Reasons for substance use continuation and discontinuation during pregnancy: A qualitative study
Reasons for substance use continuation and discontinuation during pregnancy: A qualitative study
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DOI：
10.1016/j.wombi.2018.04.001
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发表时间：
2019-02-01
期刊：
影响因子：
3.8
通讯作者：
Pepler, Debra J.
中科院分区：
文献类型：
--
作者：
Latuskie, Kiri A.;Andrews, Naomi C. Z.;Pepler, Debra J.
背景资料：怀孕期间使用物质是一个主要的公共卫生问题，源于对母亲和孩子的潜在身体和心理社会危害。目的：了解妇女在怀孕期间使用物质的经历以及妇女继续和/或停止使用物质的原因。妇女确定，外部和内部的压力，内疚感和低自我效能感，以及缺乏对药物使用的科学和医学后果的理解，导致他们继续使用药物。相反，妇女强调的重要性，高自我效能和质量的关系时，试图作出积极的改变，他们的物质使用在pregnancy.Conclusions：建议更容易获得和更全面的服务。医疗保健专业人员和服务提供者应通过与有物质使用问题的孕妇建立高质量的关系来提供非判断性护理，以提高这些妇女的自我效能，并使她们能够停止物质使用。(c)2018年澳大利亚助产士学院由爱思唯尔有限公司发布。保留所有权利。
Background: Substance use during pregnancy is a major public health concern, stemming from potential physical and psychosocial harms to both the mother and child.Purpose: To understand women's experiences using substances during pregnancy and the reasons that women continue and/or discontinue using substances.Methods: Focus groups were conducted with women who attended an early intervention program for pregnant or parenting women with substance use issues.Results: Women identified that external and internal stressors, feelings of guilt and low-self efficacy, and a lack of understanding of the scientific and medical consequences of substance use contributed to their continued substance use. Conversely, women highlighted the importance of high self-efficacy and the quality of relationships when trying to make positive changes to their substance use during pregnancy.Conclusions: Recommendations are proposed for easier access to and more comprehensive services. Healthcare professionals and service providers should offer non-judgmental care by building high-quality relationships with pregnant women with substance use issues, to increase these women's self-efficacy and empower them to discontinue substance use. (c) 2018 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.