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    題名: 海洛因濫用者之愛滋病盛行率與醫療模式之形成與介入
    其他題名: The HIV Prevelance and Treatment Model among Heroin Abuser
    作者: 黃介良(Chieh-Liang Huang);王任賢(Jen-Hsien Wang);廖光福(Kuan-Fu Liao);吳博倫(Po-Lun Wu)
    貢獻者: 醫學院醫學系學士班精神醫學科;中國附醫精神醫學部
    關鍵詞: 愛滋病;海洛因;介入模式;HIV;heroin;intervention model
    日期: 2005-12-31
    上傳時間: 2009-09-01 16:26:53 (UTC+8)
    摘要: 毒品使用,特別是海洛因,一直是公共衛生最嚴重以及花費社會成本最大之問題,其中最危險得問題來自於血液傳染疾病:愛滋病、B型及C型肝炎。在台灣,感染人類免疫缺乏病毒者到民國93年11月累積共有7044人,發病人數1890人;其中在累積個案中因毒癮引起之佔7.62%,但是毒癮引起人類免疫缺乏病毒感染卻逐年之增加,93年11月中新增個案毒癮引起高達37%。在美國2001年疾病管制局之統計,而共用針頭等危險行為是主要之傳染途徑,此外毒品使用者通常有較高之精神病理,也較容易有認知功能及社會及經濟問題;如何增加毒品使用者之安全行為是非常困難但又是非常重要的。本計劃第一年藉由整合現有醫院之資源,形成一個對於毒品使用者之醫療介入網絡,並了解及血液傳染疾病:愛滋病、B型及C型肝炎,以及身體及精神狀態,收案 60名;將並進一步了解其生活品質及對醫療之需求,藉以調整醫療網絡之服務,期待減少血液傳染疾病之影響及擴散;第二年,在醫院網絡形成之後,主動介入並研究毒品使用者假釋者,收案60名,並推廣及教育醫療介入之優點,並分析未接受醫療介入之毒品使用者,以改善推廣之方式,期待藉著有限即可接近之族群,發展出較理想之模式,加強毒品使用者之接受度,降低社區族群血液傳染疾病之影響及擴散。

    Heroin abuse is a major public health concern, with individuals risked with blood-borne disease as hepatitis B, C and HIV infection. There are 1840 among 7044 HIV infection who were heroin abuse, and the rate is still increasing. As the investigation of CDC of USA, the most risk behavior related HIV is share injection needle and unsafe sexual behavior. The HIV infected patient had more prevalence of psychiatric disease as major depression and anxiety and impaired of cognitive function and difficulty on social and economic problems. There are the major concerns of prevention of HIV among heroin abuser on community. This is a 2-year proposal on study of prevalence of HIV for heroin abuse patients among hospital and community. We will enroll 120 (60 in hospital on 1st year, 60 in community) adult patients. All parts of this research will start after being approved by the Institution Review Board in study sites. Psychopathologic determinations (psychometric scores of Hamilton Rating Scale for Depression (HRSD), the 21-item Beck Depression Inventory (BDI), the 21-item Beck Anxiety Inventory (BAI), the Beck Suicide Scale (BSS), the 28-item WHO Quality of Life Scale (WHO-QOL-28) and the SCID(Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, fourth edition) ), quantitative interview to illness attitude to HIV and heroin use will be obtained and every years. We looking forward to develop a HIV treatment model on hospital base and will extended to community. We also expected to have important result on the major journal.
    顯示於類別:[醫學系] 研究計畫

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