为正在从阿片类药物使用障碍中恢复的人群扩大产后支持的机会:从定性研究中得出的结果
Alicia Allen1, Yvonne Bueno1, Stephanie Mallahan1
1Department of Family and Community Medicine, College of Medicine - Tucson, University of Arizona, 3950 South Country Club Road, Suite 330, Tucson, AZ 85714, USA.
Drug and alcohol dependence reports
|June 19, 2023
概括
孕妇中阿片类药物使用障碍 (OUD) 正在增加. 这项研究确定了个人,人际关系和系统因素,以改善产后OUD治疗并降低复发风险,强调让母亲和婴儿在一起.
科学领域:
- 围产期健康 围产期健康
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
背景情况:
- 怀孕期间阿片类药物使用障碍 (OUD) 的全国患病率在20年内升了600%以上.
- 从OUD产后恢复带来了独特的挑战,增加了复发的风险.
- 扩大产后OUD治疗对于减轻产后阿片类药物滥用至关重要.
研究的目的:
- 确定加强围产期OUD治疗的策略.
- 为了降低产后回归阿片类药物滥用的风险.
- 探索影响孕妇和产后个体OUD恢复的个人,人际和系统因素.
主要方法:
- 与经历OUD的母亲和医疗保健/儿童福利专业人员进行了深入的半结构化采访.
- 利用生态社会框架对采访数据进行主题分析.
- 使用Dedoose软件编码转录的采访以确定关键主题.
主要成果:
- 在个人,跨个人和系统/机构层面出现了十个主要主题.
- 个别主题包括心理健康,个人责任和代理权.
- 系统性主题突出了医疗保健系统的文化,准备,社会决定因素和护理连续性,其中一个跨界主题是让母亲和婴儿在一起.
结论:
- 确定了改善围产期OUD的支持和临床护理的机会.
- 需要进一步的研究,以将确定的主题纳入现有计划或新的干预措施.
- 加强围产期OUD治疗需要采取多层次的方法,解决个人,社会和系统因素.
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