"Maybe if I stop the drugs, then maybe they'd care?"-hospital care experiences of people who use drugs
"Maybe if I stop the drugs, then maybe they'd care?"-hospital care experiences of people who use drugs
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DOI：
10.1186/s12954-019-0285-7
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发表时间：
2019-02-13
影响因子：
4.4
通讯作者：
Strike, Carol
中科院分区：
文献类型：
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作者：
Carusone, Soo Chan;Guta, Adrian;Strike, Carol
背景：药物使用与发病率和死亡率增加有关，但使用药物的人在护理方面遇到了重大障碍。需要关于吸毒者护理经历的数据，以便为干预措施和质量改进举措提供信息。本研究的目的是描述和表征急性护理的人谁使用drugs.Methods的经验：我们进行了定性描述性研究。我们招募了在加拿大多伦多和渥太华的急性护理医院入院时有活跃药物使用史的HIV或丙型肝炎患者。本研究于2014年和2015年通过半结构化访谈、录音和转录的方式收集数据，并按主题进行分析。与会者主要讲述了耻辱和获得护理的挑战的经历。我们提出了确定的主题在两个首要领域的利益：感知药物使用对医院护理的影响和护理经验对未来医疗保健的相互作用。参与者描述了疼痛管理的重大障碍，通常导致疼痛管理不一致和不充分。他们描述了各种策略，以导航访问和接受医疗保健从“一个简单的病人”自我宣传。负面的经验影响他们的意愿寻求照顾，往往导致延迟寻求照顾和针对某些hospital.Conclusion：药物使用的经验，在医院护理的各个阶段的障碍。干预措施，以减少耻辱和改善我们的一致性和方法来管理疼痛是必要的，以提高护理质量和护理经验的那些谁使用药物。
Background: Drug use is associated with increased morbidity and mortality but people who use drugs experience significant barriers to care. Data are needed about the care experiences of people who use drugs to inform interventions and quality improvement initiatives. The objective of this study is to describe and characterize the experience of acute care for people who use drugs.Methods: We conducted a qualitative descriptive study. We recruited people with a history of active drug use at the time of an admission to an acute care hospital, who were living with HIV or hepatitis C, in Toronto and Ottawa, Canada. Data were collected in 2014 and 2015 through semi-structured interviews, audio-recorded and transcribed, and analyzed thematically.Results: Twenty-four adults (18 men, 6 women) participated. Participants predominantly recounted experiences of stigma and challenges accessing care. We present the identified themes in two overarching domains of interest: perceived effect of drug use on hospital care and impact of care experiences on future healthcare interactions. Participants described significant barriers to pain management, often resulting in inconsistent and inadequate pain management. They described various strategies to navigate access and receipt of healthcare from being "an easy patient" to self-advocacy. Negative experiences influenced their willingness to seek care, often resulting in delayed care seeking and targeting of certain hospitals.Conclusion: Drug use was experienced as a barrier at all stages of hospital care. Interventions to decrease stigma and improve our consistency and approach to pain management are necessary to improve the quality of care and care experiences of those who use drugs.