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目的:分析广州市社区美沙酮维持治疗(methadone maintenance treatment,MMT)受治者的在治动机情况及其影响因素。方法:对广州市六家社区美沙酮维持治疗门诊的511例受治者进行横断面调查,收集其一般人口学特征、MMT认知、家人和社会支持情况、心理状况、自感治疗压力、在治动机和服务满意度等资料,以在治动机做因变量,其他资料做自变量进行单因素分析和多重线性回归分析。结果:受治者的在治动机平均得分为2.53±3.87,28.8%的受治者在治动机得分低于0。多重线性回归分析显示,年龄(b=-0.130,P<0.001)、非正式压力(b=-1.646,P<0.001)和抑郁(b=-0.109,P=0.007)均会影响受治者的在治动机。结论:部分受治者的在治动机较低,促进在治动机的形成对后续坚持治疗具有重要的意义。
OBJECTIVE: To analyze the current status of motivation and its influencing factors in methadone maintenance treatment (MMT) community in Guangzhou community. METHODS: A cross-sectional survey of 511 subjects in methadone maintenance treatment clinics in six communities in Guangzhou was conducted to collect general population characteristics, MMT cognition, family and social support, psychological status, self-induced treatment pressure, Motivation and service satisfaction and other information, in the governance motivation as dependent variable, other data as independent variables for univariate and multiple linear regression analysis. Results: The average score of the subjects undergoing therapy was 2.53 ± 3.87, while the subjects under 28.8% scored less than 0 in their motivation. Multiple linear regression analysis showed that both the age (b = -0.130, P <0.001), informal stress (b = -1.646, P <0.001) and depression (b = -0.109, P = 0.007) In the rule of motivation. Conclusion: Some of the recipients are less motivated and promote the formation of motivation in the follow-up adherence to treatment is of great significance.