Fowler Cathrine, Reid Sharon, Minnis Jeannie, Day Carolyn
Tresillian Chair in Child and Family Health, Faculty of Health, University of Technology, Sydney, NSW, Australia.
J Clin Nurs. 2014 Oct;23(19-20):2835-43. doi: 10.1111/jocn.12560. Epub 2014 Feb 21.
To understand the experiences of women with a history of substance dependence when they attempted to gain parenting support.
Becoming a mother provides a window of opportunity to support women with a substance dependence make changes to their lives and the way they will parent their infants and young children. Yet there are many barriers and a constant fear of the removal of their children from their care.
Focus groups were conducted using a qualitative interpretive descriptive approach to enable exploration of the women's experiences as mothers with infants and young children.
A series of three focus groups were facilitated with three to six women per group. Thirteen women who were substance dependent participated in this study. Semi-structured interviews guided the collection of data. Thematic content analysis was used to work with the data.
Four themes were identified: (1) feelings of guilt, (2) judged by others, (3) normalising and (4) support and learning to be a mother.
The mothers expressed alienation from mainstream health services. Providing parenting and child health services, which avoid mothers feeling judged by the staff and other mothers, is an important step to enabling these women to appropriately and sensitively care for their infants and young children.
Midwives and nurses working with mothers and their infants and young children are well positioned to support women who are or have experienced substance dependence. Working with this group of mothers requires the development of a therapeutic relationship to provide optimum support, education and, if necessary, intervention.
了解有药物依赖史的女性在尝试获得育儿支持时的经历。
成为母亲为支持有药物依赖的女性改变其生活以及养育婴幼儿的方式提供了一个契机。然而，存在许多障碍，且她们一直担心孩子会被从其照料中带走。
采用定性解释性描述方法进行焦点小组讨论，以便探索这些作为有婴幼儿的母亲的女性的经历。
组织了一系列三个焦点小组，每组有三至六名女性。13名有药物依赖的女性参与了本研究。通过半结构化访谈来收集数据。使用主题内容分析法处理数据。
确定了四个主题：（1）内疚感，（2）被他人评判，（3）正常化，（4）支持与学习成为母亲。
这些母亲表示与主流医疗服务疏离。提供育儿和儿童健康服务，避免母亲感到被工作人员和其他母亲评判，是使这些女性能够妥善且体贴地照料其婴幼儿的重要一步。
为母婴提供护理的助产士和护士有能力支持正在或曾经有药物依赖经历的女性。与这群母亲合作需要建立治疗关系，以提供最佳支持、教育，并在必要时进行干预。
