Sánchez García J I, Valencia Valencia P, Molina Macià M, Gómez González R, Sánchez Serrano F J, Jiménez A A, Zubiaur Cantalapiedra A
Centro de Salud Florida, Alicante.
Aten Primaria. 2000 Mar 15;25(4):258-62, 264. doi: 10.1016/s0212-6567(00)78497-6.
To know the practical use of genogram in the handicapped patient care, describing their characteristics and those of their families and to obtain the prevalence of bad care immobilized patients belonging to the health centre.
Descriptive observational.
Urban health centre.
People of both sexes registered at the health centre, immobilized in their houses, with a disability score of three or more in the physical disability scale of the Red Cross.
The most important features of our immobilized people, obtained from the genogram, are: women (63.5%), with mean age of 78.8 +/- 13.2 years old (CI, 76.5-81.17), with disability score of 3 (46.8%), immersed in a nuclear family (34.9%), in phase VI of dissolution of the vital cycle (45.2%), with very closed relations (45.2%), with arthrosis (23.8%) as the most frequent immobilized cause, and with one unique home career only (72%). The prevalence of bad care immobilized patients was 25.4%.
The genogram is an excellent tool for describing immobilized people and their family nucleus, allowing the definition of an immobilized profile. If the patient is bad cared, he will need an special consideration. The immobilized score and the family relations ship may complicate their care, conditioning a worse prognosis. We wish to emphasize the importance of carrying out the genogram in the initial moment of the immobilization, because it establishes a dialogue route between the families and the sanitary professionals to improve the attention of these patients.
了解系谱图在残疾患者护理中的实际应用，描述患者及其家庭的特征，并获取该健康中心中护理不当的卧床患者的患病率。
描述性观察研究。
城市健康中心。
在健康中心登记的男女患者，居家卧床，在红十字会身体残疾量表中的残疾评分达到3分或更高。
从系谱图中得出的我们这些卧床患者的最重要特征如下：女性（63.5%），平均年龄78.8±13.2岁（置信区间，76.5 - 81.17），残疾评分为3分的患者占46.8%，处于核心家庭的患者占34.9%，处于生命周期解体第六阶段的患者占45.2%，家庭关系非常紧密的患者占45.2%，因关节炎导致卧床的患者最为常见，占23.8%，且仅有一份家庭职业的患者占72%。护理不当的卧床患者的患病率为25.4%。
系谱图是描述卧床患者及其家庭核心的优秀工具，有助于定义卧床患者的概况。如果患者护理不当，需要给予特别关注。卧床评分和家庭关系可能会使他们的护理变得复杂，影响预后。我们希望强调在患者开始卧床时绘制系谱图的重要性，因为它为家庭和卫生专业人员之间建立了对话途径，以改善对这些患者的护理。
