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引文資料
題名:
Factors Related to Retention Duration of Patients in the Methadone Maintenance Treatment in Taiwan
書刊名:
Taiwanese Journal of Psychiatry
作者:
許文郁
/
謝明鴻
/
丁碩彥
/
邱南英
/
藍先元
/
賴德仁
/
黃介良
作者(外文):
Hsu, Wen-yu
/
Hsieh, Ming-hong
/
Ting, Shuo-yen
/
Chiu, Nan-ying
/
Lane, Hsien-yuan
/
Lai, Te-jen
/
Huang, Chieh-liang
出版日期:
2015
卷期:
29:4
頁次:
頁244-252+a7
主題關鍵詞:
美沙冬
;
劑量
;
退出率
;
因子
;
Methadone
;
Dosage
;
Dropout rate
;
Factor
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
1
點閱:7
目的:鴉片類依賴是慢性長期易復發的疾病,美沙冬替代治療從2005年開始引進台灣,然而,病人在美沙冬替代治療中,有高退出率引起關注。此研究目的在討論台灣美沙冬替代治療留置率其相關因子。方法:此研究為回顧性世代研究,納入中部四家醫院參與美沙冬替代治療的病人,從2007年1月到2009年5月,共有1944位納入此研究。依照其留置在美沙冬替代治療的時間分為1-30、31-90、91-180、181-360及超過360天。結果:病人的美沙冬替代治療留置率,隨著時間逐漸減低,只有290位(14.99%)病人在美沙冬替代治療超過360天,留置時間越長的組別美沙冬劑量越高。年紀大的病人較年輕的病人,待在美沙冬替代療法,有顯著較久(p < 0.05)。使用海洛因時間較久的病人,待在治療也有顯著較久(p< 0.05)。病人在離開美沙冬替代治療時,美沙冬劑量不穩定變動較大。結論:高劑量美沙冬及年紀較長病人在美沙冬替代治療時間會比較長,另外美沙冬劑量的大變動可能與退出治療相關。
以文找文
Objective: Opioid dependence is a chronic and relapsing disorder. In Taiwan, the methadone maintenance treatment (MMT) has been introduced since 2005. But high dropout rate from the MMT patients has been high. In this study, we intended to explore the related factors for patients’ retention duration in the MMT program in Taiwan. Methods: This is a retrospective cohort study. We reviewed the charts of subjects enrolled in the MMT program at four sites in central Taiwan. Totally, 1,944 heroin users in the MMT program were enrolled consecutively from January 1, 2007 to May 31, 2009. Five groups of the MMT duration were divided into 1-30, 31-90, 91-180, 181-360, and more than 360 days. Result: The retention rate of the MMT was gradually decreased with the time. Only 290 (14.99%) subjects stayed in the MMT for more than 360 days. Higher dosage of methadone was found in subgroups of longer retention of MMT. Elderly patients who stayed in the MMT, were found to be staying longer than younger ones (p < 0.05). Patients staying longer in the MMT had longer duration of heroin use (p < 0.05). Unstable dosage of methadone was found to be more in those patients before their withdrawal from the MMT program. Conclusion: Our study gained important information that higher dosage and older age would be a favorable factor for longer retention duration in the MMT in Taiwan. Furthermore, dramatic changes in dosage could lead to patients’ withdrawal from the MMT program.
以文找文
期刊論文
1.
Kelly, S. M.、O'Grady, K. E.、Mitchell, S. G.、Brown, B. S.、Schwartz, R. P.(2011)。Predictors of methadone treatment retention from a multi-site study: a survival analysis。Drug Alcohol Depend,117(2/3),170-175。
2.
Wang, P. W.、Wu, H. C.、Yen, C. N.、Yeh, Y. C.、Chung, K. S.、Chang, H. C.、Yen, C. F.(2012)。Change in quality of life and its predictors in heroin users receiving methadone maintenance treatment in Taiwan: an 18-month follow-up study。Am J Drug Alcohol Abuse,38(3),213-219。
3.
Brady, T. M.、Salvucci, S.、Sverdlov, L. S.、Male, A.、Kyeyune, H.、Sikali, E.、Yu, P.(2005)。Methadone dosage and retention: An examination of the 60 mg/day threshold。Journal of Addictive Diseases,24(3),23-47。
4.
劉筱雯、許建中、林怜利、武維馨(20090900)。Methadone Maintenance Treatment in a General Hospital。Taiwanese Journal of Psychiatry,23(3),215-222。
延伸查詢
5.
Dole, V. P.、Robinson, J. W.、Orraca, J.、Towns, E.、Searcy, P.、Caine, E.(1969)。Methadone treatment of randomly selected criminal addicts。N Engl J Med,280,1372-1375。
6.
Burns, Lucy、Randall, Deborah、Hall, Wayne D.、Law, Matthew、Butler, Tony、Bell, James、Degenhardt, Louisa(2009)。Opioid agonist pharmacotherapy in New South Wales from 1985 to 2006: patient characteristics and patterns and predictors of treatment retention。Addiction,104(8),1363-1372。
7.
Mattick, R. P.、Kimber, J.、Breen, C.、Davoli, M.(2008)。Buprenorphine maintenance versus placebo or methadone maintenance for opioid dependence。Cochrane Database Syst Rev,3,CD002207。
8.
Degenhardt, L.、Bucello, C.、Mathers, B.(2011)。Mortality among regular or dependent users of heroin and other opioids: a systematic review and meta-analysis of cohort studies。Addiction,106,32-51。
9.
Peles, E.、Schreiber, S.、Adelson, M.(2013)。Opiate-dependent patients on a waiting list for methadone maintenance treatment are at high risk for mortality until treatment entry。J. Addict Med,7,177-182。
10.
Cornish, R.、Macleod, J.、Strang, J.、Vickerman, P.、Hickman, M.(2010)。Risk of death during and after opiate substitution treatment in primary care: prospective observational study in UK General Practice Research Database。Brit Med J.,341,c5475。
11.
Senbanjo, R.、Hunt, N.、Strang, J.(2011)。Cessation of groin injecting behaviour among patients on oral opioid substitution treatment。Addiction,106,376-382。
12.
Booth, R. E.、Corsi, K. F.、Mikulich-Gilbertson, S. K.(2004)。Factors associated with methadone maintenance treatment retention among street-recruited injection drug users。Drug Alcohol Depend,74,177-185。
13.
Magura, S.、Nwakeze, P. C.、Demsky, S. Y.(1998)。Pre- and intreatment predictors of retention in methadone treatment using survival analysis。Addiction,93,51-60。
14.
Donny, E. C.、Brasser, S. M.、Bigelow, G. E.、Stitzer, M. L.、Walsh, S. L.(2005)。Methadone doses of 100 mg or greater are more effective than lower doses at suppressing heroin self-administration in opioid-dependent volunteers。Addiction,100,1496-1509。
15.
Davstad, I.、Stenbacka, M.、Leifman, A.、Beck, O.、Korkmaz, S.、Romelsjo, A.(2007)。Patterns of illicit drug use and retention in a methadone program: a longitudinal study。Journal of Opioid Management,3,27-34。
16.
Peles, E.、Schreiber, S.、Adelson, M.(2006)。Factors predicting retention in treatment: 10-year experience of a methadone maintenance treatment (MMT) clinic in Israel。Drug Alc Depend,82,211-217。
17.
Peles, E.、Linzy, S.、Kreek, M.、Adelson, M.(2008)。One-year and cumulative retention as predictors of success in methadone maintenance treatment: a comparison of two clinics in the United States and Israel。J. Add Dis,27,11-25。
18.
林邦彥、劉明倫、王鵬智、張敏(20120300)。Relationship of Monetary Subsidy and Treatment Compliance in Heroin Addicts Following Methadone Maintenance Therapy: The Experience of Hsinchu and Miaoli Areas。Taiwanese Journal of Psychiatry,26(1),19-24+66。
19.
Bao, Y. P.、Liu, Z. M.、Epstein, D. H.、Du, C.、Shi, J.、Lu, L.(2009)。A meta-analysis of retention in methadone maintenance by dose and dosing strategy。Am J Drug Alc Abuse,35,28-33。
20.
Nosyk, B.、Sun, H.、Evans, E.(2012)。Defining dosing pattern characteristics of successful tapers following methadone maintenance treatment: results from a population-based retrospective cohort study。Addiction,107,1621-1629。
21.
Torrens, M.、Castillo, C.、Perez-Sola, V.(1996)。Retention in a low-threshold methadone maintenance program。Drug Alc Depend,41,55-59。
22.
Sarasvita, R.、Tonkin, A.、Utomo, B.、Ali, R.(2012)。Predictive factors for treatment retention in methadone programs in Indonesia。J. Subs Abuse Treat,42,239-246。
會議論文
1.
Chou, S. Y.、Tan, H. K. L.(2010)。Investigation of MMT execution mode and efficacy assessment in Taiwan。2010 Annual Meeting of Taiwan Society of Addiction Science。
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