Drug rehabilitation

药物康复
  • 文章类型: Journal Article
    这项研究的目的是调查健康气功(HQ)锻炼对在强制性药物康复住宿机构接受治疗的男性药物滥用患者的主观和客观睡眠质量以及生活质量的影响。
    90名男性患者(平均年龄,包含36.85±8.72y),并随机分为健身气功(HQ)组,有氧运动(AE)组,或对照组。总部和AE组的参与者每周锻炼四次,每次1小时,持续12周,对照组保持原有的生活方式。运动前后记录以下参数:匹兹堡睡眠质量指数(PSQI);SF-36;和总睡眠时间,睡眠效率,睡眠潜伏期,深度睡眠时间,深度睡眠率,浅睡眠时间,和使用活动描记术的浅睡眠率。
    健身气功提高了主观睡眠质量,客观睡眠质量,和12周干预后的生活质量。考虑到主观睡眠质量,健身气功帮助改善了PSQI的几个方面,包括整体睡眠质量(p<0.01),睡眠潜伏期(p<0.01),睡眠时间(p<0.01),睡眠潜伏期(p<0.01),睡眠障碍(p<0.01),和日间功能障碍(p<0.01)。关于客观的睡眠质量,健身气功提高了总睡眠时间(p<0.01),睡眠效率(p<0.01),睡眠潜伏期(p<0.01),深浅睡眠率(p<0.01)。考虑到生活质量,健身气功有助于提高身体的作用(p<0.01),一般健康状况(p<0.01),身体疼痛(p<0.01),和心理健康方面(p<0.01)SF-36。
    健身气功可能是改善药物滥用患者主观和客观睡眠质量和生活质量的有效途径。
    UNASSIGNED: The aim of this study was to investigate the effect of Health Qigong (HQ) exercise on the subjective and objective sleep quality and the quality of life in male patients with drug abuse who received treatment at a mandatory drug rehabilitation residential institution.
    UNASSIGNED: Ninety male patients (mean age, 36.85 ± 8.72 y) were included and randomly divided into the Health Qigong (HQ) group, aerobic exercise (AE) group, or control group. The participants in the HQ and AE groups exercised four times a week for 1 hour per session for 12 weeks, while the control group maintained their original lifestyle. The following parameters were recorded before and after exercise: Pittsburgh Sleep Quality Index (PSQI); SF-36; and total sleep time, sleep efficiency, sleep latency, deep sleep time, deep sleep rate, light sleep time, and light sleep rate using actigraphy.
    UNASSIGNED: Health Qigong improved the subjective sleep quality, objective sleep quality, and quality of life after a 12-week intervention. Considering the subjective sleep quality, Health Qigong helped improve several aspects of the PSQI, including the overall sleep quality (p < 0.01), sleep latency (p < 0.01), sleep duration (p < 0.01), sleep latency (p < 0.01), sleep disturbance (p < 0.01), and day dysfunction (p < 0.01). In relation to the objective sleep quality, Health Qigong improved the total sleep time (p < 0.01), sleep efficiency (p < 0.01), sleep latency (p < 0.01), deep and light sleep rate (p < 0.01). Considering the quality of life, Health Qigong helped improve the role-physical (p < 0.01), general health (p < 0.01), bodily pain (p < 0.01), and mental health (p < 0.01) aspects of SF-36.
    UNASSIGNED: Health Qigong may be an effective approach to improve the subjective and objective quality of sleep and life quality of patients with drug abuse.
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  • 文章类型: Journal Article
    This study examines the biopsychosocial predictors of drug use and dependence among Filipino drug users enrolled in community-based drug rehabilitation. Data from 925 clients revealed that the severity of drug use, cigarette and alcohol use, recovery skills, and mental health problems predict drug dependence. Family support, life skills, and psychological well-being are indirect predictors of severity of use. Results also revealed differences in predictors by sex, level of use, and type of clients. These findings highlight the importance of a client-centered approach to treatment and suggest what might be critical elements in a community-based drug rehabilitation program in the Philippines.
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  • 文章类型: Journal Article
    BACKGROUND: The concentration levels of major and trace elements are significantly correlated with human health. However, studies profiling major and trace elements among female using methamphetamine are rare. This study aims to investigate the major and trace elements changes and discover elemental biomarkers in plasma of female methamphetamine (METH) addicts in six months\' compulsory treatment.
    METHODS: A total of 60 female METH addicts selected from drug rehabilitation center were randomly divided into three equal groups: (1) Detoxification for one month; (2) Detoxification for three months; (3) Detoxification for six months. Twenty healthy women, without drug abuse history were selected as control group. Four major elements including Na, Mg, K, Ca and twelve trace elements including V, Cr, Mn, Fe, Ni, Cu, Zn, As, Se, Mo, Sn, Pb were determined using inductively coupled plasma mass spectrometry (ICP-MS). The results were analyzed using One-way Analysis of Variance (ANOVA) and Student-Newman-Keuls (SNK test). Elemental biomarkers were discovered based on orthogonal partial least squares discriminant analysis (OPLS-DA).
    RESULTS: The four groups used in the study were divided into four significant sections according to scatter plots. The total elemental concentrations of three METH withdrawal groups were increased compared to the control group. Over six months, element contents of the withdrawal groups gradually equaled element contents of the control group in compulsory treatment. The variable importance in the projection values (VIP > 1) of OPLS-DA model and SNK test (p < 0.05) revealed Fe, Cu, Cr and Se as elemental biomarkers.
    CONCLUSIONS: Major and trace elements demonstrated significant differences between control group and three METH withdrawal groups. Fe, Cu, Cr and Se are potential elemental biomarkers among METH-abused female groups. Metabolic disorders of major and trace elements exist in the female methamphetamine addicts.
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  • 文章类型: Journal Article
    当前的研究趋势正在朝着承认积极心理学在理解个人应对问题的潜力方面的重要性和贡献的方向发展。共享数据用于探索马来西亚戒毒康复中心吸毒者的自我控制与希望之间的关系。自我控制由六个维度概念化:冲动,简单的任务,寻求风险,身体活动,自我中心,和脾气。对希望的测量包括三个维度:认知时间,关联-上下文,和情感行为。来自马来西亚半岛戒毒康复中心的共244名客户被随机选择参加数据收集。观察到冲动性的自我控制维度之间存在显着相关性,简单的任务,自我中心和希望的脾气。在寻求风险或身体活动与希望之间没有观察到显着的相关性。这些数据有助于为吸毒者制定治疗和康复计划提供信息。总的来说,数据显示,将自我控制纳入康复模块的重要性,以增加吸毒者在打击吸毒成瘾方面的希望。研究人员和从业人员可以使用这些数据来进一步了解积极心理学变量在发展和推进当前关于药物成瘾的经验理解和知识方面的作用。
    Current research trends are moving towards acknowledging the significance and contributions of positive psychology in understanding the potential of individuals coping with problems. The shared data were used to explore the relations between self-control and hope among drug addicts in drug rehabilitation centers in Malaysia. Self-control was conceptualized by six dimensions: impulsivity, simple tasks, risk seeking, physical activities, self-centeredness, and temper. The measurement of hope included three dimensions: cognitive-temporal, affiliative-contextual, and affective-behavioral. A total of 244 clients from drug rehabilitation centers in Peninsular Malaysia were randomly selected to participate in the data collection. Significant correlations were observed between the self-control dimensions of impulsivity, simple tasks, self-centeredness and temper with hope. No significant correlation was observed between risk seeking or physical activities with hope. The data are useful in providing information towards developing treatment and rehabilitation programs for drug addicts. In general, the data showed the importance of incorporating self-control in rehabilitation modules to increase hope among drug addicts in their effort to combat drug addiction. The data can be used by researchers and practitioners to further understand the role of positive psychology variables in developing and advancing current empirical understanding and knowledge about drug addiction.
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  • 文章类型: Journal Article
    This paper examines: (1) The demographic characteristics of different marital statuses of drug dependents; (2) differences in exercise attitudes and family function by marital status; and (3) if family function factors correlated with exercise attitudes and if exercise attitude factors correlated with family function. Multivariate analyses of variance (MANOVAs) revealed significant differences in drug dependents\' exercise attitudes between married and single groups (p < 0.05) and the married and \"other\" groups (p < 0.01). Furthermore, we observed significant differences in drug dependents\' family function between married and single groups (p < 0.01) and married and other groups (p < 0.05). Regression analyses indicated that communication [Fchange(1,1791) = 137.819; p < 0.001] was a significant positive predictor for drug dependents\' exercise attitude, accounting for 7.1% of the observed variance. Moreover, 50% of the variance was explained by willingness [Fchange(1,1791) = 850.49, p < 0.001] and control [Fchange(1,1790) = 141.415, p < 0.001], which were two significant predictors of drug dependents\' family function. Findings of this study were: (1) Exercise attitude and family function of married drug dependents were better than single drug dependents and other marital status addicts; (2) communication was observed as a factor of family function that correlated with exercise attitude; and (3) willingness was related with family function.
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  • 文章类型: Journal Article
    Background Poisoning with methadone is considered dangerous and fatal, which can lead to decreased consciousness, coma, apnea and eventually death. Aims The present study was conducted to evaluate the effect of educating the clients of rehabilitation (rehab) centers on the frequency of methadone poisoning among children. Methods In the present semi-experimental study, the study population included all of the clients referred to the rehab centers in an urban area of Iran who received treatment with methadone. Samples were selected using the census method. The data gathering tool was a researcher-made questionnaire of which the content validity has been approved. To perform the educational program, educational brochures were distributed among all the rehab centers (33 centers) and one face-to-face educational session was conducted at each center. Six months after the intervention, the number of under 12 year-old children who were referred to hospital with methadone poisoning was calculated and compared to the same number from the 6 months prior to the study. Data were analyzed using SPSS 18. Results According to the results, the number of methadone poisonings during the 6-month period prior to the study was 29, while the same number during the 6-month period after the intervention was 9. Fisher\'s exact test showed a significant difference between the number of methadone poisonings before and after the intervention (p < 0.001). Conclusion The increased level of knowledge among the parents referred to rehab centers could decrease the rate of poisoning among their children. Therefore, performing this educational program is recommended for all the rehab centers.
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  • 文章类型: Case Reports
    Medical and ethical dilemmas surrounding endocarditis and cardiac valve replacements related to intravenous drug use have been described often. Less well-described are dilemmas associated with pacemaker implantation in such patients. We describe a patient with a substance use disorder for whom a pacemaker was medically indicated.
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  • 文章类型: Letter
    In Hong Kong, methadone maintenance treatment (MMT) was launched in the 1970s, almost 30 years before the counterpart programme\'s inauguration in Mainland China. Both were established in response to perceived public crises-addiction-related crime and HIV outbreak, respectively-and both are now regular services under two systems in the same country. Effectiveness of MMT in achieving the stated goals was evident in each case and provides useful lessons on strategies for dealing with the varied concerns related to illicit drug use. Today, with changing patterns of drug addiction, increasing competition for resources, and changing attitudes towards addiction and its treatment, the two MMT systems are confronted with similar challenges to achieve sustainability.
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