Johannessen Dagny Adriaenssen, Nordfjærn Trond, Geirdal Amy Østertun
Blue Cross East, Oslo, Norway.
Norwegian University of Science and Technology (NTNU), Trondheim, Norway.
Nordisk Alkohol Nark. 2020 Jun;37(3):208-226. doi: 10.1177/1455072520910551. Epub 2020 Apr 24.
There is limited knowledge about how inpatients anticipate factors that facilitate the transition between specialised inpatient treatment for substance use disorder (SUD) and the post-discharge period. This study explores factors that inpatients anticipated would facilitate such a transition period.
A focus group study, consisting of four group interviews with individuals in inpatient SUD treatment, was conducted to explore their expectations for the transition and post-discharge period ahead of them. The transcribed interview material was analysed using thematic analysis.
The analytical process led to three themes: "Belonging", "Intrapersonal processes" and "Predictability". Correspondence between inpatients' expectations and the services they are offered in the transition and post-discharge period may serve as proper support for inpatients ahead of a vulnerable phase, such as the transition and post-discharge period.
Findings from the current study highlight overarching elements that inpatients envisioned to be facilitating, such as social support, motivation, self-efficacy, self-awareness and predictability in basic elements such as employment, housing and personal finances. Findings from this study and previous ones imply that certain factors appear to facilitate in vulnerable phases, such as service level transitions. These facilitating factors should be taken into consideration and used as steppingstones through the transition and post-discharge period after inpatient SUD treatment.
关于住院患者如何预期有助于物质使用障碍（SUD）专科住院治疗与出院后阶段之间过渡的因素，目前了解有限。本研究探讨住院患者预期会促进这一过渡期的因素。
开展了一项焦点小组研究，包括对住院接受SUD治疗的个体进行四次小组访谈，以探究他们对即将到来的过渡和出院后阶段的期望。使用主题分析法对转录的访谈材料进行分析。
分析过程得出三个主题：“归属感”、“个人内在过程”和“可预测性”。住院患者的期望与他们在过渡和出院后阶段所获得的服务之间的契合度，可为处于脆弱阶段（如过渡和出院后阶段）的住院患者提供适当支持。
本研究结果突出了住院患者设想的促进因素的总体要素，如社会支持、动机、自我效能感、自我意识以及就业、住房和个人财务等基本要素方面的可预测性。本研究及先前研究的结果表明，某些因素似乎在脆弱阶段（如服务水平过渡阶段）起到促进作用。在住院SUD治疗后的过渡和出院后阶段，应考虑这些促进因素并将其作为垫脚石。
