The most important question in family approach: the potential of the resolve item of the family APGAR in family medicine.

Q1 Medicine
Asia Pacific Family Medicine Pub Date : 2016-05-05 eCollection Date: 2016-01-01 DOI:10.1186/s12930-016-0028-9
Hiroaki Takenaka, Nobutaro Ban
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Abstract

Background: We aimed to clarify what aspects of family function are measured by the Family APGAR by examining its correlations with the fourth edition of the Family Adaptability and Cohesion Evaluation Scale at Kwansei Gakuin (FACESKG IV). Furthermore, we sought to confirm the usefulness of the Family APGAR in general practice.

Methods: We recruited 250 patients (aged 13-76 years) from the general medicine outpatient clinic in a Japanese hospital between July 1999 and February 2000. We employed a cross-sectional design and administered the Family APGAR and the FACESKG IV-16 (i.e., the short version). The scores on the questionnaires were compared using correlation and multiple regression analyses. We then analyzed relationships between the questionnaires and family issues measures using Chi square, Mann-Whitney U, and logistic regression analyses.

Results: The Family APGAR partially evaluates the Cohesion dimension of family functioning as measured by the FACESKG IV-16. Furthermore, we could measure family disengagement using the resolve and partnership items of the Family APGAR. Family dysfunction (excessive or impoverished Adaptability or Cohesion) was not related to the presence of family issues. Nevertheless, there was a significant relationship between scores on the Resolve item and the family issues measure (χ(2) = 6.305, p = 0.043).

Conclusions: The Family APGAR, especially the Resolve item, has the potential for use in treating patients with family issues. Interventions could be developed according to the simple Family APGAR responses.

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家庭方法中最重要的问题:家庭 APGAR 决议项目在家庭医学中的潜力。
研究背景我们的目的是通过研究家庭APGAR与第四版关西学院家庭适应性和凝聚力评估量表(FACESKG IV)的相关性,明确家庭APGAR测量了家庭功能的哪些方面。此外,我们还试图确认家庭 APGAR 在全科实践中的实用性:我们在 1999 年 7 月至 2000 年 2 月期间从一家日本医院的全科门诊招募了 250 名患者(年龄在 13-76 岁之间)。我们采用了横断面设计,并进行了家庭 APGAR 和 FACESKG IV-16(即简易版)问卷调查。通过相关分析和多元回归分析对问卷的得分进行了比较。然后,我们使用Chi square、Mann-Whitney U和逻辑回归分析法分析了问卷与家庭问题测量之间的关系:结果:家庭 APGAR 部分评估了 FACESKG IV-16 所测量的家庭功能的凝聚力维度。此外,我们还可以使用家庭 APGAR 的决心和伙伴关系项目来测量家庭脱离情况。家庭功能障碍(适应性或凝聚力过高或过低)与家庭问题的存在无关。然而,"决心 "项目的得分与家庭问题测量之间存在显著关系(χ(2) = 6.305, p = 0.043):家庭 APGAR,尤其是 "决心 "项目,具有治疗家庭问题患者的潜力。可以根据简单的家庭 APGAR 反应制定干预措施。
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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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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