整体护理程序对改善社区围绝经期妇女身心健康效果的调查研究

目的 探讨整体护理程序对改善社区围绝经期妇女身心健康的效果.方法 将入选者随机分为干预组与对照组各108例.采用SCL-90症状自评量表评定病人的心理状态;采用自行设计的"社区围绝经期妇女健康知识调查"了解患者对围绝经期相关知识的认知及自我保健的掌握情况;采用SF-36健康调查量表评定生存质量.结果 干预组实施整体护理干预后SCL-90各因子均较干预前显著降低(P＜0.01);对照组除强迫因子外,其他各因子变化不明显,差异无统计学意义(P＞0.05).干预后12个月2组生存质量比较,干预组生活质量8个维度显著高于对照组,2组比较有显著性差异(P＜0.01).干预后2组围绝经期相关知识、自我保健掌握情况比较,入组时2组妇女健康知识掌握情况无显著性差异(P＞0.05).结论 整体护理干预能改善社区围绝经期妇女的身心健康,是提高社区妇女生存质量的重要措施.

The effective evaluation of holistic nursing intervention to improve the physical and mental health of perimenopause women in community

Objective To explore the effect of holistic nursing intervention to improve the physical and mental health of perimennpause women in community. Methods Two hundred and sixteen perimenopause women were randomly divided into intervention and control groups, 108 cases in each group. At the begin and the end of inquiry, the symptom checklist 90 (SCL-90) and the MOS item short from health survey (SF-36) were used to evaluate respectively the psychological state and life quality, meanwhile the situation, knowledge on perimenopause and self-care were measured by self - designed health knowledge questionnaire. Results All factors in SCL - 90 were lower significantly after implementing holistic nursing ( P＜ 0. 001 ), eight queries of life quality in SF - 36 in intervention group were higher significantly than those in control group after 12 months of intervention ( P ＜ 0.01 ) . The difference between perimenopause and self - care knowledge at the begin and the end of inquiry in two groups was not significantly ( P ＞ 0.05 ) . Conclusions Holistic nursing intervention can improve the physical and mental health of perimenopause women in community, and it is an important measure to make their life quality better.