Folgueiras-Vila Aina, Martorell-Poveda Maria-Antonia, Del Señor Sesmilo-Martínez Maria, Vidal-Massot Pilar, Ortega-Sanz Laura
Departament d'Infermeria, Grup d'Investigació en Infermeria Avançada (Caring), Universitat Rovira i Virgili, Tarragona, Catalonia, Spain.
Servei d'Addiccions i Salut Mental de Reus, Hospital Universitari Sant Joan de Reus, Reus, Catalonia, Spain.
Int J Ment Health Nurs. 2025 Oct;34(5):e70124. doi: 10.1111/inm.70124.
Substance use disorders are a major threat to the health and quality of life of individuals. Self-care is a strategy that affects health promotion and can be relevant in relapse prevention, as well as contribute to recovery in substance use disorders. This study aims to explore the diverse meanings of self-care and the interventions that aligned with self-care approaches for individuals recovering from substance use disorders. A scoping review was conducted following the Joanna Briggs Institute and PRISMA-ScR guidelines. Studies published between 2014 and 2023 that explored self-care (practices, definitions, or interventions) in adults (+18) undergoing treatment for substance use disorders, regardless of co-occurring mental health conditions and across diverse cultural, geographical, and healthcare contexts, using various study designs were searched in CINHAL, Web of Science, Scopus, Psicodoc, PsycINFO, Cochrane Library, and reference lists, using MeSH terms "Self Care" and "Substance-Related Disorders", and free terms "addictions", "addiction treatment", "self care concept", "interventions", and "treatment". Thirty articles were included in the final review. The meanings of self-care are related to physical, behavioural, interpersonal, psychological and social levels. The variety of approaches and the integration of strategies such as mindfulness and cognitive-behavioural group therapy highlight the importance of self-care in substance use disorders. Self-care is a key part of the recovery process and should be tailored to each person's unique experiences and needs. There is a need for consistent support in the implementation of self-care strategies, in addition to creating interventions that address the complex lives of the specific populations.
物质使用障碍对个人的健康和生活质量构成重大威胁。自我护理是一种影响健康促进的策略，在预防复发方面可能具有相关性，也有助于物质使用障碍的康复。本研究旨在探讨自我护理的不同含义以及与物质使用障碍康复者自我护理方法相一致的干预措施。按照乔安娜·布里格斯研究所和PRISMA-ScR指南进行了一项范围综述。在CINHAL、科学网、Scopus、Psicodoc、PsycINFO、考科蓝图书馆以及参考文献列表中，使用医学主题词“自我护理”和“物质相关障碍”以及自由词“成瘾”“成瘾治疗”“自我护理概念”“干预措施”和“治疗”，检索了2014年至2023年期间发表的研究，这些研究探讨了接受物质使用障碍治疗的成年人（18岁及以上）的自我护理（实践、定义或干预措施），无论是否同时存在心理健康状况，且涉及不同文化、地理和医疗背景，采用了各种研究设计。最终综述纳入了30篇文章。自我护理的含义与身体、行为、人际、心理和社会层面相关。各种方法以及正念和认知行为团体治疗等策略的整合凸显了自我护理在物质使用障碍中的重要性。自我护理是康复过程的关键部分，应根据每个人的独特经历和需求进行调整。除了制定针对特定人群复杂生活的干预措施外，在实施自我护理策略时还需要持续的支持。
