台灣某高中與專科學校青少年自評家庭功能狀況：十年變化的比較

賴和鴻; 黃麗卿

doi:10.7023/TJFM.200309.0130

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P130 - 137

医药卫生 > 社会医学

DOI： 10.7023/TJFM

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台湾某高中与专科学校青少年自评家庭功能状况：十年变化的比较

Self-Reporting Family Function in Adolescents in a High School and College: Changes in Ten Years

赖和鸿(Ho-Hung Lai) ；黄丽卿(Lee-Ching Hwang)

台湾家庭医学杂志； 13 卷 3 期 (2003 / 09 / 01) ， P130 - 137

繁体中文 DOI： 10.7023/TJFM.200309.0130

adolescent ； family function ； family APGAR

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摘要 │ 参考文献 (21) │ 被引用文献 (4) │ 国际计量

摘要〈TOP〉

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A changing social environment has an impact on the family, as it affects interaction between family members, in particular when dealing with sudden psycho-physiological changes in adolescents. Problems of adolescents are often similar to those of people with psycho-physiological problems, and there is generally an increase in deviant behavior. We therefore performed a study over a period of ten years, in which adolescents had to indicate changes in family function. For this study two cross-sectional surveys were performed with a lapse of 10 years in between(1992 and 2002).The surveys included interviewing adolescent subjects and asking them to fill out a Family APGAR Questionnaire. Data analysis would prove whether or not there was a change in APGAR scores in the past ten years, and what factors contributed to this potential change. Subjects consisted of vocational high school students from Northern Taiwan, with ages between 15 and 19. The total number of subjects for both surveys was 2,321. The study found that in the ten-year period there was no difference in adolescents’ family structure nor in social and economic status of the head of the family. However, a significant decrease was noted in scores of the self-evaluative Family APGAR; the total score decreased by 27.4%. The questionnaire consisted of five main items, namely adaptability, parthership, growth, affection and resolve. The mean score for each item was significantly lower in 2002 than ten years earlier. The most obvious drop(50.2%)was seen for family resolve, the mean score for which dropped from 1.5 to 0.7. Adolescents who rated their family function as severely dysfunctional accounted for 37.9%, an increase from 12.6% ten years earlier. In accordance with univariate analysis, the main factors that influenced family function were family structure and social and economic status in 1992, while in 2002 only social and economic status seemed to be a significant factor. In accordance with multivariate analysis and after control of family structure and social and economic status, the subject’s year of birth was found to be the main factor that significantly affected family function. More continuous study and tracking is required to explore the reasons for these changes, which would then assist in enhancing the focus of attention on the medical services provided to adolescents.

参考文献 ( 21 ) 〈TOP〉

叶美玉(2000)。酒瘾患者忧郁之研究。护理研究，8，241-248。
连结：
Konen JC,Summerson JR,Dignan MB(1993).Family function, stress, and locus of control. Relationships to glycemia in adults with diabetes mellitus.Arch Fam Med,2,393-402.
Lee LT,Chen CJ,Suo J,Chen SC,Chen CY,Lin RS(1993).Family factors affecting the outcome of tuberculosis treatment in Taiwan.J Formosan Med Assoc,92,1049-1056.
Murphy JM,Kelleher K,Pagano ME(1998).The family APGAR and psychosocial problems in children: a report from ASPN and PROS.J Fam Pract,46,54-64.
Records KA(1994).Adolescent mothers: caregiving, approval, and family functioning.J Obstet Gynecol Neonatal Nurs,23,791-797.

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