ประสิทธิผลของการใช้โปรแกรมการฝึกควบคุมพฤติกรรมตนเองและการติดตามทางโทรศัพท์ในผู้ป่วยที่มีความผิดปกติจากการใช้สารแอมเฟตามีนในโรงพยาบาลภายใต้เขตบริการสุขภาพของ สถาบันกัลยาณ์ราชนครินทร์

Abstract

Amphetamine use disorders are a national and global problem affecting individuals, families, society, and the nation. Therefore, treatment to reduce or stop use of amphetamines is essential. The purpose of this study was to examine the effectiveness of the Behavioral Self-Control Training and Telephone Follow-Up Program on patients with amphetamines use disorders during treatment at Ratchaburi Hospital's psychiatric ward in Ratchaburi province from June to August 2023. The 46 participants were purposively selected and included 20 persons with amphetamine use disorders, 20 relatives or caregivers of persons with amphetamine use disorders, and 6 nursing personnel teams. The instruments used in this study included 1) self-behavior training and phone tracking programs for patients with amphetamine use disorders, 2) a personal information questionnaire, 3) an amphetamine use assessment, and 4) satisfaction evaluation of treatment programs and treatment program tools done through five qualified candidates. Analysis of data was done using descriptive statistics The results of this study revealed that: 1. After four weeks of attending the behavioral self-control training and telephone follow-up program, patients with amphetamine use disorders decreased their amphetamine use scores from 124 points to 12 points. Abstinence days increased from 5 days in 2 weeks to 10 days in 2 weeks. 2. All members of the nursing personnel teams were satisfied with the implementation of the program, agreeing that it was beneficial to the amphetamine use disorder patients and their caregivers and that it could be combined with routine works, and there was overall satisfaction with the program as implementation. 3. All persons with amphetamine use disorders who participated in the program agreed that it helped reduce their amphetamine use, stopped them using amphetamines, and was satisfaction with the program. 4. All relatives or caregivers of persons with amphetamine use disorders who participated in the program were satisfied with all aspects. They felt that this program benefited patients and relatives or caregivers, and was satisfaction with the program. The study findings indicated that all patients could change their amphetamine use disorder behavior in a positive direction while the average score, both for days of amphetamine use and days stopping were reduced. The nursing personnel team was satisfied with the program. Therefore, implementing behavioral self-control training and telephone follow-up programs among patients with amphetamine use disorders should be offered to people in this population. These programs can continue to be used and expanded in secondary hospitals.