社区更年期妇女健康管理效果评价

目的:通过了解和认识更年期妇女各种更年期症状和体征的发生率、心理变化、保健行为及需求,探索切实可行的社区更年期妇女健康管理服务模式。方法:以上海市长宁区华阳街道的2个居委会为试点,采用上门现状调查、发放资料、建立自我保健卡、集中讲座、妇科普查、心理咨询服务、追踪随访等综合服务的方式进行更年期保健服务。结果:干预组妇女在干预后相关的更年期保健知识和自我保健能力有明显的提高,但在主动就医方面改进效果不明显;心理测试异常者占10.5%;71.8%的调查者希望得到免费妇科普查服务。结论:社区开展更年期妇女保健可以与医疗机构的妇科普查服务相结合,且充分发挥社区卫生服务中心"六位一体"的服务功能,为社区更年期妇女提供个性化、连续性的随访和健康教育等健康管理,从而创建良好的更年期自我保健氛围,使妇女顺利渡过更年期,进一步维护和促进身心健康发展。

Evaluation of effect of health management of menopausal women in community

Objective:To explore a feasible health management service pattern of menopausal women in community by understanding and cognizing the incidences of various menopausal symptoms and signs,psychological changes,health behaviors and demands of menopausal women.Methods:2 neighborhood committees in Huayang street were selected from Changning district in Shanghai as experimental units,comprehensive service patterns including field investigation,distributing data,establishing self health care cards,intensive lectur...