Kearns Nathan T, Blumenthal Heidemarie, Rainey Evan E, Bennett Monica M, Powers Mark B, Foreman Michael L, Warren Ann Marie
Department of Psychology, University of North Texas.
Division of Trauma, Critical Care, and Acute Care Surgery, Baylor University Medical Center.
Psychol Addict Behav. 2017 Jun;31(4):497-505. doi: 10.1037/adb0000282. Epub 2017 May 11.
This prospective study examined the influence of caregiving variables on the development of problematic alcohol use among family members of patients admitted to an urban Level I trauma center. Data were collected from 124 caregivers 48 hrs after initial hospitalization of their family member. The final sample included 81 participants (24.6% male; Mage = 47.8) who completed their follow-up assessment at 6 months. Hierarchical linear and logistic regression analyses assessed increases in consumption and odds of a positive screen for problematic alcohol use in association with caregiver burden, actual time spent in the caregiving role, and caregiving differential (i.e., anticipated time spent caregiving at baseline in relation to actual time caregiving at 6 months). At 6 months, 24.7% of caregivers screened positive for problematic alcohol use. Results uniquely highlighted caregiving differential as a significant predictor of both increases in general alcohol consumption (ΔR2 = .06, p < .01) and odds of screening positive for problematic alcohol use at 6 months (Odds Ratio = 1.05, 95% CI [1.02-1.09]). More specifically, our adjusted model found that providing 10% more time caregiving, relative to expectations at baseline, was associated with an increase in the probability of problematic alcohol use by 22% (95% CI: 8-37%) at 6 months. These results suggest that a discrepancy in expectations regarding anticipated time caregiving and actual time caregiving, rather than solely the amount of caregiving or perceived caregiver burden, may be an important predictor of caregiver alcohol use 6 months after a family member's ICU hospitalization. (PsycINFO Database Record
这项前瞻性研究考察了护理变量对入住城市一级创伤中心患者家庭成员中酒精使用问题发展的影响。在其家庭成员首次住院48小时后，从124名护理人员处收集了数据。最终样本包括81名参与者（男性占24.6%；年龄中位数=47.8岁），他们在6个月时完成了随访评估。分层线性和逻辑回归分析评估了与护理负担、实际护理时间以及护理差异（即基线时预期护理时间与6个月时实际护理时间的关系）相关的酒精消费量增加情况以及酒精使用问题阳性筛查的几率。在6个月时，24.7%的护理人员酒精使用问题筛查呈阳性。结果特别突出了护理差异是一般酒精消费量增加（ΔR2 = .06，p < .01）以及6个月时酒精使用问题阳性筛查几率（优势比 = 1.05，95%置信区间[1.02 - 1.09]）的显著预测因素。更具体地说，我们的调整模型发现，相对于基线预期，多提供10%的护理时间与6个月时酒精使用问题概率增加22%（95%置信区间：8 - 37%）相关。这些结果表明，预期护理时间与实际护理时间的差异，而非仅仅是护理量或感知到的护理负担，可能是家庭成员入住重症监护病房6个月后护理人员酒精使用情况的重要预测因素。（《心理学文摘数据库记录》
