中老年女性生殖健康教育的防病的效果比较

目的 探讨中老年女性生殖健康宣教对预防老年性疾病的效果.方法 将广州医科大学附属第三医院2014年1至12月门诊健康体检建档的年龄≥45中老年女性600例随机分为对照组与研究组,每组各300例,对照组中老年女性采用常规干预,入组后发放围绝经期女性生殖健康保健手册,不主动进行生殖健康咨询工作,仅在其有疑问时提供咨询及指导;研究组中老年女性实施生殖健康宣教干预,由8人组成的团队实施生殖健康宣教,宣教内容包含:认知宣教、预防宣教、心理健康宣教、及时就诊意愿宣教等,干预持续时间为1年.结果 干预后研究组中老年女性对激素治疗、合理饮食、合理生活方式、用药、运动锻炼知晓率均显著高于对照组(x2值分别为95.707、72.853、95.822、63.253、66.215,均P＜0.05);研究组中老年女性在老年性疾病出现后的立即就诊意愿率显著高于对照组(x2 =71.331,P＜0.001);研究组干预后的功能性子宫出血、围绝经期综合征、老年性阴道炎/膀胱炎/尿道炎、焦虑、抑郁、骨质疏松、压力性尿失禁发病率均显著低于对照组(x2值分别为5.501、18.774、4.588、9.540、8.499、5.321、5.419,均P＜0.05).结论 中老年女性生殖健康宣教可有效提升中老年女性对老年性疾病的认知率,提升及时就诊意愿,降低老年性疾病的发病率.

Efficacy of reproductive health education in prevention of senile diseases in middle and aged women

Objective To explore the efficacy of reproductive health education in prevention of senile diseases in middle and aged women.Methods Altogether 600 women aged above 45 establishing record for outpatient health check in Third Affiliated Hospital of Guangzhou Medical University from January to December in 2014 were randomly divided into control group and observation group with 300 cases in each group.Women in the control group were treated with conventional interventions and were provided with reproductive health care manual for perimenopausal women,and initiative reproductive health counseling work was not provided for them.Advice was given only when they asked.Women in the observation group received reproductive health education given by an 8-member team.Contents of education included cognition on education,prevention education,mental health education,and awareness for seeking medical help in time.Intervention duration was one year.Results Awareness of hormone therapy,proper diet,reasonable lifestyle,medication,and exercise of women after intervention in the observation group was significantly higher than that in the control group (x2 value was 95.707,72.853,95.822,63.253 and 66.215,respectively,all P ＜ 0.05).Willingness of seeking immediate medical help after appearance of disease of women in the observation group was significantly higher than that in the control group (x2 =71.331,P ＜ 0.001).Incidence of dysfunctional uterine bleeding,perimenopausal syndrome,senile vaginitis/cystitis/urethritis,anxiety,depression,osteoporosis,stress urinary incontinence after intervention in the observation group was significantly lower than that in the control group (x2 value was 5.501,18.774,4.588,9.540,8.499,5.321 and 5.419,respectively,all P ＜ 0.05).Conclusion Reproductive health education for middle and aged women can effectively enhance their awareness of senile disease,improve willingness for seeking timely medical treatment and reduce incidence of senile disease.