Satisfaction of Amphetamine and Heroin Users with Treatment Received for Drug Abuse-Comparison between Hospitals and Christian Facilities

安非他命與海洛因使用者對藥物戒治之滿意度研究－醫院與基督教戒治機構的比較

鄧光銳(Kwong-Yui Tang) ； 潘志泉(Chih-Chuan Pan) ； 蔡春美(Chun-Mei Tasi) ； 徐偉成(Woei-Cherng Shyu) ； 屈蓮(Lian Chiu)

《醫護科技學刊》 4卷3期 (2002/07) Pp. 250-264

https://doi.org/10.6563/TJHS.2002.4(3).5

摘要

當藥物濫用之嚴重性與日遽增時，其戒治工作的重要性也相對增加，因此戒治工作的品質亦被強調。本研究之目的乃在於測量使用藥物戒治服務的個案，對醫院與基督教藥物戒治工作之滿意度，來瞭解戒治工作的品質。
本研究之受訪者為133使用醫院與55位使用基督教藥物戒治服務的個案，所收集的資料包括：個案的人口學特質、對生活的滿意度、使用藥物的時間、對於用藥的態度、接受藥物戒治的意願。對藥物戒治的滿意度乃於出院或離村的前一天測量，測量工具為“戒治滿意度量表”，其內在一致性為0.84，滿意度以Five-point Likert Scale計算。
接受基督教藥物戒治服務的個案的滿意度較高，但無論是醫院或基督教機構的戒治個案均有下列之反應：感到被關起來、沒有獨處的空間、因為沈寂的氣氛而感到心情不好。個案對用藥的態度顯著地影響其對戒治服務的滿意度。
改善硬體空間與氣氛是戒治機構的首要任務，醫院更需要在這方面作努力。衛教應包含在戒治工作中，以改變用藥態度為重點。

關鍵字

藥物濫用 ； 滿意度 ； 藥物戒治

並列摘要

Given the escalating demand for drug abuse treatment, it is vital to assess the quality of such treatment. This study was designed to examine the quality of drug abuse treatment by comparing patient’s satisfaction with treatment in hospital-based and Christian residential treatment programs in Taiwan.
Patients were receiving treatment in hospitals (n=133) and in Christian Abstinence Centers (n=53). Data on the patients’ sociodemographic characteristics, life satisfaction,duration of drug use, attitude toward drug abuse, and willingness to undergo treatment were recorded. Their satisfaction with the treatment received was measured on the day before the discharge using the “Treatment Satisfaction Scale”. The internal consistency of this scale is 0.84. Responses to questions were scored on a five-point Likert scale.
Patients who were treated in the Christian programs were inclined to be more satisfied with the treatment. Both the hospitalized patients and those interviewed in the Christian facilities described that they felt imprisoned, that they had no place to be alone, and were in a bad mood because of the dull atmosphere. Their attitude toward drug abuse significantly affected their satisfaction with the treatment received.
Improvements to the physical environment and atmosphere should be made by institutions treating drug abuse, especially hospitals.

並列關鍵字

drug abuse ； satisfaction ； treatment for drug abuse

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