Volume 64, Issue 10 (2 2006)                   Tehran Univ Med J 2006, 64(10): 54-59 | Back to browse issues page

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Abdollahi M.H, Forouzan S.KH, Zahreh S. Demografic characteristics of opioid addiction in patients undergoing Coronary Artery Bypass Graft. Tehran Univ Med J 2006; 64 (10) :54-59
URL: http://tumj.tums.ac.ir/article-1-887-en.html
Abstract:   (6589 Views)
Background: According to some previous reports prevalence of addiction estimated to be 3٪ in Iran. One of the most important key points about addiction is the identification of predisposing factors for starting substance use. False general believes can play important roles in this regard. This study evaluated the demographic characteristics of opioids addiction and the visions of them about the effect of opioids on their cardiac diseases.
Methods: This cross-sectional analytical study intended to evaluate situation of opiate dependency among 1329 CABG patients in Yazd Afshar hospital based on criteria of the diagnostic and statistical manual of mental disorders, Fourth edition (DSM-IV).Data were collected from each subject by a self report questionnaire and structured interview and was analyzed using chi-square and ANOVA and MC nemar test. P<0.05 was determined significant.
Results: The data were gathered from 1329 CABG patients (945 men and 384 women). In addition 131 patients (9.9%) containing 127 men (98.9%) and 4 women (1.1%) were opium dependent based on DSM-IV criteria. Mean age of opium dependent group was significantly higher than non-dependent patients (58.5 ± 10.08 VS 50.7 ± 10.15) (P= 0.000). Opium was the most common used substance (96.9%) and inhalation was the preferred pattern of use (52.7%). Majority of addicted patients were simple workers (44%). Based on educational levels, 57.2% of opium dependents have had primary education (under high school). Eighty two (62.5%) of addicted groups believed that after starting opium, their cardiovascular function and chest pain had been improved. Although before starting opium use 58 (44.6%) of them have had this belief
Conclusion: The prevalence of opium addiction in CABG patients is relatively high, and the majority of addicted patients are on this belief that opiates have positive effects on improvement of their chest pain and cardiovascular function. Because the effects of opioids on chest pain are palliative, the necessity of education for correction of this idea has been identified.
Keywords: Addiction, CABG, DSMVI
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