Evaluation of Knowledge, Attitude towards Drug Use and Drug Therapy in Drug Treatment Program at Sawanpracharak Hospital, Nakhonsawan

Abstract

Objective    : 1) To evaluated and reinforce harm knowledge of drug abused patients and to compare harm knowledge attitude over the use of drugs before and after drugs therapy. 2) To study the correlation between harm knowledge and attitude on using drugs therapy. 3) To study the following rate of relapse and retention rate of drugs abused patient in 1 year

Methods     : Methodology was Experimental research (One group pretest- posttest design), by correcting pretest score of harm knowledge, attitude over using of drugs and drugs therapy in pre-drug therapy phase to CNS stimulant drug abused patient with no psychiatric problem treated in matrix program therapy during 25 Jan 2020 to 24 Jan 2021 at department of psychiatric & Nacotics, Sawanpracharak Hospital. Having improved harm knowledge over patients in 1^st, 8^th and 16^th weeks during 4 months of therapy, post-test score of harm knowledge, attitude use of drugs and attitude of drugs therapy in rehabilitation phase when the finished program, paired samples t-test and Pearson Product Moment Correlation Coefficient were used. followed rate of no relapse and retention rate of drugs abused patients 1 year later, during January 25, 2021- January 24, 2022.                    

Results        : 71 cases who completed the program therapy were significant in pre-test and post-test of harm knowledge (  9.25±2.73 and 12.58±2.10, P<0.001) and score of each item was most increased. Compare pretest, In part of attitude of the benefits of drugs was significant (  18.27±6.24 and 14.62±6.53, P<0.001), and in part of attitude of drug demand was significant too (  9.92±5.21 and 8.01±4.49, P=0.009). Except, part of attitude to health effect of drug used, financial and family impact were not significant (  13.52±1.40 and 13.86±1.49, P=0.098). Correlation of harm knowledge and attitude of rehabilitation phase were significant (P=0.017). Correlation between part of attitude of the benefits of drugs and attitude of rehabilitation phase were significant (P<0.001). The attitude of drug demand was significant (P=0.025), and inverse direction by attitude for using of drugs was decreased but attitude of rehabilitation phase was increased. Patients who were with high score of harm knowledge no relapse in 1 year after 96.8%, In middle score group no relapse 66.7%. Following 1 year, the patients were not relapse 93.0% (2021, 80.5%) and retention rate 76.3% (2021, 58.1%). (KPI of Ministry of Public Health in 2021 were 55%)

Conclusion  : This research was highly efficacy, the drugs abused patients gained more knowledge of drugs harm whereas the attitude towards drugs using decreased. Moreover, the attitude of rehabilitation phrase, no relapse and retention rate increased. Good result after 1 year surveillance. The key performance indicator of Ministry of Public Health was reached and the nation’s drugs problem was reduced. The model should be suggested throughout the country.