Nurse. Health Service of Restinga Seca, Brazil.
Nurse, PhD. Professor, Professional Master's Degree in Maternal and Child Health. Franciscana University. Santa Maria, Brazil.
Invest Educ Enferm. 2024 Jun;42(2). doi: 10.17533/udea.iee.v42n2e10.
Understand the motivations and expectations of pregnant women using psychoactive substances during prenatal care.
A qualitative study developed in the light of Alfred Schütz's Theoretical Framework of Phenomenological Sociology, in which 25 pregnant women using psychoactive substances, belonging to a Family Health Strategy, participated. Data production took place between August and November 2022.
Two units of meanings emerged: (i) social influences for the performance of prenatal care and (ii) expectation regarding the care to be received by the health professional. Pregnant women do pre-natal due to family influences, for fear of losing their children due to loss of guardianship and concern about the well-being and development of the baby. And, the expectations are that they receive good attention, feel safe when they are attended to by health professionals and also that they are understood and have a relationship of trust.
Pregnant women who use psychoactive substances bring motivations for prenatal care linked to the past, such as influences from family members and previous experiences. As for expectations, they are related to the child's health and the care expected by professionals. Finally, strategies to reduce harm during pregnancy of users of psychoactive substances are fundamental for the effectiveness of care.
了解在产前保健中使用精神活性物质的孕妇的动机和期望。
这是一项定性研究，是在阿尔弗雷德·舒茨的现象社会学理论框架的指导下进行的，共有 25 名使用精神活性物质的孕妇参与，她们都属于家庭健康战略。数据采集于 2022 年 8 月至 11 月之间。
出现了两个意义单元：（一）进行产前保健的社会影响，以及（二）对卫生专业人员所提供的保健的期望。孕妇进行产前保健是出于家庭的影响，担心因失去监护权而失去孩子，并关注婴儿的健康和发育。此外，她们的期望是得到良好的关注，当卫生专业人员照顾她们时感到安全，并且希望得到理解并建立信任关系。
使用精神活性物质的孕妇进行产前保健的动机与过去有关，例如来自家庭成员和以往经验的影响。至于期望，它们与儿童的健康和专业人员期望的保健有关。最后，减少精神活性物质使用者怀孕期间伤害的策略对于护理的有效性至关重要。
