Family practice research journal最新文献_第10页

Antepartum biopsychosocial risk and perinatal outcome. 产前生物心理社会风险与围产儿结局。

Family practice research journal Pub Date : 1992-12-01

J A Herrera, H Hurtado, D Cáceres

引用次数: 0

Improving prescription documentation in the ambulatory setting. 改进门诊的处方文件。

Family practice research journal Pub Date : 1992-12-01

L G Miller, C C Matson, J C Rogers

引用次数: 0

The family profile: a new self-report instrument for family assessment. 家庭概况:一种新的家庭评估自我报告工具。

Family practice research journal Pub Date : 1992-12-01

J G Halvorsen

{"title":"The family profile: a new self-report instrument for family assessment.","authors":"J G Halvorsen","doi":"","DOIUrl":"","url":null,"abstract":"The Family Profile is a new self-report family assessment instrument that is grounded in family theory and designed following a construct validation approach to instrument design that integrated theoretical concepts with test construction and empirical analysis. Development consisted of three component phases: rational theoretical design, empirical structural analysis, and psychometric validation. The first theoretical design phase resulted in a 231-item instrument with 13 construct scales. Structural analysis data were collected from a pilot sample of 160 patients selected from 6 family practice clinics in urban, suburban, and rural locations. After revision based on item and scale analysis, a 129-item instrument was administered to a random sample of 876 patients from family practices throughout Minnesota. Responses were analyzed for item- and scale-distribution characteristics, item-scale and scale-scale correlations, correlation with social desirability, factor analysis to confirm or disconfirm the existence of the theoretical dimensions, internal consistency reliability, and test-retest reliability. This analysis reduced the instrument to 90 items from all 13 postulated constructs that cluster into 6 main factors--Family Concordance, Family Discordance, Marital Strength, Active Involvement, Religiosity, and Parental Leadership. The Family Profile is also temporally stable and free from social desirability bias. Validation (construct and criterion) and normative data studies of various populations are in progress.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"12 4","pages":"343-67"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12651040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Physicians' recognition of depression. 医生对抑郁症的认识。

Family practice research journal Pub Date : 1992-12-01

M L Parchman

引用次数: 0

Assessing family function in practice. 在实践中评估家庭功能。

Family practice research journal Pub Date : 1992-12-01

M A Baird

引用次数: 0

Gender bias in the evaluation and management of acute nontraumatic chest pain. The St. Louis Emergency Physicians' Association Research Group. 急性非创伤性胸痛的评估和治疗中的性别偏见。圣路易斯急诊医师协会研究小组。

Family practice research journal Pub Date : 1992-12-01

T F Heston, L M Lewis

{"title":"Gender bias in the evaluation and management of acute nontraumatic chest pain. The St. Louis Emergency Physicians' Association Research Group.","authors":"T F Heston, L M Lewis","doi":"","DOIUrl":"","url":null,"abstract":"Background: Prior studies suggest a gender-based difference in the management of myocardial ischemia in nonacute settings. We examined whether there was a gender difference in the emergency department evaluation and management of patients with acute chest pain.Methods: A record review from 10 St. Louis metropolitan emergency departments was done on all patients over 35 years old who presented with acute nonpleuritic, nontraumatic chest pain. We reviewed for the presence of cardiac risk factors, prior cardiac disease, time to physician evaluation, and time to initial electrocardiogram. In the patient subgroup admitted from the emergency department with a diagnosis of myocardial infarction or unstable angina, disposition was noted.Results: Women waited longer than men for an initial physician evaluation and an initial electrocardiogram. In the patient subgroup with acute myocardial ischemia, a smaller percentage of women than men (56.0% vs 82.8%) were admitted to an intensive care unit.Conclusion: In patients with acute nonpleuritic, nontraumatic chest pain, women were evaluated and managed less aggressively than men.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"12 4","pages":"383-9"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12653021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Natural history of phobic anxiety. 恐惧焦虑的自然历史。

Family practice research journal Pub Date : 1992-12-01

D A Katerndahl

{"title":"Natural history of phobic anxiety.","authors":"D A Katerndahl","doi":"","DOIUrl":"","url":null,"abstract":"The characteristics of those with phobic anxiety--anxiety with or without avoidance of specific fear-provoking situations--seen in family practice have not been previously described. However, patients with agoraphobia--extreme avoidance of fear-provoking situations--are frequently seen in the general health sector. In addition, panic attacks, which are spontaneous episodes of intense anxiety associated with at least four autonomic symptoms that build rapidly in intensity, are believed to be antecedent to phobic anxiety. This secondary analysis used 29 patients with panic attacks. During a structured interview, these patients completed a phobic anxiety questionnaire and the Health Locus of Control questionnaire. Of the 21 patients with phobic anxiety, 16 (76%) reported that they avoided at least one situation. Although patients frequently left home during the week (mean = 10.8 times), 11 (58%) felt that their fears controlled their lives. Patients' responses generally supported the model of fear causing anticipatory anxiety that in turn causes avoidance; however, panic attacks frequently began after phobic anxiety but before the fear was reported by patients to control their lives. Recognition and early intervention with those with phobic anxiety may minimize its severity and pervasiveness.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"12 4","pages":"401-9"},"PeriodicalIF":0.0,"publicationDate":"1992-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12653023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recurrent bacterial vaginosis: association with vaginal sponge use. 复发性细菌性阴道病:与阴道海绵的使用有关。

Family practice research journal Pub Date : 1992-09-01

M B Mengel, A B Davis

{"title":"Recurrent bacterial vaginosis: association with vaginal sponge use.","authors":"M B Mengel, A B Davis","doi":"","DOIUrl":"","url":null,"abstract":"A hypothesis-generation study was conducted to examine risk factors for bacterial vaginosis recurrences among women participating in a randomized controlled trial of male sexual partner treatment. Of the 140 women enrolled in the trial, 72 had a normal vaginal gram-stained slide at the first follow-up visit and were included in this analysis. Nineteen of the 72 (26.2%) women developed a bacterial vaginosis recurrence documented by a vaginal gram-stained slide during the 6-week follow-up period. Of the 19 women, 4 of 6 sponge users (66%) developed a bacterial vaginosis recurrence (RR 2.93, 95% CI: 1.43-6.02). Logistic regression analysis supported the association between sponge use and bacterial vaginosis recurrences (adjusted RR 2.71, 95% CI: 1.06-6.99) but revealed that an apparent protective effect of diaphragm use was due to the confounding effect of sexual partner treatment. Our hypothesis is that bacterial vaginosis recurrences may be due to factors other than sexual transmission, such as sponge use. Further studies are needed to examine risk factors for bacterial vaginosis recurrences. In the interim, physicians might suggest another form of contraception to their sponge-using patient with frequent bacterial vaginosis infections.","PeriodicalId":77127,"journal":{"name":"Family practice research journal","volume":"12 3","pages":"283-8"},"PeriodicalIF":0.0,"publicationDate":"1992-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12586261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do women under the care of family physicians have fewer cesarean sections? 在家庭医生的照顾下，女性剖宫产的数量会减少吗?

Family practice research journal Pub Date : 1992-09-01

M Klein

引用次数: 0

Do physicians need assistance to help smokers quit? 医生需要帮助吸烟者戒烟吗?

Family practice research journal Pub Date : 1992-09-01

L I Solberg

引用次数: 0