Care Experiences of Persons With Perinatal Opioid Use A Qualitative Study
Care Experiences of Persons With Perinatal Opioid Use A Qualitative Study
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DOI：
10.1097/jpn.0000000000000597
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发表时间：
2021-10-01
影响因子：
1.3
通讯作者：
Fallin-Bennett, Amanda
中科院分区：
文献类型：
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作者：
Blair, Lisa M.;Ashford, Kristin;Fallin-Bennett, Amanda
围产期类阿片使用迅速增加，对围产期人员和婴儿造成潜在的破坏性后果。物质使用治疗是有效的，并有可能大大改善临床结果;然而，从包括护士在内的提供者那里获得的护理特征被描述为治疗的障碍。我们的目的是描述阿片类药物使用障碍患者的支持性围产期护理经验。采用定性描述性研究设计，在美国南部地区的一个学术医疗中心检查了11名产后患者（年龄22-36岁）接受阿片类药物使用障碍药物辅助治疗的经验。参与者接受了采访的经验，围产期和新生儿护理期间的儿童住院新生儿禁欲综合征的监测和/或治疗。四个主题的支持性护理经验出现：告知，有关，接受和整体支持。参与者报告了一系列积极和消极的围产期护理经验，并提供了例子和反例。这种对护理观念和生活经验的更充分理解可以为实践变化和教育/培训优先事项提供信息。未来的研究需要促进全面护理模式的发展，以解决阿片类药物使用障碍患者的围产期护理需求。
Opioid use in the perinatal period has escalated rapidly, with potentially devastating outcomes for perinatal persons and infants. Substance use treatment is effective and has the potential to greatly improve clinical outcomes; however, characteristics of care received from providers including nurses have been described as a barrier to treatment. Our purpose was to describe supportive perinatal care experiences of persons with opioid use disorder. A qualitative descriptive study design was used to examine experiences of 11 postpartum persons (ages 22-36 years) in medication-assisted treatment for opioid use disorder at an academic medical center in the southern region of the United States. Participants were interviewed about experiences with perinatal and neonatal care during the child's hospitalization for neonatal abstinence syndrome surveillance and/or treatment. Four themes of supportive care experiences emerged: informing, relating, accepting, and holistic supporting. Participants reported a range of positive and negative perinatal care experiences, with examples and counterexamples provided. This fuller understanding of perceptions and lived experiences of care can inform practice changes and educational/training priorities. Future research is needed to facilitate development of comprehensive care models geared to address perinatal care needs of persons with opioid use disorder.