Abstract:
BACKGROUND:Attention from researchers and health care workers to the quality of life (QoL) of opiate users is growing, but most studies are quantitative, giving limited attention to the consumer's perspective. No information is available on how opiate-dependent individuals themselves perceive QoL and what they see as the important components that contribute to a good QoL. OBJECTIVES:This qualitative study aims to expand our knowledge concerning opiate-dependent individuals' perceptions of a good QoL and the impact of methadone on components of a good QoL. METHODS:In-depth interviews were conducted with 25 opiate-dependent individuals aged between 26 and 46 years old who started a methadone maintenance treatment at least 5 years ago. Purposive sampling was used to recruit participants with different socio-demographic characteristics and drug use profiles. The interviews were audio-tape recorded, transcribed verbatim and analysed thematically. RESULTS:Thematic analyses revealed five key themes contributing to a good QoL for opiate-dependent individuals: (1) having social relationships, (2) holding an occupation, (3) feeling good about one's self, (4) being independent and (5) having a meaningful life. Opiate-dependent individuals valued methadone's ability to help them function normally, overcome their psychological problems and dependence on illicit opiates, and support them in achieving certain life goals. On the other hand, stigmatisation, discrimination, dependence on methadone and the drug's paralysing effects on their emotions were mentioned as common negative consequences. CONCLUSIONS:The findings of this study highlight the importance of supporting opiate-dependent individuals in their daily life by means of practical, social and environmental support (alongside pharmacological treatment) in order to improve their QoL. This study further illustrates the ambivalent influence of methadone on opiate-dependent individuals' QoL, and demonstrates how something commonly perceived as a 'good' can also be a 'bad' for some people. Efforts should be made to limit the negative consequences of methadone on opiate-dependent individuals' QoL, while increasing its potential benefits.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
De Maeyer J,Vanderplasschen W,Camfield L,Vanheule S,Sabbe B,Broekaert Edoi
10.1016/j.ijnurstu.2011.03.009subject
Has Abstractpub_date
2011-10-01 00:00:00pages
1244-57issue
10eissn
0020-7489issn
1873-491Xpii
S0020-7489(11)00134-9journal_volume
48pub_type
杂志文章abstract::Risk assessment scales (RASs) intended to identify patients most at risk of developing pressure ulcers have been widely used for many years. Numerous studies have evaluated their predictive validity but potential bias has been inherent in the design of all. To overcome these problems a simulation study was conducted i...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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abstract:OBJECTIVE:The purpose of this systematic review was to determine why people are physically restrained in the acute and residential care settings. METHOD:A comprehensive search was undertaken of electronic databases to identify studies addressing the reasons for using physical restraint. Findings were synthesised using...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(02)00015-9
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abstract:BACKGROUND:Prenatal maternal stress is associated with adverse birth outcomes. Few studies have been published on the effectiveness of relaxation techniques focusing on women with preterm labour. OBJECTS:The object of this study was to examine the effectiveness of a relaxation training program on pregnancy outcomes in...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.09.007
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(03)00055-5
更新日期:2003-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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doi:10.1016/j.ijnurstu.2009.03.014
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journal_title:International journal of nursing studies
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更新日期:2007-05-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(03)00117-2
更新日期:2004-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2017.05.003
更新日期:2017-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(88)90036-3
更新日期:1988-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.06.001
更新日期:2012-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2015.05.005
更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0020-7489(91)90017-w
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pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.04.004
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1991-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.10.012
更新日期:2009-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.06.001
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