Exploring Self-Care Among Postpartum Women Recovering From Substance Use Disorders.

IF 1.4 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2026-10-14 DOI:10.1177/15394492261486019

Caitlin Koob, Leah A Holcomb, Charles Hudson, Rachel Mayo, Jennifer Barkin

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Abstract

Self-care is central to occupational therapy (OT), yet its role among postpartum women navigating substance use disorder (SUD) recovery remains under-researched. This mixed-methods study examined self-care performance among postpartum women and explored self-care experiences during SUD recovery. We analyzed Barkin Index for Maternal Functioning (BIMF) self-care items among postpartum women with and without SUD (N = 141). Descriptive statistics and regression analyses examined associations between participant characteristics, SUD diagnosis, and self-care. Interviews with women with SUD (n = 22) underwent deductive thematic analysis grounded in Orem's self-care theory. Overall, 34.0% of participants had a SUD; the mean self-care score was 13.56 (SD = 3.93). Self-care scores did not differ significantly by SUD diagnosis (p = .370), but children's daycare attendance was associated with lower self-care (p = .015). Qualitatively, women described self-care as an effort to maintain stability, well-being, and recovery. Patient-centered OT services are critical for supporting self-care among postpartum women navigating SUD recovery.

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产后药物使用障碍康复妇女的自我护理研究。

自我护理是职业治疗（OT）的核心，但其在产后妇女导航物质使用障碍（SUD）康复中的作用仍未得到充分研究。本研究考察了产后妇女的自我护理表现，并探讨了产后康复期间的自我护理经验。我们分析了141例有无SUD的产后妇女的Barkin产妇功能指数（BIMF）自我保健项目。描述性统计和回归分析检验了参与者特征、SUD诊断和自我保健之间的关系。对患有SUD的女性（n = 22）进行了基于Orem自我保健理论的演绎主题分析。总体而言，34.0%的参与者患有SUD；平均自我护理评分为13.56分（SD = 3.93）。自我照顾得分与SUD诊断无显著差异（p = 0.370），但儿童日托出勤率与较低的自我照顾相关（p = 0.015）。从质量上讲，女性将自我保健描述为维持稳定、幸福和康复的努力。以患者为中心的OT服务对于支持产后妇女在SUD恢复中的自我保健至关重要。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.