出版社：Asociación Latinoamericana de Profesores de Medicina Familiar A.C.
摘要：Objetivo: Evaluar la influencia de la estructura y funcionalidad familiar en la adhesión a la Rehabilitación Cardiaca Ambulatoria (RCA). Material y Métodos: Estudio descriptivo y trasversal. Muestra no aleatoria de 24 pacientes con diagnóstico de infarto al miocardio (IM). El estudio se realizó durante los años 2003-2004 en la unidad de medicina familiar No. 94 del Instituto Mexicano del Seguro Social de la Ciudad de México. En cada paciente se efectuó: Genograma, AP- GAR Y FACES III. En el análisis estadístico se utilizó X2 con corrección de Pirie- Hamdem. Resultados: Media de edad de 63.8 años. Estructura familiar nuclear en 12 pacientes y extensa en 12 pacientes. 10 Familias extensas con adherencia mínima (AM); dos familias con adhesión completa (AC). Familias nucleares con AM cuatro y ocho con AC. 13 familias con disfunción familiar presentaron AM; dos familias con AC. Familias balanceadas o extremas con AM 11 y moderadamente balanceadas tres con AM. Conclusiones: La estructura familiar nuclear así como la buena funcionalidad familiar favorecieron significativamente la adhesión del paciente postinfartado a la RCA.
其他摘要：Objective: To evaluate the influence of family structure and functioning in compliance with Out-patient Cardiac Rehabilitation (OCR). Materials and Methods: Descriptive and cross-sectional study. Nonrandom sample of 24 patients with a diagnosis of Myocardial infarction (MI) during 2003-2004. The study was conducted during 2003 and 2004 at the Family Medicine Unit 94 of the Mexican Social Security Institute in Mexico City. The following were carried out in each patient: Genogram; APGAR, and FACES III. For statistical analysis, we used X2 test with the Hamdem-Pirie correction. Results: Mean age was63.8 years. Nuclear family structure in 12 patients and extensive in 12 patients: there were 10 families with Minimal compliance (MC), and two families with Complete compliance (CC). Thirteen families with family dysfunction presented MC, in addition to two families with CC. There were 11 alanced or extreme families with MC, and three moderately balanced families with MC. No statistical significance was observed with number and time of evolution of infarction (p >0.05). Conclusions: Nuclear family structure, as well as good family functioning, significantly favored patient compliance with OCR post-infarct.
关键词：Enfermedad coronaria; Unidades de atención coronaria; Medicina Familiar;Coronary Disease; Coronary care Units; Family Practice
