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药物成瘾者在康复过程中克服挑战时使用的应对机制:定性元分析。

Coping Mechanisms Utilized by Individuals With Drug Addiction in Overcoming Challenges During the Recovery Process: A Qualitative Meta-synthesis.

机构信息

Faculty of Nursing, Universitas Indonesia, Depok, Indonesia.

Faculty of Medicine, Universitas Indonesia, Depok, Indonesia.

出版信息

J Prev Med Public Health. 2024 May;57(3):197-211. doi: 10.3961/jpmph.24.042. Epub 2024 May 3.

DOI:10.3961/jpmph.24.042
PMID:38726579
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11164602/
Abstract

OBJECTIVES

Recovery from drug addiction often poses challenges for the recovering person. The coping mechanisms employed by these individuals to resist temptations and manage stress play a key role in the healing process. This study was conducted to explore the coping strategies or techniques that individuals with addiction use to handle stress and temptation while undergoing treatment.

METHODS

A qualitative meta-synthesis approach was utilized to critically evaluate relevant qualitative research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines were used for article selection, with these standards applied to 4 academic databases: Scopus, PubMed, ProQuest, and CINAHL. The present review included studies published between 2014 and 2023, selected based on pre-established inclusion criteria. The quality of the studies was assessed using the Critical Appraisal Skills Programme Qualitative Studies Checklist. This review was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42024497789.

RESULTS

The analysis of 13 qualifying qualitative articles revealed 5 major themes illustrating the coping mechanisms employed in the pursuit of recovery by individuals who use drugs. These themes include seeking social support, as well as psychological coping strategies, spiritual experiences, professional interventions, and the enhancement of awareness.

CONCLUSIONS

Among individuals with drug addiction, coping mechanisms are crucial for resisting stress and temptations throughout the recovery process. Healthcare professionals, as medical specialists, can establish more thorough and effective plans to support these patients on their path to recovery.

摘要

目的

戒毒常常对戒毒者构成挑战。这些人用来抵制诱惑和应对压力的应对机制在治疗过程中起着关键作用。本研究旨在探讨吸毒者在接受治疗时用来应对压力和诱惑的应对策略或技巧。

方法

采用定性元综合方法对相关定性研究进行批判性评估。使用《系统评价和荟萃分析首选报告项目(PRISMA) 2020 指南》对文章进行选择,这些标准适用于 4 个学术数据库:Scopus、PubMed、ProQuest 和 CINAHL。本综述包括 2014 年至 2023 年期间发表的研究,根据预先确定的纳入标准进行选择。使用批判性评估技能计划定性研究清单评估研究质量。本综述已在国际前瞻性系统评价注册中心(PROSPERO)注册,注册号为 CRD42024497789。

结果

对 13 篇符合条件的定性文章进行分析,揭示了 5 个主要主题,说明了吸毒者在追求康复过程中所采用的应对机制。这些主题包括寻求社会支持,以及心理应对策略、精神体验、专业干预和提高意识。

结论

在吸毒者中,应对机制对于在康复过程中抵制压力和诱惑至关重要。医疗保健专业人员作为医学专家,可以制定更全面和有效的计划,以支持这些患者康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a4b/11164602/ce4e4718ee82/jpmph-24-042f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a4b/11164602/7dd980cf83e6/jpmph-24-042f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a4b/11164602/ce4e4718ee82/jpmph-24-042f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a4b/11164602/7dd980cf83e6/jpmph-24-042f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a4b/11164602/ce4e4718ee82/jpmph-24-042f2.jpg

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本文引用的文献

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Nordisk Alkohol Nark. 2023 Dec;40(6):577-589. doi: 10.1177/14550725231170454. Epub 2023 May 24.
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"A peer support worker can really be there supporting the youth throughout the whole process": a qualitative study exploring the role of peer support in providing substance use services to youth.“同伴支持工作者真的可以在整个过程中支持青少年”:一项探索同伴支持在为青少年提供物质使用服务中的作用的定性研究。
Harm Reduct J. 2023 Aug 29;20(1):118. doi: 10.1186/s12954-023-00853-3.
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Understanding the Process of Drug Addiction Recovery Through First-Hand Experiences: A Qualitative Study in the Netherlands Using Lifeline Interviews.
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Qual Health Res. 2023 Aug;33(10):857-870. doi: 10.1177/10497323231174161. Epub 2023 Jun 6.
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Qualitative Research in Healthcare: Data Analysis.医疗保健中的定性研究:数据分析。
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Self-help group experiences among members recovering from substance use disorder in Kuantan, Malaysia.马来西亚关丹市物质使用障碍康复者自助小组的经历。
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