J Psychosoc Nurs Ment Health Serv. 2020 Dec 1;58(12):13-20. doi: 10.3928/02793695-20201112-03.
Pregnant women with opioid use disorder (OUD) face barriers to receiving substance use treatment and prenatal care, which can lead to adverse health outcomes. The purpose of the current article is to inform practice through the design of an innovative, nurse-led approach derived from King's Theory of Goal Attainment to care for pregnant women with OUD using telehealth technologies. The practice model encompasses King's theory using telehealth by addressing perceptions in the nurse-client interaction, establishing effective communication in nurse-client interactions, building mutual goal setting and decision making, and promoting clients' goal attainment using nurses' knowledge and skills. This theory-based approach using telehealth technologies can provide nurses the opportunity to increase effectiveness in nurse-client interactions, use evidence-based communication strategies for expanded access, and deliver safe care for pregnant women with OUD. [Journal of Psychosocial Nursing and Mental Health Services, 58(12), 13-20.].
患有阿片类药物使用障碍（OUD）的孕妇在接受药物使用治疗和产前保健方面面临障碍，这可能导致不良的健康结果。本文的目的是通过设计一种创新的、以护士为主导的方法，从 King 的目标达成理论中获取信息，为使用远程医疗技术治疗患有 OUD 的孕妇提供实践指导。该实践模式通过在护士与患者的互动中解决认知问题、建立有效的沟通、建立共同的目标设定和决策制定、并利用护士的知识和技能促进患者的目标实现，从而运用 King 的理论来使用远程医疗。这种基于理论的使用远程医疗技术的方法可以为护士提供机会，提高护士与患者的互动效果，使用基于证据的沟通策略扩大服务范围，并为患有 OUD 的孕妇提供安全的护理。[ 心理社会护理和心理健康服务杂志，58(12)，13-20。]。
