Levy Sera, Hirschman Karen, Matus Austin, Thomas Gladys, Riegel Barbara, Ashare Rebecca
Department of Psychology, State University of New York at Buffalo, Buffalo, NY, USA.
School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Aging Ment Health. 2025 May;29(5):874-880. doi: 10.1080/13607863.2024.2424478. Epub 2024 Nov 7.
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.
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.
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.
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.
评估未来时间观（FTP）是否会调节心力衰竭（HF）患者照顾者的应对方式与做出替代医疗决策的准备程度之间的关系。
对横断面数据进行分析，以评估三种不同应对方式（即回避、积极、最小化）、FTP以及代表心力衰竭亲人做出医疗决策时的准备感几率之间的关联。
共有231名照顾者纳入分析。应对方式和FTP在做出替代医疗决策的准备感几率上未出现显著交互作用。在每种应对方式模型中，照顾者负担与准备感显著负相关。报告有医护人员参与医疗意愿谈话与每种应对方式模型中的准备感几率显著相关。
FTP似乎并未调节应对方式与代表心力衰竭亲人做出医疗决策的准备程度之间的关系。未来研究应继续探索可能的特征，以改善心力衰竭亲人照顾者的决策准备感。
