Puskar K, Nerone M
J Psychiatr Ment Health Nurs. 1996;3(1):55-60. doi: 10.1111/j.1365-2850.1996.tb00192.x.
This paper presents the genogram, originated by family therapists and utilized in the psychosocial field, as a valuable tool to be used by the nurse practitioner. The nurse practitioner from any area of practice, primary care, women's health, paediatrics, geriatrics, psychiatry, in any setting (hospital, clinic, school, industry, community and home), requires a tool that provides a comprehensive assessment of the client and the factors that affect their health. The theoretical background of Bowen's family system theory and of systems theory is reviewed as the genogram evolved from the theories. Two hypothetical case illustrations utilizing the genogram are presented, one presenting only medical problems, the other presenting medical, psychiatric and family relationships. The usefulness of the genogram is not new, but it is reviewed here for its value to the nurse practitioner. Evidence leads to the conclusion that the genogram is an assessment tool that enhances intervention strategy and communication in the client's record. It augments treatment planning, care provision, health promotion and prevention, as well as cost management.
本文介绍了由家庭治疗师首创并应用于社会心理领域的系谱图，它是执业护士可使用的一种宝贵工具。来自任何执业领域（初级保健、妇女健康、儿科、老年医学、精神病学）、任何环境（医院、诊所、学校、企业、社区和家庭）的执业护士都需要一种能对患者及其健康影响因素进行全面评估的工具。随着系谱图从这些理论演变而来，本文回顾了鲍文家庭系统理论和系统理论的理论背景。文中给出了两个使用系谱图的假设案例说明，一个仅呈现医疗问题，另一个呈现医疗、精神和家庭关系问题。系谱图的实用性并非新鲜事物，但在此对其对执业护士的价值进行了审视。有证据表明，系谱图是一种评估工具，可增强干预策略并改善患者记录中的沟通。它有助于治疗规划、健康促进与预防以及成本管理。
