文章基本信息

标题：IDENTIFICAÇÃO DE RISCOS NA FAMÍLIA A PARTIR DO GENOGRAMA
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作者：Heloisa Beatriz Machado ; Arlete Teresinha Besen Soprano ; Carolina Machado 等
期刊名称：Família, Saúde e Desenvolvimento
印刷版ISSN：1517-6533
出版年度：2005
卷号：7
期号：2
语种：Portuguese
出版社：UFPR
摘要：Although used in the clinic for many years, with the implementation of the Family Health Strategy, the use of the genogram as a tool of familiar approach has enabled professionals to go beyond the practice focused exclusively on illness and to view the family as a resource and health promoter unit. The aim of this study was to identify risks within the family, using the genogram of patients attended by the Ambulatory of Familiar and Communitarian Medicine at UNIVALI University - Brazil, from 2003 to July 2005. The study was retrospective and documentary, based on identification’s records consultation and the genograms of 322 patients attended by the Familiar Communitarian discipline. The results revealed the presence of groups showing high risk factors such as age, little or no education and vulnerable populations (children and elderly), tobaccoism, alcoholism, and drug abuse, psychosocial risks such as separation, divorce and family dissension, and genetic risk factors such as: morbidity and co-morbidities, chronic diseases, particularly hypertension and diabetes, and which were also causes of death in the family. The evaluation of previous history of morbidity indicates vulnerable patients to cardiopathies and cancer, and risk factors of intra familiar violence, such as alcoholism, drug abuse and turbulent relationships. The study of risk factors based on the genogram allowed comprehension the family context, and presence of lifestyle habits patterns repetition, intra familiar relations and hereditary pathologies affecting health/disease process. There is a need to adopt strategies focused on the identified risks, proposing actions to prevent, taking into consideration the specific problems, the available resources, the families and their networks support.
其他摘要：Although used in the clinic for many years, with the implementation of the Family Health Strategy, the use of the genogram as a tool of familiar approach has enabled professionals to go beyond the practice focused exclusively on illness and to view the family as a resource and health promoter unit. The aim of this study was to identify risks within the family, using the genogram of patients attended by the Ambulatory of Familiar and Communitarian Medicine at UNIVALI University - Brazil, from 2003 to July 2005. The study was retrospective and documentary, based on identification’s records consultation and the genograms of 322 patients attended by the Familiar Communitarian discipline. The results revealed the presence of groups showing high risk factors such as age, little or no education and vulnerable populations (children and elderly), tobaccoism, alcoholism, and drug abuse, psychosocial risks such as separation, divorce and family dissension, and genetic risk factors such as: morbidity and co-morbidities, chronic diseases, particularly hypertension and diabetes, and which were also causes of death in the family. The evaluation of previous history of morbidity indicates vulnerable patients to cardiopathies and cancer, and risk factors of intra familiar violence, such as alcoholism, drug abuse and turbulent relationships. The study of risk factors based on the genogram allowed comprehension the family context, and presence of lifestyle habits patterns repetition, intra familiar relations and hereditary pathologies affecting health/disease process. There is a need to adopt strategies focused on the identified risks, proposing actions to prevent, taking into consideration the specific problems, the available resources, the families and their networks support.
关键词：família;genograma;vulnerabilidade;family;genogram;vulnerability;familia;genograma;vulnerabilidad