Federal University of Paraíba (UFPB), Brazil.
Federal University of Pernambuco (UFPE), Brazil.
Nurs Ethics. 2019 Feb;26(1):96-104. doi: 10.1177/0969733017703699. Epub 2017 May 17.
: Despite being considered as a contravention under some countries' legislation, the therapeutic use of Cannabis sativa has been growing in Brazil, due to the promising results observed in many pathologies. Such a scenario has fostered the need to deepen discussions on the subject and possibly revise legislation governing the substance use and access.
: Identify the types of stigma related to the therapeutic use of Cannabis and describe the strategies people use to overcome stigma.
: This integrative review was carried out in the databases PubMed, Scopus, CINAHL, MEDLINE, PsycINFO, Web of Science, and Cochrane Library, with 565 articles being retrieved. Triads' cross-check were done, first maintaining the "cannabis" and "therapeutic use" pair, added by "stigma," "bioethics," "ethics," "social consequences," and "legal consequences." The final selection resulted in six articles.
: However, the ethical issues that pervade and regulate decisions on this subject must be considered.
: Different dimensions and types of stigma related to the therapeutic use of Cannabis have been identified. The bioethical principle of autonomy was an expression of citizenship and human rights, mitigating internal conflicts related to self-stigma and the effects of external stigma on the person's life.
: It was possible to identify the types of stigma related to the therapeutic use of Cannabis is an internal dimension represented (self-stigma) and an external dimension, represented (social and structural stigmas) and to identify strategies adopted to face this stigma: skills training group for users, elaboration of laws and specific programs to clarify the therapeutic use of Cannabis with a greater social scope, and support for family members. Thus, contributing to the building of people's autonomy in a broader context of decision-making autonomy and executive autonomy will provide the development of people's capacity to perform complex tasks of self-management and, consequently, to continue promoting and preserving their decision-making process and their capacity to plan and perform tasks associated with managing their lives and their treatments.
尽管在一些国家的立法中被视为违法行为，但由于在许多疾病中观察到有希望的结果，医用大麻的使用在巴西不断增加。这种情况促使人们需要更深入地讨论这个问题，并可能修改管理该物质使用和获取的立法。
确定与医用大麻使用相关的污名类型，并描述人们用来克服污名的策略。
这是一项综合回顾性研究，在 PubMed、Scopus、CINAHL、MEDLINE、PsycINFO、Web of Science 和 Cochrane Library 数据库中进行，共检索到 565 篇文章。首先通过“大麻”和“医用”这对关键词，然后添加“污名”、“生物伦理学”、“伦理学”、“社会后果”和“法律后果”，对三对关键词进行了交叉核对。最终选择了六篇文章。
然而，必须考虑影响和规范这个主题决策的伦理问题。
确定了与医用大麻使用相关的不同维度和类型的污名。自主的生物伦理原则是公民和人权的体现，减轻了与自我污名相关的内部冲突，以及外部污名对个人生活的影响。
可以确定与医用大麻使用相关的污名类型是一种内部维度的表现（自我污名）和一种外部维度的表现（社会和结构性污名），并确定了应对这种污名的策略：为使用者提供小组技能培训、制定法律和具体计划，以更广泛的社会范围澄清医用大麻的使用，并为家庭成员提供支持。因此，在更广泛的决策自主性和执行自主性背景下，培养人们的自主性将有助于提高人们执行自我管理复杂任务的能力，从而继续促进和保护他们的决策过程以及规划和执行与管理生活和治疗相关任务的能力。
