ประสิทธิผลของการบำบัดรักษาผู้ป่วยยาเสพติดตามโปรแกรมจิตสังคมบำบัดแบบประยุกต์ โรงพยาบาลบ้านนา จังหวัดนครนายก : การศึกษาเชิงพรรณนาแบบตัดขวาง
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การวิจัยครั้งนี้เป็นการศึกษาเชิงพรรณนาแบบตัดขวางเพื่อศึกษาประสิทธิผลของการบำบัดรักษาครบถ้วนและปัจจัยที่สัมพันธ์กับผลการบำบัดรักษาครบถ้วนของผู้ป่วยยาเสพติดเสพติดที่ได้รับการบำบัดตามโปรแกรมจิตสังคมบำบัดแบบประยุกต์ ในโรงพยาบาลบ้านนา จังหวัดนครนายก ประชากรที่ศึกษาคือฐานข้อมูลผู้ป่วยยาเสพติดทั้งหมดของ โรงพยาบาลบ้านนา จังหวัดนครนายก ส่วนกลุ่มตัวอย่างที่สนใจศึกษาผู้ป่วยยาเสพติดที่เข้ารับการบำบัดรักษาและฟื้นฟูผู้ติดยาเสพติดโรงพยาบาลบ้านนา ระหว่างปี พ.ศ. 2562 - 2564 จำนวน 956 ราย วิเคราะห์ข้อมูลโดยใช้สถิติการวิเคราะห์การถดถอยโลจิสติกพหุ ผลการศึกษา พบว่า ผู้ป่วยยาเสพติดเข้ารับบำบัดตามโปรแกรมจิตสังคมบำบัดแบบประยุกต์ครบโปรแกรมร้อยละ 30 ปัจจัยที่สัมพันธ์กับการเข้ารับการบำบัดครบโปรแกรม ได้แก่ อายุ > 35 ปี พ่อแม่แยกกันอยู่ อายุที่เริ่มใช้ยามากกว่า 20 ปี และไม่เคยมีประวัติเข้ารับการบำบัดรักษายาเสพติด สรุปการศึกษาปัจจุบันพบว่า ผู้ป่วยยาเสพติดที่มีอายุตั้งแต่ 35 ปีขึ้นไป อายุเริ่มใช้ยามากกว่า 20 ปี และไม่เคยมีประวัติเข้ารับการบำบัดรักษายาเสพติดเป็นปัจจัยเพิ่มโอกาสให้ผู้ป่วยเข้ารับการบำบัดครบโปรแกรม ส่วนผู้ป่วยยาเสพติดที่มีประวัติพ่อแม่แยกทางกันเป็นปัจจัยเสี่ยงที่ส่งผลให้ผู้ป่วยเข้ารับการบำบัดไม่ครบโปรแกรม ดังนั้นผู้ป่วยยาเสพติดที่มีสถานะพ่อแม่แยกกันอยู่ควรได้รับการจัดการและหาทางเลือกในการรักษาที่เหมาะสม
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เอกสารอ้างอิง
Degenhardt L, Bucello C, Calabria B, Nelson P, Roberts A, Hall W, et al. What data are available on the extent of illicit drug use and dependence globally? Results of four systematic reviews. Drug Alcohol Depend. 2011;117(2 – 3):85 – 101.
Degenhardt L, Whiteford HA, Ferrari AJ, Baxter AJ, Charlson FJ, Hall WD, et al. Global burden of disease attributable to illicit drug use and dependence: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1564 – 74.
UNODC. World drug report 2022. Vienna: United Nations; 2022.
Pengpid S, Peltzer K. The prevalence and correlates of substance use disorders among patients of two different treatment settings in Thailand. Substance Abuse Treatment, Prevention, and Policy. 2021;16(1):10.
Angkurawaranon C, Jiraporncharoen W, Likhitsathian S, Thaikla K, Kanato M, Perngparn U, et al. Trends in the use of illicit substances in Thailand: Results from national household surveys. Drug Alcohol Rev. 2018;37(5):658 – 63.
Nachinaab J. The causes and effects of substance abuse in communities: A case study of Wli – Agorviefe in the Hohoe Ahado District of the Volta Region. SSRN Electronic Journal 2018.
Daley DC. Family and social aspects of substance use disorders and treatment. J Food Drug Anal. 2013;21(4):S73 – 6.
NIDA. Addiction and Health. National Institute on Drug Abuse 2022 [updated 2022 March 22, [cited 2023 May 21]. Available from: https://nida.nih.gov/publications/drugs–brains–behavior–science–addiction/addiction–health. (in Thai)
Viola TW, Orso R, Florian LF, Garcia MG, Gomes MGS, Mardini EM, et al. Effects of substance use disorder on oxidative and antioxidative stress markers: A systematic review and meta – analysis. Addict Biol. 2023;28(1):e13254.
Bachi K, Sierra S, Volkow ND, Goldstein RZ, Alia – Klein N. Is biological aging accelerated in drug addiction? Curr Opin Behav Sci. 2017;13:34 – 9.
Volkow ND, Michaelides M, Baler R. The Neuroscience of Drug Reward and Addiction. Physiol Rev. 2019; 99(4): 2115 – 40.
Ministry of Justice. National Council for Peace and Order issue 87/2557 2022 [cited 2022 January 7]. Available from: https://www.moj.go.th/view/50143. (in Thai)
Nitayawan S, Rungsiwaroj N, Phajuy A. The process of treatment among drug dependent patient. Journal of Nurses Association of Thailand Northern Office 2018; 24(1): 15 – 27. (in Thai)
Götestam KG, Melin L, Öst L – G. Behavioral techniques in the treatment of drug abuse: An evaluative review. Addictive Behaviors. 1976; 1(3): 205 – 25.
Ghasemnezhad S, Ghasemian D, Gheitarani B, Ghorbani F, Ghahari S. The Effectiveness of matrix treatment to relapse prevention and increase self – efficacy in People Withdrawing Methamphetamine. International Journal of Medical Research and Health Sciences 2016;5:340 – 5.
Rattanasumawong W, Kalayasiri R, Saengcharnchai P. Current Models of addiction and controversy. Journal of the Psychiatric Association of Thailand 2018; 63(3): 295 – 306. (in Thai)
Bureau of Mental Health Service Administration – Department of Mental Health. A handbook of treatment and rehabilitation of co – occurring disorders. 1, editor. Bangkok: Dee Na Doo media plus company limited; 2021. (in Thai)
Degenhardt L, Bucello C, Calabria B, Nelson P, Roberts A, Hall W, et al. What data are available on the extent of illicit drug use and dependence globally? Results of four systematic reviews. Drug Alcohol Depend. 2011;117(2 – 3):85 – 101.
Degenhardt L, Whiteford HA, Ferrari AJ, Baxter AJ, Charlson FJ, Hall WD, et al. Global burden of disease attributable to illicit drug use and dependence: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1564 – 74.
UNODC. World drug report 2022. Vienna: United Nations; 2022.
Pengpid S, Peltzer K. The prevalence and correlates of substance use disorders among patients of two different treatment settings in Thailand. Substance Abuse Treatment, Prevention, and Policy. 2021;16(1):10.
Angkurawaranon C, Jiraporncharoen W, Likhitsathian S, Thaikla K, Kanato M, Perngparn U, et al. Trends in the use of illicit substances in Thailand: Results from national household surveys. Drug Alcohol Rev. 2018;37(5):658 – 63.
Nachinaab J. The causes and effects of substance abuse in communities: A case study of Wli – Agorviefe in the Hohoe Ahado District of the Volta Region. SSRN Electronic Journal 2018.
Daley DC. Family and social aspects of substance use disorders and treatment. J Food Drug Anal. 2013;21(4):S73 – 6.
NIDA. Addiction and Health. National Institute on Drug Abuse 2022 [updated 2022 March 22, [cited 2023 May 21]. Available from: https://nida.nih.gov/publications/drugs–brains–behavior–science–addiction/addiction–health. (in Thai)
Viola TW, Orso R, Florian LF, Garcia MG, Gomes MGS, Mardini EM, et al. Effects of substance use disorder on oxidative and antioxidative stress markers: A systematic review and meta – analysis. Addict Biol. 2023;28(1):e13254.
Bachi K, Sierra S, Volkow ND, Goldstein RZ, Alia – Klein N. Is biological aging accelerated in drug addiction? Curr Opin Behav Sci. 2017;13:34 – 9.
Volkow ND, Michaelides M, Baler R. The Neuroscience of Drug Reward and Addiction. Physiol Rev. 2019; 99(4): 2115 – 40.
Ministry of Justice. National Council for Peace and Order issue 87/2557 2022 [cited 2022 January 7]. Available from: https://www.moj.go.th/view/50143. (in Thai)
Nitayawan S, Rungsiwaroj N, Phajuy A. The process of treatment among drug dependent patient. Journal of Nurses Association of Thailand Northern Office 2018; 24(1): 15 – 27. (in Thai)
Götestam KG, Melin L, Öst L – G. Behavioral techniques in the treatment of drug abuse: An evaluative review. Addictive Behaviors. 1976; 1(3): 205 – 25.
Ghasemnezhad S, Ghasemian D, Gheitarani B, Ghorbani F, Ghahari S. The Effectiveness of matrix treatment to relapse prevention and increase self – efficacy in People Withdrawing Methamphetamine. International Journal of Medical Research and Health Sciences 2016;5:340 – 5.
Rattanasumawong W, Kalayasiri R, Saengcharnchai P. Current Models of addiction and controversy. Journal of the Psychiatric Association of Thailand 2018; 63(3): 295 – 306. (in Thai)
Bureau of Mental Health Service Administration – Department of Mental Health. A handbook of treatment and rehabilitation of co – occurring disorders. 1, editor. Bangkok: Dee Na Doo media plus company limited; 2021. (in Thai)
Degenhardt L, Bucello C, Calabria B, Nelson P, Roberts A, Hall W, et al. What data are available on the extent of illicit drug use and dependence globally? Results of four systematic reviews. Drug Alcohol Depend. 2011;117(2 – 3):85 – 101.
Degenhardt L, Whiteford HA, Ferrari AJ, Baxter AJ, Charlson FJ, Hall WD, et al. Global burden of disease attributable to illicit drug use and dependence: findings from the Global Burden of Disease Study 2010. Lancet. 2013;382(9904):1564 – 74.
UNODC. World drug report 2022. Vienna: United Nations; 2022.
Pengpid S, Peltzer K. The prevalence and correlates of substance use disorders among patients of two different treatment settings in Thailand. Substance Abuse Treatment, Prevention, and Policy. 2021;16(1):10.
Angkurawaranon C, Jiraporncharoen W, Likhitsathian S, Thaikla K, Kanato M, Perngparn U, et al. Trends in the use of illicit substances in Thailand: Results from national household surveys. Drug Alcohol Rev. 2018;37(5):658 – 63.
Nachinaab J. The causes and effects of substance abuse in communities: A case study of Wli – Agorviefe in the Hohoe Ahado District of the Volta Region. SSRN Electronic Journal 2018.
Daley DC. Family and social aspects of substance use disorders and treatment. J Food Drug Anal. 2013;21(4):S73 – 6.
NIDA. Addiction and Health. National Institute on Drug Abuse 2022 [updated 2022 March 22, [cited 2023 May 21]. Available from: https://nida.nih.gov/publications/drugs–brains–behavior–science–addiction/addiction–health. (in Thai)
Viola TW, Orso R, Florian LF, Garcia MG, Gomes MGS, Mardini EM, et al. Effects of substance use disorder on oxidative and antioxidative stress markers: A systematic review and meta – analysis. Addict Biol. 2023;28(1):e13254.
Bachi K, Sierra S, Volkow ND, Goldstein RZ, Alia – Klein N. Is biological aging accelerated in drug addiction? Curr Opin Behav Sci. 2017;13:34 – 9.
Volkow ND, Michaelides M, Baler R. The Neuroscience of Drug Reward and Addiction. Physiol Rev. 2019; 99(4): 2115 – 40.
Ministry of Justice. National Council for Peace and Order issue 87/2557 2022 [cited 2022 January 7]. Available from: https://www.moj.go.th/view/50143. (in Thai)
Nitayawan S, Rungsiwaroj N, Phajuy A. The process of treatment among drug dependent patient. Journal of Nurses Association of Thailand Northern Office 2018; 24(1): 15 – 27. (in Thai)
Götestam KG, Melin L, Öst L – G. Behavioral techniques in the treatment of drug abuse: An evaluative review. Addictive Behaviors. 1976; 1(3): 205 – 25.
Ghasemnezhad S, Ghasemian D, Gheitarani B, Ghorbani F, Ghahari S. The Effectiveness of matrix treatment to relapse prevention and increase self – efficacy in People Withdrawing Methamphetamine. International Journal of Medical Research and Health Sciences 2016;5:340 – 5.
Rattanasumawong W, Kalayasiri R, Saengcharnchai P. Current Models of addiction and controversy. Journal of the Psychiatric Association of Thailand 2018; 63(3): 295 – 306. (in Thai)
Bureau of Mental Health Service Administration – Department of Mental Health. A handbook of treatment and rehabilitation of co – occurring disorders. 1, editor. Bangkok: Dee Na Doo media plus company limited; 2021. (in Thai)
Supawong A. The effectiveness of modified matrix program drug treatment of Thungsong Hospital. Journal of Research in Nursing – Midwifery and Health Sciences 2016;36(4):160 – 70. (in Thai)
Inpa C, Sriprasert P. Factors affecting complete treatment of addiction patients in Tak Province. Lanna Public Health Journal 2021; 17(2): 91 – 100. (in Thai)
Chaladthanyakij J, Meekrong M, Chaonoi P, Tongplub N, Dechboriboon B, Iemrod Kp, et al. Factors associated with treatment success among substance abusers in Tak Province, Fiscal Year 2012. Lampang Medical Journal 2014; 35(1): 11 – 9. (in Thai)
Iamsukwat K, Satthapis S. The effectiveness of drug addiction treatmentof 8 sessions modified matrix model. Primary Health Care Journal (Northeastern Edition.) 2022; 37(2): 48 – 61. (in Thai)
Buakruen P. Best Practice on the topic of being far away. But our hearts are not apart. Oral presentation of academic work 7th Seminar and Exchange of Knowledge on Health Service System Development (Service Plan Sharing), Fiscal Year 2021, Ministry of Public Health, Centra by Centara Hotel Government and Convention Center Bangkok:2020. (in Thai)
Supawong A. The effectiveness of modified matrix program drug treatment of Thungsong Hospital. Journal of Research in Nursing – Midwifery and Health Sciences 2016;36(4):160 – 70. (in Thai)
Inpa C, Sriprasert P. Factors affecting complete treatment of addiction patients in Tak Province. Lanna Public Health Journal 2021; 17(2): 91 – 100. (in Thai)
Chaladthanyakij J, Meekrong M, Chaonoi P, Tongplub N, Dechboriboon B, Iemrod Kp, et al. Factors associated with treatment success among substance abusers in Tak Province, Fiscal Year 2012. Lampang Medical Journal 2014; 35(1): 11 – 9. (in Thai)
Iamsukwat K, Satthapis S. The effectiveness of drug addiction treatmentof 8 sessions modified matrix model. Primary Health Care Journal (Northeastern Edition.) 2022; 37(2): 48 – 61. (in Thai)
Buakruen P. Best Practice on the topic of being far away. But our hearts are not apart. Oral presentation of academic work 7th Seminar and Exchange of Knowledge on Health Service System Development (Service Plan Sharing), Fiscal Year 2021, Ministry of Public Health, Centra by Centara Hotel Government and Convention Center Bangkok:2020. (in Thai)
