Factors Influencing Maternal Substance Use and Recovery in the Perinatal Period.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2024-09-01 Epub Date: 2024-07-26 DOI:10.1177/01939459241266736
Kalyn M Renbarger
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Abstract

Background: 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.

Objective: The purpose of this qualitative review was to identify factors influencing substance use and recovery in women with SUD in the perinatal period.

Methods: 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.

Results: 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.

Conclusions: 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.

影响围产期产妇药物使用和康复的因素。
背景:过去 20 年间,围产期药物使用失调(SUD)急剧上升。药物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,但对于围产期患有药物滥用症的妇女来说,康复可能具有挑战性。医疗服务提供者必须了解与产妇药物使用和康复相关的因素:本定性综述旨在确定影响围产期患 SUD 妇女药物使用和康复的因素:我们使用 CINAHL、PsycINFO 和 PubMed 数据库进行了系统检索,并对 Google Scholar 进行了人工检索。采用乔安娜-布里格斯研究所(Joanna Briggs Institute)的定性研究批判性评估清单中的标准对研究进行评估:对 16 项定性研究的结果进行了综合。揭示了影响药物使用和康复的六个描述性次主题:(1) 婴儿护理,(2) 耻辱,(3) 涉及药物使用的社会环境,(4) 内化的耻辱和心理健康症状,(5) 对毒瘾的关注,以及 (6) 应对能力:参与者描述了影响其药物使用和康复的外部和内部因素。研究结果建议医疗服务提供者将妇女转介到住院戒毒治疗机构,使用去污名化的语言,促进她们获得同伴服务,并提供创伤知情护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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