Corse S J, McHugh M K, Gordon S M
Department of Psychiatry, University of Pennsylvania, Philadelphia 19104, USA.
J Subst Abuse Treat. 1995 Jan-Feb;12(1):3-12.
Prenatal care providers can play an important role in identifying, intervening in, and making referrals for substance abuse problems among pregnant women. Although studies suggest that most addicted persons who need treatment do not receive it, innovative methods such as the one described here can help increase the number of pregnant women who engage in treatment, with likely benefits to the client, her unborn baby, and other children whom she may parent. A qualitative study of the implementation of an innovative model to prevent and treat substance abuse among pregnant women is presented. The study took place in a prenatal clinic staffed by nurse-midwives in a dense suburb serving a population largely covered by Medical Assistance. Results indicate that education, training, and structural changes in care delivery led to changes in the attitudes and behaviors of nurse-midwives toward pregnant addicted women and increased their effectiveness.
产前护理提供者在识别、干预和转介孕妇药物滥用问题方面可以发挥重要作用。尽管研究表明，大多数需要治疗的成瘾者并未得到治疗，但此处所述的创新方法有助于增加接受治疗的孕妇人数，这可能会给孕妇本人、她未出生的婴儿以及她可能抚养的其他孩子带来益处。本文介绍了一项关于实施创新模式预防和治疗孕妇药物滥用的定性研究。该研究在一个由助产护士提供服务的产前诊所进行，该诊所位于一个人口密集的郊区，服务对象主要是医疗救助覆盖的人群。结果表明，护理服务中的教育、培训和结构调整导致了助产护士对成瘾孕妇态度和行为的改变，并提高了她们的工作成效。
