Ramírez-Amaro Margarita, Martínez-Torres Jorge, Ureña Bogarín Enrique Leobardo
Residente de tercer año de Medicina Familiar, Unidad de Medicina Familiar No. 16, Instituto Mexicano del Seguro Social, delegación Cancún, Cancún, Quintana Roo, México.
Maestro en Ciencias Médicas, Jefe de servicios de prestaciones médicas, Instituto Mexicano del Seguro Social, delegación Yucatán, México.
Aten Primaria. 2014 May;46(5):254-60. doi: 10.1016/j.aprim.2013.12.010. Epub 2014 Mar 1.
Identifying family factors associated with the presence of co-dependency in nurses of a regional hospital in Cancún, Quintana Roo, Mexico.
Cross-sectional, comparative study.
City of Cancun (México).
A random sample of 200nurses who met the inclusion criteria (having a partner for over a year, to be at work on the day of the interview), and who gave informed consent, completed three questionnaires during different shifts.
Age, educational level, socioeconomic status, type of family structure, life cycle stage, co-dependency and family functioning.
A total of 200nurses, with mean age of 36±8years, took part. The most common socioeconomic status was high (48%), and 47.5% had graduate studies. A co-dependency level of 20.5% (95%CI: 15-26.5) was found. Family factors associated with the presence of co-dependency were; family dysfunction, prevalence ratio (PR)=9.62 (95%CI: 3.47-27.3), stage of independence, PR=3.41 (95%CI: 1.44-7.86), single parent, PR=6.35 (95%CI: 2.41-16.68), and time with partner less than 5 years, PR=3.41 (95%CI: 1.54-7.85).
It was found that family dysfunction and being a single parent were significantly associated with co-dependency in hospital nurses, therefore, on being able to identify these factors, family physicians can improve their dynamics and functioning by family study, and improving effective communication with nursing staff and their families.
确定与墨西哥金塔纳罗奥州坎昆一家地区医院护士中的共依存现象相关的家庭因素。
横断面比较研究。
坎昆市(墨西哥)。
随机抽取200名符合纳入标准(有伴侣超过一年,在访谈当天正在工作)且签署知情同意书的护士,她们在不同班次完成了三份问卷。
年龄、教育水平、社会经济地位、家庭结构类型、生命周期阶段、共依存现象和家庭功能。
共有200名护士参与,平均年龄为36±8岁。最常见的社会经济地位为高(48%),47.5%拥有研究生学历。共依存水平为20.5%(95%置信区间:15 - 26.5)。与共依存现象存在相关的家庭因素有:家庭功能失调,患病率比(PR)=9.62(95%置信区间:3.47 - 27.3);独立阶段,PR=3.41(95%置信区间:1.44 - 7.86);单亲家庭,PR=6.35(95%置信区间:2.41 - 16.68);与伴侣相处时间少于5年,PR=3.41(95%置信区间:1.54 - 7.85)。
发现家庭功能失调和单亲家庭与医院护士的共依存现象显著相关,因此,家庭医生若能识别这些因素,可通过家庭研究改善其互动和功能,并改善与护理人员及其家庭的有效沟通。