fa بررسی همبستگی مصرف داروهای اعصاب و روان با مواد اعتیاد آور و فاکتورهای مرتبط با آن در دانشجویان علوم پزشکی دانشگاه آزاد زاهدان عمومى General پژوهشي Research <strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">زمینه و هدف:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مطالعات</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">انجام</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گرفته</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">ایران</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">جهان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">حاکی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مصرف</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بالای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داروهای</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">اعصاب</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">روان و اعتیاد آور</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">است.</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نظر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">می</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">رسد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">که</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دانشجویان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نظر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مصرف</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">داروها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">معرض</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">خطر هستند. هدف</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">همبستگی مصرف داروهای اعصاب و روان و اعتیاد آور</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دانشجویان رشته‌های علوم پزشکی دانشگاه آزاد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">زاهدان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">است</span></span><span dir="LTR"><span style="font-size:12.0pt;">.</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"></span></span><br> <strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">روش&shy; ها:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مطالعه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقطعی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">260</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نفر</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">از</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دانشجویان رشته‌های مختلف علوم پزشکی دانشگاه آزاد زاهدان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">روش</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نمونه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گیری</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تصادفی طبقه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بندی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">انتخاب</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">بررسی</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شدند. دانشجویان</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مورد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سابقه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مصرف،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نوع و</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">نحوه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">تجویز</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">دارو</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">های اعصاب و روان،</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سابقه</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">مراجعه به روان&shy;پزشک و وضعیت مصرف مواد اعتیاد آور مورد</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">سوال</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">قرار</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">گرفتند. داده</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">ها</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">در نرم افزار </span></span><span dir="LTR">Stata.14</span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">&nbsp; با استفاده آزمون کای دو و رگرسیون لوجستیک با ارائه&nbsp; نسبت شانس تحلیل شد.</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"></span></span><br> <strong><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتایج:</span></span></strong> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">شیوع مصرف داروهای اعصاب و روان و مواد اعتیاد آور به ترتیب 35 % و&nbsp; 27/7%&nbsp; برآورد شد. مصرف داروهای اعصاب و روان با میزان مصرف مواد اعتیاد اور، سابقه مراجعه به روان&shy;پزشک، جنسیت دانشجو و وضعیت تاهل (0/05</span></span><span dir="LTR"><span style="font-size:12.0pt;">P<</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">) و مصرف مواد اعتیاد آور با جنس، رشته تحصیلی، محل سکونت</span></span> <span style="font-family:b mitra;"><span style="font-size:12.0pt;">و داشتن دوستان سیگاری ا</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">ر</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">تباط معنی دار نشان داد (0/05</span></span><span dir="LTR"><span style="font-size:12.0pt;">P<</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;">).</span></span><span style="font-family:b mitra;"><span style="font-size:12.0pt;"></span></span><br> <strong><span dir="RTL"><span style="font-family:b nazanin;"><span style="font-size:12.0pt;">نتیجه&shy; گیری:</span></span></span></strong> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">در</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مقایسه</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مطالعات</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">قبلی</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مصرف</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">داروها و مواد اعتیاد آور در</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">این</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">دانشجویان</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">به نسبت بالاست. به نظر می رسد مشاوره</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">بیشتر</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">با دانشجویان</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">پزشکی</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">و</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">دانشجویان</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">با</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">سابقه</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مراجعه</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">به</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">روان&shy;پزشک</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">و همچنین ساکن در خانه های مجردی، در</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">کاهش</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">مصرف مواد اعتیاد آور بخصوص دخانیات و مصرف خودسرانه داروهای اعصاب و روان</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">موثر</span></span></span> <span dir="RTL"><span style="font-family:b mitra;"><span style="font-size:12.0pt;">است</span></span></span><span style="font-family:times new roman,serif;"><span style="font-size:12.0pt;">.</span></span> <strong><em>Background & Aim</em></strong><em>:</em> The previous studies in Iran and around the world show the high consumption of psychiatric and addictive drugs.&nbsp; In this regard, the university students are at high risk of substance abuse. The purpose of this study was the assessment of the association between the use of psychiatric drugs and addictive substances and related factors among medical students of Azad University in Zahedan.<br> <strong><em>Methods</em></strong><strong>:</strong> This cross-sectional study was carried out on 260 students that were selected using stratified random sampling. The data were collected using interview and registered in questionnaire. The subjects were asked about history, type and method of prescription for consumption of psychiatric drugs, history of referring to psychologist and conditions for using addictive drugs. Data were analyzed in Stata.14 using chi square test and multiple logistic regression with Odds Ratios.<br> <strong><em>Results</em></strong>: The prevalence of using psychiatric and addictive drugs was 35% and 27.7%, respectively. The consumption of psychiatric drugs was related to using addictive drugs, history of referring to psychologist, sex and marital status (P<0.05).On the other hand, the use of addictive drugs was related to sex, field of study, living place and having smoker friends (P<0.05).<br> <strong><em>Conclusion</em>:</strong> As compared with previous studies, the use of these drugs among university students of medical sciences is relatively high. It seems that&nbsp;&nbsp; providing themedical students with proper consultation&nbsp; and those&nbsp; with history of referring to&nbsp; psychiatrist and also students that live in private houses (rather than shared dormitories) can decrease the use of addictive&nbsp; substances, especially smoking and psychiatric drugs without prescription among the university students.&nbsp;&nbsp; داروهای اعصاب و روان, دانشجویان, مواد اعتیاد آور parenting styles, parenting self-efficacy, children’s anxiety 65 76 http://jms.thums.ac.ir/browse.php?a_code=A-10-650-1&slc_lang=fa&sid=1 Jahangiri A علیرضا جهانگیری smithepi@gmail.com 10031947532846008168 10031947532846008168 No Department of Medicine, Faculty of Medical Sciences, Zahedan Brach, Islamic Azad University, Zahedan, Iran گروه پزشکی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران Ansari H حسین انصاری ansarih88@gmail.com 10031947532846008169 10031947532846008169 Yes Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran گروه آمار و اپیدمیولوژی، دانشگاه علوم پزشکی زاهدان، زاهدان، ایران Tirgarfakheri K کورش تیرگر فاخری aby_sa_m@yahoo.com 10031947532846008170 10031947532846008170 No Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran مرکز تحقیقات قلب و عروق شهید رجائی، مرکز آموزشی، تحقیقاتی و درمانی قلب و عروق شهید رجائی، دانشگاه علوم پزشکی ایران، تهران، ایران Sanagoyemoharrar GH غلامرضا ثناگوی محرر malehegharibi@yahoo.com 10031947532846008171 10031947532846008171 No Department of Psychology, Zahedan Brach, Islamic Azad University, Zahedan, Iran گروه روانشناسی، واحد زاهدان، دانشگاه آزاد اسلامی، زاهدان، ایران