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[农村和城市地区居家护理项目中患者感知到的功能性社会支持]

[Functional social support perceived by patients in a program of home care in rural and urban settings].

作者信息

Alamo Martell M C, Artiles Ruano M C, Santiago Navarro P, Bernal Blasco I, Aguiar Bautista J A, Gómez Arnaiz A

机构信息

Centro de Salud de Agüimes, Las Palmas de Gran Canaria.

出版信息

Aten Primaria. 1999 Jun 15;24(1):26-31.

PMID:10427902
Abstract

OBJECTIVE

To determine functional social support in patients included in programme of care for chronic patients confined to their homes, and to compare rural area with urban area.

DESIGN

Descriptive and crossover study.

SETTING

Urban and rural health centres.

PATIENTS

103 patients were interviewed in their homes (41 of them were in a rural area and 62 in a urban area). All patients were included in programme of care for chronic patients confined to their homes. Patients with neurological o psychiatric disorders who were not able to answer coherently were excluded.

MEASUREMENTS AND MAIN RESULTS

We used the DUKE-UNC questionnaire which measured the functional social support in two sub-scales: confidential support and affective support. We didn't find any relation between the functional social support and age, sex, civil condition or health problems. Patients of the rural area perceive less confidential support than patients of the urban area. We didn't find any difference in the perception of the affective support between both areas.

CONCLUSIONS

In the rural area, the patients included in the programme of care for chronic patients confined to their homes perceive less possibility to communicate problems, important events or conflictive situations that require comprehension and help.

摘要

目的

确定纳入居家慢性病患者护理计划的患者的功能性社会支持情况,并比较农村地区和城市地区。

设计

描述性交叉研究。

地点

城乡卫生中心。

患者

对103名患者进行了家访(其中41名在农村地区,62名在城市地区)。所有患者均纳入居家慢性病患者护理计划。无法连贯回答问题的神经或精神疾病患者被排除。

测量与主要结果

我们使用杜克大学-北卡罗来纳大学问卷,该问卷在两个子量表中测量功能性社会支持:保密支持和情感支持。我们未发现功能性社会支持与年龄、性别、婚姻状况或健康问题之间存在任何关联。农村地区的患者比城市地区的患者感受到的保密支持更少。我们未发现两个地区在情感支持感知方面存在任何差异。

结论

在农村地区,纳入居家慢性病患者护理计划的患者感到交流问题、重要事件或需要理解和帮助的冲突情况的可能性较小。

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