School of Nursing, Ball State University, Muncie, IN, USA.
West J Nurs Res. 2024 Sep;46(9):725-737. doi: 10.1177/01939459241266736. Epub 2024 Jul 26.
Substance use disorders (SUD) in the perinatal period have risen dramatically over the past 2 decades. Substance use disorders can have deleterious effects on maternal-infant health. Recovery can improve quality of life but can be challenging for women with SUD in the perinatal period. It is important for health care providers to have an understanding of factors associated with maternal substance use and recovery.
The purpose of this qualitative review was to identify factors influencing substance use and recovery in women with SUD in the perinatal period.
A systematic search was conducted using the databases of CINAHL, PsycINFO, and PubMed along with a manual search of Google Scholar. The studies were assessed using criteria from the Joanna Briggs Institute's critical appraisal checklist for qualitative research.
Findings from 16 qualitative studies were synthesized. Six descriptive subthemes identifying factors influencing substance use and recovery were revealed: (1) Infant Care, (2) Stigma, (3) Social Settings Involving Substance Use, (4) Internalized Stigma and Mental Health Symptoms, (5) Addiction Concerns, and (6) Coping Abilities.
Participants described external and internal factors that influenced their substance use and recovery. The findings suggest health care providers refer women to residential addiction treatment, use destigmatizing language, promote access to peer services, and provide trauma-informed care.
在过去的 20 年中，围产期物质使用障碍（SUD）急剧增加。物质使用障碍会对母婴健康产生有害影响。康复可以提高生活质量，但对于围产期有 SUD 的女性来说可能具有挑战性。医疗保健提供者了解与产妇物质使用和康复相关的因素非常重要。
本定性综述的目的是确定围产期物质使用障碍妇女物质使用和康复的影响因素。
使用 CINAHL、PsycINFO 和 PubMed 的数据库以及 Google Scholar 的手动搜索进行了系统搜索。使用 Joanna Briggs 研究所的定性研究批判性评价检查表的标准对研究进行了评估。
综合了 16 项定性研究的结果。揭示了影响物质使用和康复的六个描述性亚主题：（1）婴儿护理，（2）耻辱感，（3）涉及物质使用的社会环境，（4）内化的耻辱感和心理健康症状，（5）成瘾问题，以及（6）应对能力。
参与者描述了影响他们物质使用和康复的外部和内部因素。研究结果表明，医疗保健提供者应将女性转介到住院成瘾治疗机构，使用去耻辱化语言，促进获得同伴服务，并提供创伤知情护理。
