Do coping style and future time perspective relate to surrogate decision-making preparedness? A cross-sectional analysis of heart failure caregivers.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY

Aging & Mental Health Pub Date : 2024-11-07 DOI:10.1080/13607863.2024.2424478

Sera Levy, Karen Hirschman, Austin Matus, Gladys Thomas, Barbara Riegel, Rebecca Ashare

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Abstract

Objectives: To assess if future time perspective (FTP) moderates the relationship between heart failure (HF) caregiver coping style and preparedness to make a surrogate medical decision.

Method: Cross-sectional data was analyzed to assess associations among three different coping styles (i.e. avoidance, active, minimizing), FTP, and odds of feeling prepared to make a medical decision on behalf of a loved one with heart failure.

Results: A total of 231 caregivers were included in analyses. No significant interaction effects emerged among coping style and FTP on odds of feeling prepared to make a surrogate medical decision. Caregiver burden was significantly and inversely related to feeling prepared across each coping style model. Reports of having the provider present for the medical wishes conversation was significantly related to odds of feeling prepared across each coping style model.

Conclusion: FTP did not appear to moderate the relationship between coping styles and preparedness to make a medical decision on behalf of a loved one with heart failure. Future research should continue to explore possible characteristics that can be targeted to improve feelings of decision-making preparedness among caregivers of loved ones with HF.

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应对方式和未来时间视角与代理决策的准备程度有关吗？对心力衰竭护理人员的横断面分析。

目的评估未来时间视角（FTP）是否会调节心力衰竭（HF）照护者的应对方式与代为做出医疗决定的准备程度之间的关系：对横断面数据进行分析，以评估三种不同的应对方式（即回避、积极、最小化）、未来时间视角（FTP）和为心衰患者的亲人做出医疗决定做好准备的几率之间的关系：共有 231 名照顾者参与了分析。应对方式和FTP对代为做出医疗决定的几率没有明显的交互效应。在每种应对方式模型中，照顾者的负担与准备感都有明显的反向关系。在每种应对方式模型中，有医疗服务提供者在场进行医疗意愿谈话的报告与感觉准备就绪的几率有显著关系：FTP似乎并不影响应对方式与代表心力衰竭患者做出医疗决定的准备程度之间的关系。未来的研究应继续探索可能的特征，以便有针对性地改善心力衰竭患者亲人的照顾者的决策准备感。

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

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.