Title

海洛因使用者的用藥態度與其心理健康狀況之探討

Translated Titles

An Exploratory Study on Drug Using Attitudes and Mental Health Status Heroin Users

Authors

高家常

Key Words

海洛因使用者 ; 用藥態度 ; 心理健康狀況 ; Heroin Users ; Drug-Using Attitudes ; Mental Health Status

PublicationName

高雄醫學大學護理學系研究所學位論文

Volume or Term/Year and Month of Publication

1994年

Academic Degree Category

碩士

Advisor

楊美賞

Content Language

繁體中文

Chinese Abstract

本研究的主要目的在了解海洛因使用者個人基本屬性、用藥史、用藥態度、評估其心理健康狀況及探討影響海洛因使用者用藥態度與心理健康狀況的相關因素,並比較海洛因使用者與一般人在用藥態度及心理健康狀況的差異 本研究以立意取樣,採描述性研究法與個案對照研究法,利用自擬之海洛因用藥態度問卷及中國人健康問卷(CHQ) 收集資料,研究樣本全部為男性,其中用藥組為65人,配對控制年齡、教育程度之對照組為130人,共計195人。主要研究結果如下: 1.海洛因使用者之個人基本屬性之分佈,年齡以 20-30歲為主;教育程度集中在高中或高職;未婚者占多數,以閩南人為主;職業分佈在各個階層;大多有宗教信仰,但僅2人定期參加宗教活動;每月收入以貳萬到五萬元最多;有抽菸、喝酒嗜好者比例高;有犯罪前科者,占41.5%。使用者用藥以單用海洛因者為主,占41.2%;併用的非法藥物以安非它命為主;用藥方式以吸食為主,占72.3%:用藥經費的主要來源是工作所得;有戒藥經驗者占66.2%,其中76.7%的人斷藥時間在一個月以下;戒藥經驗者戒藥的困難依序為:身體不適、心理依賴、環境或朋友的影響。 2.海洛因使用者用藥態度分成三個層面探討。 (1)在知覺使用海洛因的危害方面:海洛因使用者同意使用藥物會造成的不良影響,依序為:心理健康負荷 (82.4%∼96.9%);家庭、社會造成傷害 (68.2%∼82.7%;身體健康的危害 (72.2%∼78.1%)。有抽菸嗜好者在此態度顯著的比無抽菸嗜好者負向。用藥組在知覺使用海洛因的危害顯著的比對照組得分偏低。 (2)在用藥有好處方面:同意用藥可增加能力以利工作進行者,占22.7%∼29.2%:同意用藥可使情緒穩定、感覺美好者,占46.2%∼67.7%。在用藥的合法性方面:同意用藥是個人自由行為者,占34.5%∼37.6%。用葯組顯著的比對照組更傾向葯是有好處及合法性的態度。 (3)在戒藥動機方面:同意自我信心與毅力是很重要者,占85.6%∼93.7%;同意戒藥成功與否受外界及藥物本身影響,而困難重重者,占48.2%∼43.9%。教育程度高者在戒藥動機的態度顯著的比教育程度低者高。用藥組的戒藥動機顯著的比對照組認為可戒藥的動機低。 3.海洛因使用者的心理健康狀況:以中國人健康問卷篩選海洛因使用者之健康狀況,有89.2%可能為心理健康狀況欠佳者,在症狀得分高低,依序為憂鬱、焦慮、社交障礙與身體化症狀。並且用藥組的心理健康狀況顯著的比對照組差。

English Abstract

The main purpose of this research is to understand the social and psychological characteristics of heroin users, drag histories and drug-using attitudes; to estimate mental health status of heroin users and the influential factors on drug-using attitudes and mental health status of heroin users; and, to compare the differences between heroin users and non-users on drug-using attitudes and mental health status. Purposive sampling and matched subjects designed was used in this study. A sample of 1.95 individuals was obtained. All of them are male. 65 of them are drug users, taken as the experimental group. Based on age and education, 130 non-users were selected as the control group. A heroin-using attitudes questionnaire and the "Chinese Health Questionnaire" were used to collect the data. The main findings are: 1.Characteristics of Heroin Users These heroin nsers are mainly 20 y/o to 30 y/o, high schools and technical or business high schools, single, Taiwanese. Their occupations contributed in different levls. Their income range from NT$20,000 to NT$50,000. High percentages of smoking and drinking, 41.5% have criminal records. 43.2% of them used only heroin. 52.0% of them also use amphetamine among other illicit drugs. Of drug use methods, 72.3% use sniffing and sucking. The main financial source is wages. 66.2% had tried quit before and 76.7% stopped for less than one month. The order in the degree of difficulty, while quitting are: physical sickness, psychological dependence and the influence of social context and friends. Ⅱ. Drug-Using Attitudes 1. Awareness of negative effects: Heroin users agreed that the negative effects of drug use where mental burden (82.4%-96.9%), damage to family and society (68.2%-82.7%) and hazard of health (72.2%-78.1%) . The smoking subjects where more likely to aware the negative effects of drug use. Drug users group got lower scores than the control group on the awareness of negative effects of drug use. 2. Benefits of drug use: 22.7% of the subjects believe that using drugs could enhance job performance; 46.2%-67.7% of them thought that drugs could stabilize their emotion and create wonderful feeling. 34.5%-37.6% of the subjects considered drugs use as a personal freedom. On this question, drug users got higher scores than controls. 3. Motivation of quitting: 85.6%-93.7% of the subjects agreed confidence and determination are very important in quitting. 48.2%-43.9% agreed that social context and side effects made quitting difficulty. Subjects with higher education had stronger motivation of quitting. Drug users' motivation of quitting is not as strong as the control group. Ⅲ. Mental Health Status of Heroin Users 89.2% of the subjects where in bad mental health status. The order of mental symptoms scores, from high to low, where: depression/poor family relationship, anxiety and worrying, social dysfnation and somatic symptoms. Furthermore, the metal health Stains of drug users is significantly worse than the control group.

Topic Category 醫藥衛生 > 社會醫學
護理學院 > 護理學系研究所
Reference
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Times Cited
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