海洛因成癮者接受替代治療出席率低改善方案

A Project for Improving Low Attendance Rates of the Replacement Therapy of Heroin Addicts

王木蘭(Mu-Lan Wang) ； 林秀玲(Hsin-Ling Ling) ； 金玉華(Yu-Hua Chin)

《志為護理-慈濟護理雜誌》 15卷4期 (2016/08) Pp. 62-73

摘要

背景：海洛因成癮會衍生複雜的個人、家庭、治安及公共衛生問題，通常使用替代治療來達成長期治療目的，然而最大困難是治療後有很高的治療流失率與復發率。目的：提升海洛因成癮者接受替代治療出席率為90%，使藥癮者獲得最佳治療效果，改善治療流失率與復發率。方法：修訂電話追蹤作業規範、制定出席率管理作業及可近性給藥時段並積極推動丁基原啡因藥物。結果：出席率由88.1%提升至91.67%，持續追蹤可再提升到93.23%。結論/實務應用：本專案藉由修訂電話追蹤流程、增強個案的正確認知、制定出席率管理作業及提升服藥可近性，來促進藥癮者接受替代治療意願，達到最佳治療效果。

關鍵字

海洛因成癮者 ； 替代治療 ； 出席率

並列摘要

Background: Heroin addiction is associated with various individual, social and public health problems. Replacement therapy has been implemented to achieve long-term abstinence efficacy. However, the main obstacles for successful replacement therapy are low retention rate and high relapse rate. Purpose: Our aim is to increase the attendance rate of replacement therapy to 90% and above in order to attain optimal treatment efficacy, higher retention rate and lower relapse rate. Methods: We achieved this goal by revising the protocol of telephone follow-up, by implementing attendance monitoring system and by prolonging the service hours, In addition, alternative treatment with buprenorphine was encouraged. Result: The attendance rate increased from 88.1% to 91.67% within ten months, followed by increasing to 93.23% in the next four months. Conclusion / Implications for practice: Our project suggested using telephone follow-up actively, improving participants' cognition, implementing attendance monitoring system and increasing accessibility to replacement therapy can enhance the abstinence motivation of individuals with heroin addiction to obtain optimal treatment effect.

並列關鍵字

attendance rate ； heroin addict ； replacement therapy