J Addict Nurs. 2023;34(1):47-54. doi: 10.1097/JAN.0000000000000512.
Dignity is a complex concept necessary for the adequate treatment of patients in the healthcare setting. Autonomy, self-sufficiency, respect, and equality are concepts used to define dignity. Dignity has not been studied in people who inject drugs (PWID).
This study aimed to determine how PWID maintain or have their dignity threatened during hospitalization in an acute care unit.
The qualitative descriptive study was a deductive thematic analysis of secondary data on PWID experiences with received nursing care. In-depth, semistructured interviews were conducted and transcribed verbatim with a constant comparison method for thematic analysis using NVivo. A priori codes of dignity concepts from the literature and dignity scales were used as a guide to examine the nine qualitative transcripts.
The three most common threats to dignity during hospitalization were lack of equality compared with other patients, not feeling valued as an individual, and not feeling respected by the healthcare workers providing care. The three most common protectors of dignity were feeling respected by healthcare workers, having autonomy in treatment choices, and feeling valued as an individual.
Protecting dignity significantly affects whether PWID are willing to seek healthcare in the hospital setting. Preserving dignity in PWID during their hospitalizations can encourage this population to seek care earlier. Nurses must be experienced in caring for PWID and provide nonjudgmental care for this population.
尊严是医疗环境中充分治疗患者所必需的一个复杂概念。自主性、自给自足、尊重和平等是用于定义尊严的概念。尊严尚未在注射吸毒者（PWID）中进行研究。
本研究旨在确定在急性护理病房住院期间，PWID 如何维持或威胁其尊严。
这项定性描述研究是对 PWID 接受护理经验的二次数据进行演绎主题分析。采用深入的半结构式访谈，并使用 NVivo 进行主题分析的恒定比较法逐字转录。使用文献中的尊严概念的预先确定代码和尊严量表作为指导，检查了九份定性转录本。
住院期间尊严受到的三个最常见威胁是与其他患者相比缺乏平等、不被视为个体的价值、不被医护人员尊重。尊严的三个最常见保护者是感到医护人员的尊重、在治疗选择方面具有自主性、以及感到个人的价值。
保护尊严对 PWID 是否愿意在医院环境中寻求医疗保健具有重大影响。在 PWID 住院期间维护尊严可以鼓励这一人群更早地寻求护理。护士必须在照顾 PWID 方面经验丰富，并为这一人群提供非评判性的护理。
