Maghsoudi Jahangir, Alavi Mousa, Sabzi Zahra, Mancheri Hamideh
Psychiatric and Mental Health Nursing Department, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Open Access Maced J Med Sci. 2019 Oct 13;7(21):3584-3591. doi: 10.3889/oamjms.2019.729. eCollection 2019 Nov 15.
Substance dependence is one of the most important social issues in the world today, which affects not only the life of an addicted individual, but also the relatives of the substance abuser individual, and in particular their spouses and children are also exposed to multiple injuries.
This study aimed to investigate the experiences of the women with the substance abuser spouse.
This study is a qualitative study. Sampling was done purposefully. The data were subjected to 25 participants with in-depth and semi-structured interviews (15 wives and 7 therapists and 3 officials dealing with family members of the substance abuser) and analysed using the qualitative approach of the conventional content analysis (Granheim's method).
Out of the results of the interviews, two main categories were extracted, including A) family psychological breakdown and B) Disadvantaged social status. The main category of family psychological breakdown including 5 subcategories: Psychological disadvantages, losing borders in the family, insecure space house for the family, turbulent family and Concern on spouses leaving. Category of disadvantaged social status is also including 3 subcategories: trying to preserve the family's image, social stigma, and social isolation of the family.
The families, especially the women with the substance abuser spouse, are severely vulnerable in various psychological and social dimensions. Therefore, the attention of the health cares to these families is important.
物质依赖是当今世界最重要的社会问题之一，它不仅影响成瘾者个人的生活，还影响物质滥用者的亲属，尤其是他们的配偶和子女也会受到多种伤害。
本研究旨在调查有物质滥用者配偶的女性的经历。
本研究是一项定性研究。采用目的抽样法。对25名参与者进行了深入的半结构化访谈（15名妻子、7名治疗师和3名处理物质滥用者家庭成员问题的官员），并使用传统内容分析法（格兰海姆法）进行定性分析。
从访谈结果中提取出两个主要类别，包括A）家庭心理崩溃和B）社会地位不利。家庭心理崩溃的主要类别包括5个子类别：心理劣势、家庭界限丧失、家庭不安全的居住空间、家庭动荡以及对配偶离开的担忧。社会地位不利类别还包括3个子类别：试图维护家庭形象、社会耻辱感以及家庭的社会隔离。
这些家庭，尤其是有物质滥用者配偶的女性，在各种心理和社会层面都极其脆弱。因此，医护人员对这些家庭予以关注很重要。
