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Journal of the Korean Academy of Family Medicine 1995;16(10):711-720.
Published online October 1, 1995.
Evaluation of family function of children-patients hospitalized through the emergency room and those hospitalized through the outpatient department.
Jong Seung Jung, Eun Young Park, Young Boo Cha, Young Soon Jung, Jong Ho Seo
응급실을 통해 입원한 환아와 외래를 통해 입원한 환아의 가족기능 평가
정종승, 박은영, 차영부, 정영순, 서종호
한림의대 강동성심병원 가정의학교실 삼성의료원 가정의학과
Abstract
Background
: This study is carried out to see if there is any difference in the family function of children-patients between those hospitalized through the emergency room where immediate treatments are available anytime and those hospitalized through the outpatient department where they have to wait for available doctors and the treatment is given only during the office hours

Methods : The family function and family environment of children-patients who had been hospitalized at the Kwangju Christian Hospital from May through July were evaluated by Family APGAR and FACES Ⅲ. Diseases of children in each group were also comparatively evaluated and one-to-one correspondences were mode between the two groups. Then 82 children were respectively selected from each group and the two groups were compared by T-test and chi-square test in terms of SPSS.

Results : There were no differences in general characteristics of children of both groups, and in both groups the number of boys was bigger than that of girls. As to the clinical characteristics, chief complaints of the study group were dominated by fever, respiratory difficulties, and convulsive attacks, while they were dominated by coughing in the control group. When it comes to the manifestation period of major symptoms before hospitalization, the study group took 4.5±0.52 days and the control group 7.9±0.81 days with the former showing showing short enough, in terms of statistical significance, period(p<0.01). But on sifgificant differences were found in the duration of hospitalization between the two groups. In the comparison of family functions, the study group showed 6.8±0.28 points on family Apgar score, 24.8±0.19 points on adaptability, and 33.9±0.8 points on cohesion, whereas the control group showed 6.9±0.26 points on family APGAR score, 24.9±0.67 points on adaptability, and 34.0±0.79 points on cohesion, showing no significant differences between the two groups. As to the family type, the Mid-ranged type was dominant in both groups-51 children(62.2%) in the study group and 44 children(33.7%) in the control group.

Conclusion : There is no significant difference in the family function of children patients hospitalized through emergency room and those hospitalized through the outpatient department.
초록
연구배경 : 즉각적인 처치가 가능하고 이용시간에 제한을 받지 않은 응급실을 통해 입원한 환아군과 대기시간이 필요하고 일상 근무시간에만 진료가 가능한 외래를 통해 입원한 환아군 두 군간의 가족기능에 차이가 있는 지 알아보고자 본 연구를 시행하였다.

방법 : 1994년 5월부터 7월까지 광주기독병원 소아과에 입원한 환아를 대상으로 family APGAR와 FACESⅢ를 이용해 가족기능 및 가족상황을 평가하고 각 군간의 질병을 비교 평가하여 1:1 대응시킨 후 각각 82명씩 선택하였다. 통계처리는 SPSS로 하였으며 T-test와 Chi-square test를 사용해 두 군을 비교 분석하였다.

결과 : 두 군간의 일반적 특성에는 차이가 없었고 두 군 모두 남아가 여아보다 많았다. 두 군의 임상적 특성은 발열, 호흡곤란, 경련 등을 주소로 내원한 경우가 조사군에서 더 많았고 대조군에서는 기침을 주소로 내원한 경우가 더 많았으며 입원 전까지 주증상의 발현기간이 조사군에서는 4.5±0.52, 대조군에서는 7.9±0.81이로 조사군에서 통계학적으로 의의있게(P<0.01) 짧았으나 입원기간은 두 군간의 차이가 없었다. 가족기능은 조사군에서 가족기능지수 6.8±0.28, 적응력 24.8±0.19, 결속력 33.9±0.8점이었고, 대조군에서 가족기능지수 6.9±0.26, 적응력 24.9±0.67, 결속력 34.0±0.79점이었으며 두 군간에 통계학적으로 유의한 차이는 없었다. 가족유형은 조사군과 대조군 모두에서 중간형이 51명(62.2%), 44명(33.7%)으로 가장 많았다.

결론 : 응급실을 통해 입원한 환아군과 외래를 통해 입원한 환아 두 군간의 가족기능의 차이는 없었다.
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