Ouseph Rita, Croy Calvin, Natvig Crystal, Simoneau Teresa, Laudenslager Mark L
Duke University , Durham, NC ; Anschutz Medical Campus, University of Colorado , Denver, CO.
Anschutz Medical Campus, University of Colorado , Denver, CO.
Ment Illn. 2014 Mar 25;6(1):5120. doi: 10.4081/mi.2014.5120. eCollection 2014 Mar 4.
Caregivers are known to experience increased morbidity when compared to noncaregivers. Does an intervention targeting caregiver distress affect their health care utilization? One hundred forty-eight caregivers of allogeneic hematopoietic stem cell transplant patients were randomized to treatment as usual (TAU) or a psychoeducation, paced respiration, and relaxation (PEPRR) intervention. Assessments of caregivers' service utilization were collected at baseline and 1, 3, and 6 months post-transplant. During the first 30 days after patient transplant, caregiver medical and mental health professional service use decreased while support group attendance peaked. Mixed model regressions showed a significant decrease in mental health service use by the PEPRR group (P=0.001). At six months caregivers in TAU had predicted marginal probabilities of mental health services utilization over 10 times as high as caregivers in PEPRR (18.1% vs 1.5%). Groups failed to differ in medical service (P=0.861) or support group (P=0.067) use. We can conclude that participation in PEPRR compared to TAU was associated with reduced mental health service utilization. Caregiver psychosocial support services are critical to improve caregiver outcomes.
与非照顾者相比，照顾者的发病率更高。针对照顾者痛苦的干预措施会影响他们的医疗服务利用情况吗？148名异基因造血干细胞移植患者的照顾者被随机分为常规治疗组（TAU）或接受心理教育、有节奏呼吸和放松（PEPRR）干预组。在基线以及移植后1个月、3个月和6个月收集照顾者服务利用情况的评估数据。在患者移植后的前30天内，照顾者对医疗和心理健康专业服务的使用减少，而支持小组的参与度达到峰值。混合模型回归显示，PEPRR组的心理健康服务使用显著减少（P=0.001）。在6个月时，TAU组照顾者心理健康服务利用的预测边际概率是PEPRR组照顾者的10倍多（18.1%对1.5%）。两组在医疗服务使用（P=0.861）或支持小组使用（P=0.067）方面没有差异。我们可以得出结论，与TAU相比，参与PEPRR与心理健康服务利用减少有关。照顾者的心理社会支持服务对于改善照顾者的结局至关重要。
