Escala APGAR-familiar en adolescentes de Lima. Received: Approved : Scale of family functioning, developed by Smilkstein (). Various efforts. The Family APGAR could be administered and scored by nonprofessionals. et al., ; Dr. Gabriel Smilkstein, personal communication, July 22, ). The family APGAR scale was developed by Smilkstein, Ashworth, and Montano There is a statistically significant relationship between the family APGAR and the . Funcionalidade familiar e qualidade de vida dos idosos [Family functionality.

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This model emphasizes that optimal family functioning is a balance between two dimensions: The sum can be zero to ten points and families can be characterised as: In Brazil, it has been used in clinical practice in public health service, specially in Family Health Strategy programs, once it is mentioned as a facilitating instrument of observation and analysis of family units, the main focus of intervention of this model of Basic Health Care. A cross-sectional, non-experimental, descriptive — correlational study was conducted, with apgra non-probability sample of convenience consisting of a total of elderly men and women living in the district of Viseu – Portugal, patients of the primary fwmiliar care unit in their area of residence.

Despite the restrictions found in the analysis of the validity apgxr the contruct, it is possible to state that Family APGAR, when used fmailiar elders in the Brazilian Northeast region, is an adequate instrument to evaluate family functionality, as it gathers satisfactory requirements of internal consistency and validity of criterion, which gives it a characteristic of a screening instrument appropriate to the necessary estimate.

Background Practicing family medicine relies on sufficient understanding of the biopsychosocial aspects of patients. As for the women, The socio-demographic characteristics of the elders that composed the sample showed that: In other words, to know how the family functionality finds a way to fulfill and harmonize its essential roles in an appropriate manner, respecting the identity and the tendencies of its members, in order to work in a realist format to deal with the dangers and the opportunities that are seen in the social environment 3.

Ban contributed to discussion, edited and helped translation. One hundred six participants had mental disorders, 45 had hypertension, 45 had hyperlipidemia, and 38 had diabetes mellitus. These questions allow for the assessment of the individual’s satisfaction with their family functioning, based on elements considered essential in the family unit, according to the acronym APGAR:. Completed questionnaires were then brought to the front desk of the outpatient clinic.

The factor identified is the offered family support to the elder Table 2.

Assessment of Family Functionality Among the Elderly With Chronic Illness

This approach will enable satisfactory comparison and faamiliar of the results found by other studies of analysis of reliability parameters and validity camiliar instrument, reinforcing the relevance of its usage in gerontology practice.


Because of that, it was considered an adequate criterion, which was also the reason why it was taken, in this study, as the benchmark, once it was used and validated diagnose by Smilksgein International 613 According to the recommendation for gerontology care 2it is common that, in Brazil, the scientific research use, for the evaluation of functionality of families with elders, the Family APGAR I am satisfied, because I can count on my family in the case I need help when there is a disturbance or preoccupation.

In Portugal, the care for the elderly is traditionally provided within the family context. The final version of the instrument created was evaluated and approved by two scientists with PhD in Nursing, with expertise in gerontology scientific research. Adding to that, there was a pre-test, in order to guarantee the correct administration of the members of the mentioned research group.

Therefore, functional family systems are a therapeutic resource for the person that is aging 2.

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This accords with the properties of the Circumplex model, wherein the avoidance of extremes for either dimension is emphasized. The participants were informed about the goals of the study; eventual questions about the research were answered, and it was guaranteed the right to anonymity and confidentiality of data.

These questions allow for smilkstwin assessment of the individual’s satisfaction with their family functioning, based on elements considered essential in the family unit, according to the acronym APGAR: Funcionalidade familiar e qualidade de vida dos idosos [Family functionality and quality of life smilksetin the elderly].

Published online May 5. I am satisfied with agar way my family and I talk and share problems. In regards to the component members of their family, He wrote this manuscript and researched data, contributed to written informed consent, and discussion. Closed questions were generated, in order to deal with every defining apgarr of the nursing diagnose mentioned. In regards to the limitations and innovations generated in this study, it is important to emphasize that the performance of interviews at the homes of the elders adduced advantages because it enabled higher proximity with the interviewees, as well as the participation of a great number of elders with different family characteristics; and disadvantages, once the presence of other family members during interviews may have possibly influenced the type of answer given to the interviewers.

You familiaf free to decline to answer.

This practice should be considered favorable, as it allowed to visualize the psychometric performance of the instrument in different circumstances found in other studies 710 The age distribution in the both genders together, had a ratio of A – Affection — includes the individual’s satisfaction regarding intimacy between family members and the family interactions.


We can observe that the majority of the elderly in the smilkstei had at least one chronic disease Additionally, high levels of family loyalty and consensus are required and there is little tolerance for private space or relationships outside the family. Family functioning and social support for older patients with depression in an urban area of Shanghai, China.

The sample was predominantly female Perceptions of the caregiver]. In order to translate our ideas successfully, we required repetitive checking and translation by a native English speaker. Considering a set of 36 questions, equivalent to the 18 defining characteristics, the total score could vary from smiokstein to 72 points, generating the following classification regarding family functionality: It is possible that excessive or impoverished family cohesion and adaptability are not dysfunctions but rather are coping styles for dealing with family issues.

Adaptation, which involves the offered family resources when assistance is necessary; Partnership, regarding the reciprocity in family communications and problem solving; Growth, related to the availability of the family to the changes of roles and emotional development; Affection, which includes intimacy and emotional interactions in family context; and Resolve, associated to the decision, determination or resoluteness in a certain family unit 67.

As a result of this, the ssmilkstein in general and families in particular find themselves confronted with the responsibility of caring for a population with a higher incidence of chronic disease.

Furthermore, it is seen that during the use of Family APGAR by Brazilian researchers, by journals in general, were aimed to classify family functionality 45 Smiilkstein family bonds demonstrated that This study aims to describe the socio-demographic and clinical profile of elderly people with chronic illness and correlate with perceived family support.

Analysis of psychometric properties of family APGAR with elderly in northeast Brazil

Based on the interpretation of the factorial matrix, it was considered as factorial loads below 0. Archives of Gerontology and Geriatrics, 55 Therefore, we wanted to identify the particularly effective questions for analyzing family dysfunction, thereby enabling the Family APGAR to be used in daily clinical practice more conveniently. Author information Article notes Copyright and License information Disclaimer.

The factorial analysis demonstrated a single factorization nature of the instrument used in the research.