孕妇寻求阿片类药物使用治疗的经历。

IF 1.8 4区 医学 Q2 NURSING Mcn-The American Journal of Maternal-Child Nursing Pub Date : 2024-07-01 Epub Date: 2024-06-27 DOI:10.1097/NMC.0000000000001024
Kimberly Dion, Sandra Cardaropoli, Ria Deshpande, Jennifer Kovarik
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引用次数: 0

摘要

研究目的:本研究旨在描述妇女在怀孕期间寻求阿片类药物使用障碍治疗的经历:这是一项探索性的多方法研究,旨在通过调查和访谈了解妇女在怀孕期间寻求阿片类药物使用障碍治疗的经历。在过去 5 年中怀孕并使用阿片类药物的妇女是从一个为阿片类药物使用障碍母亲建立的私人 Facebook 群组中招募的。该小组成员协助制定了调查问卷。对 18 个问题的调查问卷进行了描述性统计,并对访谈进行了录音、转录和主题分析:21 名妇女完成了在线调查,6 名妇女参加了有关其经历的深度虚拟访谈。共确定了五个主题来描述她们的经历:(1) 对儿童保护服务的恐惧,(2) 家庭和伴侣的支持,(3) 医疗服务提供者的反应,(4) 进入治疗中心,(5) 对孕期支持服务的认识:临床意义:参与者报告了在怀孕期间寻求阿片类药物使用障碍治疗的总体负面经历。护士可以通过使用非污名化方法、促进早期识别和提供信息(包括减低伤害教育)来改善患有阿片类药物使用障碍的孕妇的治疗效果。促进治疗资源、母婴计划和倡导伙伴治疗可以改善孕产妇和新生儿的预后。
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Pregnant Women's Experiences of Seeking Treatment for Opioid Use.

Purpose: The purpose of this study was to describe women's experiences seeking treatment for opioid use disorder during pregnancy.

Study design and methods: This was an exploratory multi-method study to understand women's experiences seeking treatment for opioid use disorder during pregnancy using surveys and interviews. Women pregnant within the past 5 years while using opioids were recruited from a private Facebook group for mothers on medication for opioid use disorder. Members of this group assisted with the development of the survey. Descriptive statistics were used for the 18-question survey and interviews were recorded, transcribed, and analyzed for themes.

Results: Twenty-one women completed an online survey, and six participated in an in-depth virtual interview about their experience. Five themes describing their experiences were identified: (1) fear of child protective services, (2) family and partner support, (3) health care providers' reactions, (4) accessing treatment centers, and (5) awareness of support services during pregnancy .

Clinical implications: Participants reported an overall negative experience seeking treatment for opioid use disorder during pregnancy. Nurses can improve the outcomes for pregnant women with opioid use disorder by using a non-stigmatizing approach, promoting early identification, and providing information, including harm reduction education. Facilitation of resources for treatment, mother and child programs, and advocating for partner treatment can improve maternal and neonatal outcomes.

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来源期刊
CiteScore
2.60
自引率
16.70%
发文量
158
审稿时长
>12 weeks
期刊介绍: MCN''s mission is to provide the most timely, relevant information to nurses practicing in perinatal, neonatal, midwifery, and pediatric specialties. MCN is a peer-reviewed journal that meets its mission by publishing clinically relevant practice and research manuscripts aimed at assisting nurses toward evidence-based practice. MCN focuses on today''s major issues and high priority problems in maternal/child nursing, women''s health, and family nursing with extensive coverage of advanced practice healthcare issues relating to infants and young children. Each issue features peer-reviewed, clinically relevant articles. Coverage includes updates on disease and related care; ideas on health promotion; insights into patient and family behavior; discoveries in physiology and pathophysiology; clinical investigations; and research manuscripts that assist nurses toward evidence-based practices.
期刊最新文献
Trends in Characteristics of Births in the United States 2020 to 2023. Application of Predictive Analytics in Pregnancy, Birth, and Postpartum Nursing Care. Fostering Informed Consent and Shared Decision-Making in Maternity Nursing With the Advancement of Artificial Intelligence. Huddles in Hospital Maternity Settings: A Scoping Review. Mentoring and Sponsorship for Early Career Nursing Scholars.
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