Nurs Womens Health. 2024 Oct;28(5):356-365. doi: 10.1016/j.nwh.2024.03.004. Epub 2024 Aug 10.
To describe perceptions of supportive factors for reducing the risk of maternal mortality among women with substance use disorders (SUDs) in a rural setting.
Qualitative descriptive design.
SETTING/LOCAL PROBLEM: Participants were recruited from a rural setting in a U.S. Midwest state where rates of maternal substance use and maternal mortality are high.
Sixteen participants were recruited from a maternal residential substance use treatment center.
INTERVENTION/MEASUREMENTS: Semistructured interviews were used during which participants described their perceptions of maternal mortality and their related experiences. We analyzed the transcribed interviews using a basic inductive content analysis to yield themes and subthemes.
We identified three main themes: Social Networks, Respectful Perinatal Care, and Residential Substance Use Treatment.
Our findings suggest that nurses and other health care providers should be knowledgeable of resources to increase the social networks of women with SUD, recognize and manage the biases and judgments they may hold against women with SUD, and advocate for and refer women with SUD to residential substance use treatment.
描述在农村环境中，针对物质使用障碍（SUD）女性降低孕产妇死亡率的支持因素的认知。
定性描述设计。
地点/当地问题：参与者是从美国中西部一个农村地区的一个孕产妇住所物质使用治疗中心招募的，该地区的孕产妇物质使用和孕产妇死亡率都很高。
从孕产妇住所物质使用治疗中心招募了 16 名参与者。
干预/测量：在半结构化访谈中，参与者描述了他们对孕产妇死亡率及其相关经历的认知。我们使用基本的归纳内容分析对转录的访谈进行了分析，得出了主题和子主题。
我们确定了三个主要主题：社会网络、尊重围产期护理和住所物质使用治疗。
我们的研究结果表明，护士和其他卫生保健提供者应该了解增加 SUD 女性社会网络的资源，认识和管理他们可能对 SUD 女性持有的偏见和判断，并倡导和转介 SUD 女性到住所物质使用治疗。
