缺乏对OUD妇女的产前社会支持:杜拉服务的机会
Meghan Gannon1, Vanessa Short1, Scott Keith2
1Thomas Jefferson University, Jefferson College of Nursing, Philadelphia, PA, USA.
Midwifery
|September 1, 2024
概括
患有阿片类药物使用障碍 (OUD) 的人在怀孕和分娩后经历了有限的社会支持. 整合基于社区的杜拉可以改善这一群体的围产期护理和康复结果.
科学领域:
- 围产期健康 围产期健康
- 药物中毒药物 药物中毒药物
- 健康的社会决定因素
背景情况:
- 孕妇中阿片类药物使用障碍 (OUD) 的发生率在过去二十年中增加了四倍.
- 社会支持对于OUD患者的康复结果至关重要.
- 围产期期间有限的社会支持对母亲和孩子都有风险.
研究的目的:
- 描述产前和产后社会支持网络以及OUD患者的需求.
- 评估社区社会支持的可接受性,如doulas,对于OUD的个人.
主要方法:
- 一个混合方法研究,结合了定量 (调查,秤) 和定性 (采访) 数据.
- 收集的数据包括人口统计,社会映射,不良童年经历 (ACE) 和弹性尺度.
- 包括34名来自城市阿片类药物治疗计划的参与者.
主要成果:
- 参与者报告说,产前社会支持网络很小,产后减少.
- 只有52.9%的人报告说,他们获得了足够的产前和产后社会支持.
- 杜拉和同行恢复支持专家被认为是有价值的,那些支持较少的人对杜拉的兴趣很高.
结论:
- 由于复发风险,解决OUD患者产前和产后社会支持的稀缺问题至关重要.
- 基于社区的杜拉是一个值得信赖的支持,可以融入医疗保健团队.
- 整合杜拉可以帮助减轻与阿片类药物使用相关的孕产妇发病率和死亡率.
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