Abstract
吕繁,曾光,钟天伦,肖勇.伤害家庭负担评价的方法学研究[J].Chinese journal of Epidemiology,2001,22(4):246-248
伤害家庭负担评价的方法学研究
Methodological studies on the evaluation of family burden due to injuries
Received:March 07, 2001  
DOI:
KeyWord: 伤害  家庭功能  疾病负担
English Key Word: Injury  Family function  Burden of disease
FundProject:
Author NameAffiliation
Lu Fan The Institute of Epidemiology and Microbiology, CAPM, Beijing 100050, China 
Zeng Guang, ZHONG Tianlun The Institute of Epidemiology and Microbiology, CAPM, Beijing 100050, China 
钟天伦 山东省深圳市宝安区卫生局 
肖勇 内蒙古自治区赤峰市左旗医院 
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Abstract:
      目的 探讨评价伤害对患者家庭造成负担的方法 ,分析伤害对病人家庭造成冲击的层面。方法 利用APGAR问卷和FBS量表对 84名在县级医院就诊的伤害病人的家庭功能和家庭负担进行测量和分析。结果 病人患病前后APGAR问卷的总分和各维度得分经配对t检验发现差异均有显著性 ,家庭功能类型的构成差异亦有显著性。 89.2 9%伤害患者的家庭存在不同程度的家庭功能障碍。 2 9.76 %和 6 9.0 5 %的家属分别认为伤害会对家庭造成轻度、严重影响 ;
伤害在家庭经济负担(FM1)、家庭日常生活 (FM2 )和家庭休闲娱乐 (FM3)等维度造成家庭负担较大。结论 伤害对患者家庭造成多维度的负担 ,并由此造成患者家庭功能的障碍。提示要超出病人群体的范围来考虑伤害造成的疾病负担的评价
English Abstract:
      ObjectiveTo evaluate the method for describing the burden and dimensions of injury on family. Methods Eighty four families of patients with injury from the selected families were studied. Status on family function, including before and after the suffering disease, were measured with Family APGAR index. Present family function was re measured one week after the initial study. The burden of injury on these families was measured with Family Burden Score. Results There were significant differences ( P 0.01 ) between scores of APGAR before and after the onset of injury. Forty one point six seven percent of the families were with dysfunctions prior to the injuries, while 89.29 % of families having dysfunctions for the time being. There were universal burden on the families of patients with injury in multi dimensions, including economic status, routine life, entertainment, relationship between members, physiological and psychological health of the members, and social relationship of and within the families. Conclusion Injury may bring impacts to the patient's family in multi dimensions and induce dysfunction to patient's family. Both patients and their families should be involved when providing health care to and evaluating burden of injury on them.
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