Program of Nursing and Midwifery, College of Health and Biomedicine, Victoria University, Melbourne, VIC, Australia.
Turning Point, Eastern Health Clinical School, Monash University, Melbourne, VIC, Australia.
J Adv Nurs. 2018 Jan;74(1):100-109. doi: 10.1111/jan.13405. Epub 2017 Sep 8.
To explore the coping strategies used by affected family members of a relative with substance misuse.
Families play an important role in supporting a relative with substance misuse. However, the experience often has an adverse effect on their general well-being, the extent of which depends largely on their coping strategies.
An interpretative phenomenological analysis study. Data were collected between January - December 2015.
Semistructured, audio-recorded qualitative interviews were conducted with 31 affected family members.
Three main themes and related subthemes were abstracted from the data illustrating how participants coped with their relative's substance misuse: (1) Seeking timely access to evidence-based information; (2) Enhancing personal coping strategies and (3) Accessing informal and formal support.
Greater investment is needed in support services for affected family members, particularly in regional and rural areas. A wide range of accessible evidence-based information and informal and formal support, including telephone and online support, is needed to assist them to cope in this crucial support-giving role. Affected family members need to adopt a flexible set of coping strategies while supporting a relative with substance misuse. Family and friends, alcohol and other drug services, mental health nurses and other clinicians have a critical role providing emotional, instrumental and educational support to affected family members to enhance their adaptive coping strategies.
探讨滥用物质的亲属的受影响家属所使用的应对策略。
家庭在支持滥用物质的亲属方面发挥着重要作用。然而，这种经历通常会对他们的整体幸福感产生不利影响，其程度在很大程度上取决于他们的应对策略。
诠释现象学分析研究。数据于 2015 年 1 月至 12 月间收集。
对 31 名受影响的家属进行半结构式、录音的定性访谈。
从数据中提取出三个主要主题和相关的子主题，说明了参与者如何应对亲属的物质滥用：（1）及时寻求基于证据的信息；（2）增强个人应对策略；（3）获得非正式和正式支持。
需要对受影响的家属的支持服务进行更大的投资，特别是在地区和农村地区。需要提供广泛的、可获取的基于证据的信息以及非正式和正式的支持，包括电话和在线支持，以帮助他们在这种关键的支持提供角色中应对。受影响的家属在支持滥用物质的亲属时需要采用一套灵活的应对策略。家庭和朋友、酒精和其他药物服务、心理健康护士和其他临床医生在为受影响的家属提供情感、工具和教育支持以增强他们的适应性应对策略方面发挥着关键作用。
