J Addict Nurs. 2023;34(1):39-46. doi: 10.1097/JAN.0000000000000511.
The number of women experiencing opioid use disorder (OUD) in Canada has increased exponentially. In Canada, healthcare is socialized and free for all citizens and, often, medications like methadone are free as well, yet few individuals with OUD access treatment services. The purpose of this study was to describe the lived experiences of Canadian women with OUD who were receiving methadone treatment. Interpretive phenomenology was used to investigate the treatment experiences of seven women with OUD. The conceptual framework of self-care of chronic illness was used to examine this phenomenon. Data were analyzed using a seven-step process of interpretive phenomenological analysis. Four major themes emerged: learning how to be you again, reaching out for help, finding your way to methadone, and going down the path of methadone. Women's experiences were influenced by family, friends, and healthcare providers. Accessibility and self-determination were important factors in entering and sustaining treatment. This study contributes to the discipline of nursing by providing accurate information regarding women's experiences with OUD and uncovering practice changes that can attract and retain women in treatment.
加拿大经历阿片类药物使用障碍（OUD）的女性人数呈指数级增长。在加拿大，医疗保健面向所有公民普及化且免费，而且美沙酮等药物通常也是免费的，但仍有少数 OUD 患者能够获得治疗服务。本研究旨在描述接受美沙酮治疗的加拿大 OUD 女性的生活经历。采用解释现象学方法研究了 7 名 OUD 女性的治疗经历。采用慢性病自我护理的概念框架来考察这一现象。采用解释现象学分析的七步过程对数据进行分析。出现了四个主要主题：重新学会做自己、寻求帮助、找到美沙酮的方法和走上美沙酮之路。女性的经历受到家庭、朋友和医疗保健提供者的影响。可及性和自主性是参与和维持治疗的重要因素。本研究通过提供有关女性 OUD 经历的准确信息并揭示可以吸引和留住女性接受治疗的实践改变，为护理学科做出了贡献。
