Patient characteristics associated with retention in a methadone maintenance program.
Patient characteristics associated with retention in a methadone maintenance program.
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与美沙酮维持计划保留相关的患者特征。
DOI：
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发表时间：
1971
期刊：
影响因子：
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通讯作者：
A. Warner
中科院分区：
文献类型：
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作者：
D. Babst;C. Chambers;A. Warner
本研究的目的是确定是否有可能区分不同类型的患者，以确定他们是否有能力继续接受美沙酮维持治疗。由于医疗和咨询人员不能同时与所有患者一起工作，这些信息将有助于确定谁最需要帮助。
这项研究是基于大多数入院（679例）的多尔-Nyswander美沙酮维持计划，从1964年开始到1968年3月15日。对每例患者进行随访，以确定2年后他们是否仍在该计划中。这意味着最后一次录取是在1970年3月15日。80%的男性和女性连续参加该方案两年或更长时间。
(1)正如预期的那样，那些表现较差的病人是那些有较长定罪记录的人，是多种毒品使用者，滥用酒精，入院时没有工作，年龄较大，未婚。
（2）其他可能与戒毒时间有关但与戒毒时间关系不大或没有关系的因素有：开始使用海洛因的年龄、既往住院次数、受教育年限和工作时间最长。
（3）使用时间较短或使用时间很长的患者比中间范围（8 ~ 19年）的患者表现更好。
（4）当临床经验被用作结合单因素的指导时，出现了一些有趣的患者分类。例如，最好的一组是那些滥用5年或更短时间，没有多种药物或酒精滥用的人。这一组有96%的结果率。最贫穷的群体是那些遭受12至15年虐待并被定罪7次或7次以上的人。后一组在入学后两年内有58%的人参加了课程。
（5）将单因素合并后，采用统计学分析，得出了不同的病人分类。患者类型的结局率范围为56%至94%。
The purpose of this study was to determine if it is possible to differentiate between types of patients as to their ability to stay in a methadone maintenance program. Since medical and counseling staff cannot work with ail patients simultaneously, such information would be helpful in identifying who needs the most help.
This study is based on most admissions (679 cases) to the Dole-Nyswander methadone maintenance program from its initiation in 1964 to 15 March 1968. Each patient was followed-up to determine whether they were still in the program 2 years later. This meant the last admissions were followed to 15 March 1970. Eighty percent of both males and females were continuously in the program for 2 years or longer.
(1) As expected, those patients who did poorer were those who, had longer conviction records, were multiple drug users, abused alcohol, were not employed at admission, were older and were not married.
(2)Other factors that were expected to be related to program stay, but proved to have little or no relationship were; age when started using heroin, number previous hospitalization, length of education and longest job held.
(3)Patients with relatively short usage or very long usage did better than those in the middle range (8 to 19 years of use).
(4)When clinical experience was used as a guide for combining single factors some interesting classifications of patients emerged. For example, the best group were those who were abusers for 5 years or less and had no multiple drug or alcohol abuse. This group had a 96 percent outcome rate. The poorest group were those who had 12 to 15 years of abuse and 7 or more convictions. This latter group had 58 percent in program 2 years after admission.
(5)When the single factors were combined by using configural analysis, a somewhat different patient classification was developed. The patient types had outcome rates which ranged from 56 to 94 percent.