吸毒年龄、是否有信心成功戒毒、是否有信心戒毒后开始新生活、父亲文化程度、母亲文化程度和家庭是否和睦10个因素有显著性影响(P<0.05);多因素分析结果是:年龄、是否有信心成功戒毒、是否有信心戒毒后开始新生活、父亲文化程度和家庭是否和睦5个因素有显著性影响(P<0.05);在一般情况、吸毒戒毒情况和家庭社会情况三个方面的影响因素中,家庭社会情况相对重要性最高(权重为0.48);吸毒戒毒情况相对重要性次之(权重为0.38);一般情况的相对重要性最小(权重为0.14)。强制组吸毒者生存质量影响因素单因素分析结果是:年龄、是否有稳定收入、吸毒年限、吸毒方式、强制戒毒期间是否有人探望、家人是否支持戒毒、母亲文化程度和家人是否关心8个因素有显著性影响(P<0.05);多因素分析结更多还原

【Abstract】 [Objective] To discuss the difference of drug user’s quality of life between tow group in different detoxification patterns, to exploding the risk factor of drug user’s quality of life, and providing effective methods to evaluate the drug user’s quality of life and scientific evidence to constituting plan to help addicts restrain from drugs. [Method] Survey drug user’s quality of life of in voluntary detoxification clinic and compelled detoxification center in leshan city by questionnaire for drug user’s quality of life(QOL-DA) and investigate correlative factor about drug user’s quality of life of by questionnaire designed by ourselves. Using factor analysis, Hotelling T2 test, linear regression analysis and multivariate linear regression analysis to compare drug user’s quality of life in tow detoxification patters and explode the risk factor of drug user’s quality of life. [Result] The drug user’s quality of life of in voluntary detoxification clinic got higher scores than that of addicts in compelled detoxification center. The difference was found only on the dimensionality of psychology enginery and function in society, but on the dimensionality of withdrawal syndrome and body enginery there was no difference been found. The outcome of single factor analysis in voluntary group: there were ten significant risk factors as follows: ages, occupation, marriage2, stabilized income, age of drug using beginning, confidence of detoxification, confidence of new life beginning, education degree of father, education degree of mother and harmony of family(P<0.05). The outcome of multivariate analysis in voluntary group: there were five significant risk factors as follows: ages, confidence of detoxification, confidence of new life beginning, education degree of father and harmony of family(P<0.05). In the three aspects of riskfactors in voluntary group the factors from family and society was most important(weighting coefficient 0.48), the factors from drug addiction and detoxification was secondary(weighting coefficient 0.38), the factors of individual characters was the last(weighting coefficient 0.14). The outcome of single factor analysis in compelled group: there were eight significant risk factors as follows: ages, occupation, marriage2, stabilized income, time of drug addiction, mode of drug using, folk visitation, folk sustain, education degree of mother and care from family(P<0.05). The outcome of multivariate analysis in compelled group: there were five significant risk factors as follows: stabilized income, time of drug addiction, frequency of drug using, folk visitation, folk sustain and education degree of father (P<0.05). In the three aspects of risk factors in compelled group the factors from drug addiction and detoxification was most important(weighting coefficient 0.61), the factors from family and society was secondary(weighting coefficient 0.29), the factors of individual characters was the last(weighting coefficient 0.10). [Conclusion] In order to evaluating drug user’s quality of life and insuring detoxification successful, either detoxification patters should carry out the whole plan including detoxification, rehabilitation and re-entry to society. When drug users during detoxification, there were several questions must be solved: eliminating the pain from withdrawal syndrome; helping them restrain from the anxiety, black mood, fidget etc awful emotion; carrying out mentality therapy, behavior remedy and skill training; summoning the whole society especially the folk of drug users to concern and take on the addicts after them restraining from the drugs.更多还原