From the Division of Epidemiology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (DES, CMA); and Vanderbilt Institute for Global Health, Vanderbilt University Medical Center, Nashville, TN (DES, MES, CMA).
J Addict Med. 2022;16(6):e390-e398. doi: 10.1097/ADM.0000000000001000. Epub 2022 Jul 8.
Elicit how partners impact pregnant peoples experience living with opioid use disorder (OUD) during pregnancy and summarize participant recommendations to improve partner support from people engaged in treatment for OUD during pregnancy.
In this qualitative study, we completed 20 in-depth interviews in pregnant people with OUD at an outpatient clinic in Tennessee. We employed inductive and deductive coding based on a relationship intimacy model and thematic analysis to elicit the perspectives, attitudes, and experiences that shaped desired partner behaviors during their pregnancy. We placed our findings in a modified relationship intimacy model of couple adaptation to OUD. Finally, we summarized interviewed participants' recommendations on how to best educate and involve their partners.
Our analysis generated 24 codes and 5 themes. Previous lived experience and interpersonal factors influenced participants' experiences with relationship-compromising and relationship-enhancing behaviors. They also reported that positive, or relationship-enhancing behaviors, could mitigate some of their negative intrapersonal feelings such as self-stigma. Participants agreed that partners should display emotional intelligence and empathy, provide supportive logistic and physical behaviors, and be open to improve. Participants also suggested that partners be equipped with information about expected physiological changes during pregnancy, supportive behavior examples, and information about OUD treatment.
Additional input from pregnant people and partners in future projects can build on these findings and guide the creation and assessment of comprehensive interventions to improve care for pregnant people with OUD.
了解伴侣如何影响孕妇在怀孕期间的阿片类药物使用障碍（OUD）体验，并总结参与者对改善 OUD 治疗期间伴侣支持的建议。
在这项定性研究中，我们在田纳西州的一家门诊诊所对 20 名患有 OUD 的孕妇进行了 20 次深入访谈。我们根据关系亲密模型和主题分析采用归纳和演绎编码，以引出在怀孕期间对伴侣行为的期望的观点、态度和经验。我们将研究结果纳入 OUD 夫妻适应的改良关系亲密模型中。最后，我们总结了接受采访的参与者关于如何最好地教育和参与伴侣的建议。
我们的分析产生了 24 个代码和 5 个主题。先前的生活经历和人际关系因素影响了参与者对关系破坏和关系增强行为的体验。他们还报告说，积极的或关系增强的行为可以减轻一些他们的负面内在感受，如自我污名化。参与者一致认为，伴侣应该表现出情绪智力和同理心，提供支持性的后勤和身体行为，并愿意改进。参与者还建议为伴侣提供有关怀孕期间预期生理变化、支持性行为示例以及 OUD 治疗信息的相关信息。
在未来的项目中，从孕妇和伴侣那里获得更多的意见可以基于这些发现，并指导创建和评估全面的干预措施，以改善对患有 OUD 的孕妇的护理。
