围绝经期妇女对激素替代治疗认知水平的调查

目的了解围绝经期妇女对激素替代治疗(hormone replacement therapy,HRT)的认识水平,以期为有重点地开展围绝经期自我保健宣讲和治疗对策提供依据。方法 2014年8月1日至11月1日,采用便利抽样法选取在解放军第307医院门诊咨询和治疗的围绝经期女性251名为研究对象,采用自制的"围绝经期妇女对激素替代治疗认知情况"调查表对其进行调查,并分析结果。结果围绝经期妇女对HRT了解和认知程度低,对激素水平降低对低骨质疏松特别是心脑血管疾病的影响了解不够。结论针对围绝经期妇女保健知识和HRT了解程度较低的现状,应有重点地开展科学、有效的健康教育和心理咨询,帮助其掌握自我保健方法和科学治疗方法,从而提高其生活质量。     

内江地区妇女生殖道感染状况调查分析

目的了解内江地区妇女生殖道感染情况,为妇女的生殖健康保健提供依据。方法采用问卷调查了解一般情况;妇科检查宫颈、阴道情况;采用3种生殖道分泌物检查方法对内江市1000例妇女的一般情况和生殖健康状况进行横断面调查,其中包括500例围绝经期妇女。结果围绝经期妇女的阴道炎、宫颈炎的患病率高于非围绝经期妇女。围绝经期妇女病原体感染主要是加德纳菌、念珠菌、支原体。结论为做好生殖道感染的防治工作,广泛开展对围绝经期妇女的生殖道感染知识的健康教育,提高围绝经期妇女的自我保健意识尤为重要。     

围绝经期妇女健康状况调查及治疗策略

目的 调查郑州市管城区围绝经期妇女健康状况,探讨健康教育对策及保健措施,以提高妇女的健康水平及生活质量.方法 采用统一调查问卷和分层整群随机抽样方法,对郑州市第一人民医院妇科门诊就诊的郑州市管城区632例围绝经期妇女进行问卷调查.结果 围绝经期妇女85.8%有不同程度的围绝经期症状,人工绝经者症状严重;对激素替代治疗及盆底肌肉锻炼知晓率低,62.6%的围绝经期妇女希望获得围绝经期相关知识的教育和保健治疗需求.结论 针对围绝经期妇女实施科学、实效的健康教育及医疗服务,以促进中老年妇女的身心健康,提高其生活质量.     

社区围绝经期女性围绝经期综合征及保健现状研究

目的探讨社区女性围绝经期综合征发生水平及保健的一般情况。方法采用自行设计问卷对401例社区围绝经期妇女进行调查。结果有88．8％妇女出现至少1种围绝经期综合征症状,其中中、重度围绝经期综合征患者占到22．4％;被调查女性保健意识相对积极,但其保健知识、行为情况不容乐观。结论社区围绝经期女性健康及保健状况不容乐观,建议积极深入的开展健康教育,促进社区围绝经期妇女身心健康发展。     

围绝经期妇女预防骨质疏松知、信、行的相关性研究

目的调查围绝经期妇女预防骨质疏松的知识、自我效能和行为,并探讨三者之间的相关性。方法采用预防骨质疏松的知、信、行问卷对我院130例围绝经期妇女进行调查。结果围绝经期妇女预防骨质疏松的知识、自我效能、行为问卷的各条目均分为(0.41±0.20)分、(2.15±0.20)分、(3.22±0.46)分。围绝经期妇女预防骨质疏松的知识与自我效能呈显著正相关关系(r=0.511,P=0.000);预防骨质疏松的自我效能与行为之间呈显著正相关关系(r=0.505,P=0.000);预防骨质疏松的知识与行为呈正相关,但关系不密切(r=0.249,P=0.002)。结论围绝经期妇女预防骨质疏松的知识薄弱,自我效能一般,且行为缺乏,应加强规范化健康教育,提高围绝经期妇女预防骨质疏松的知识水平,通过认知干预等多种形式,树立健康信念,提升保健行为,从而预防骨质疏松的发生。     

门诊围绝经期妇女的健康教育

随着我国经济的发展,人民生活水平大幅度提高,人们对医疗卫生的需求也在提高,医务工作者的任务不仅是治病,更要做好预防保健工作,围绝经期妇女的健康教育更加被社会和家庭所接受。我们近两年来在门诊对围绝经期妇女进行了不同方法的健康教育,收到了良好的社会效益和经济效益,患更年期综合征的妇女明显减少,提高了围绝经期妇女的生活质量。现将我们在门诊实施的健康教育方法和内容报告如下。1健康教育方法1.1在大厅建立宣传栏利用板报、报纸、广播、电视等工具宣传围绝经期妇女的保健知识。1.2制作健康教育卡片将有关围绝经期知识及常用药品…     

护理干预对社区围绝经期妇女身心健康效果的调查研究

目的：探讨整体护理干预对改善社区围绝经期妇女身心健康的效果。方法：将216例患者随机分为干预组与对照组各108例。采用SCL-90症状自评量表评定患者的心理状态;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认知及自我保健掌握情况;采用FS-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个月两组生存质量比较,干预组生活质量8个纬度显著高于对照组,两组比较差异显著（P〈0.01）。干预后两组围绝经期相关知识、自我保健掌握情况比较入组时两组妇女健康知识掌握情况无显著性差异（P〉0.05）。结论：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。     

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.     

护理干预对社区围绝经期妇女身心健康效果的调查研究

目的:探讨整体护理干预对改善社区围绝经期妇女身心健康的效果.方法:将216例患者随机分为干预组与对照组各108例.采用SCL-90症状自评量表评定患者的心理状态;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认知及自我保健掌握情况;采用FS-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个月两组生存质量比较,干预组生活质量8个纬度显著高于对照组,两组比较差异显著(P＜0.01).干预后两组围绝经期相关知识、自我保健掌握情况比较入组时两组妇女健康知识掌握情况无显著性差异(P＞0.05).结论: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.     

围绝经期妇女健康调查

为了解围绝经期妇女健康状况,探索围绝经期症状及相关因素,对600名40～60岁妇女进行了健康调查,结果显示绝经年龄为(48.67±3.01)岁。绝经年龄与妊娠次数、职业有关。围绝经期症状表现为月经失调、腰酸腿痛、乏力、潮热等,其程度与妊娠次数、教育程度、月经周期、身体状况有关,围绝经期妇女患病率28.3％。提示要加强围绝经期妇女的健康教育,提高妇女健康水平。     

Perimenopause and the quality of life

The purposes of this study are to describe the frequency and distress of symptoms associated with perimenopause, to examine the changes in the quality of life (QOL) related to perimenopause, and to examine the relationships between symptoms associated with perimenopause and the QOL. A cross-sectional, correlational design was employed. Two hundred fourteen perimenopausal women completed the Women's Health Assessment Scale (WHAS) and the Quality of Life Scale. It was found that vasomotor symptoms were not central to the list of symptoms associated with perimenopause. More women reported psychosomatic complaints as opposed to vasomotor complaints. Compared to the premenopausal period, women during perimenopause experienced slightly, yet significantly decreased, levels of QOL. Multiple regression analysis demonstrated that the psychosomatic symptom category was the sole predictor of the QOL during perimenopause. In summary, psychosomatic symptoms occur most frequently and are most distressful for perimenopausal women in this study. It may be important to manage psychosomatic symptoms to improve the QOL for perimenopausal women.     

沟通策略在围绝经期妇女中的应用

目的研究沟通策略在围绝经期妇女中的应用效果。方法将88例接受激素补充疗法(HRT)的围绝经妇女随机分成观察组和对照组,每组44例。对照组单纯接受HRT,观察组HRT过程中应用沟通策略。结果观察两组间第一、第三疗程K评分,潮热出汗、失眠、忧郁、疲乏、心悸发生率,差异有显著性意义(P<0.05或P<0.01)。结论在接受HRT的围绝经妇女中应用沟通策略,疗效明显优于单纯进行HRT,能够促进康复。     

Follicle-stimulating hormone and oestradiol levels during perimenopause in a cohort of Japanese women

Context: There had been a lack of longitudinal studies regarding follicle‐stimulating hormone (FSH) and oestradiol (E2) during perimenopause for non‐Caucasian populations. Objective: To investigate FSH and E2 levels during perimenopause in a Japanese cohort. Design and setting: The Adult Health Study is a longitudinal population‐based study. Perimenopausal women from this study cohort were followed between 1993 and 2003. Participants and main outcome measures: Non‐menopausal women, aged 47–54 years, were measured in terms of FSH and E2 levels every 6 months. For 89 women whose FSH and E2 levels were measured within 3 months from their final menstrual period (FMP), trends of FSH and E2 within 21 months of FMP were investigated at 6‐month intervals. Results: Follicle‐stimulating hormone and E2 levels within 3 months from FMP showed wide ranges. Neither FSH nor E2 levels differed by age, weight or duration of amenorrhoea. Although FSH increased and E2 decreased during perimenopause, FSH and E2 levels at a single time point were found to not be a reliable marker of biological menopause, as hormone levels in and between the subjects showed wide variation and any trend in one individual was not necessarily one directional. Conclusions: Among Japanese women who had natural menopause around the age of 50, hormone levels in and between individuals showed wide variation throughout perimenopause with a converged biochemical menopausal pattern characterised by high FSH and low E2 at about 2 years after FMP.     

Clinical evidence of Chinese medicine therapies for depression in women during perimenopause and menopause

BackgroundDepression is common in women during perimenopause and menopause. Complementary therapies such as acupuncture and Chinese herbal medicine (CHM) are often utilized by these women. However, the efficacy and safety of these treatments have not been systematically evaluated.MethodsWe conducted a systematic review and meta-analysis of randomized controlled trials (RCTs). Nine English and Chinese databases were searched and search terms included perimenopause, menopause, depression, Chinese herbal medicine, acupuncture, RCTs, and their synonyms. Methodological quality was assessed using the Cochrane Risk of Bias Tool.ResultsA total of 18 RCTs were identified (6 CHM, 11 acupuncture related therapies, 1 combination of CHM and acupuncture). For Hamilton Rating Scale of Depression (HRSD) and Kuppermans Index of Menopause, tuina-massage, combined therapy of CHM plus acupuncture showed significant benefits at end of treatment compared to antidepressants. Either CHM and acupuncture reduced HRSD scores, indicating less severe depression, showing comparable effects to antidepressants.ConclusionCHM and acupuncture treatment in perimenopause and menopausal women resulted in reduced severity of depression. Results should be interpreted with caution given the small number of studies included in this review and further RCTs are warranted to validate findings from this review.     

Promoting health among perimenopausal women through diet and exercise

PURPOSE: To review the literature related to health promotion during the perimenopausal years and suggest methods for integrating those changes into the lifestyles of women in primary care. DATA SOURCES: Selected scientific literature and guidelines for exercise programs. CONCLUSIONS: The transition into perimenopause presents an opportunity for addressing health promotion issues, such as diet and exercise. As a woman senses perimenopausal changes, health awareness emerges. Such personal insight motivates the woman to implement lifestyle changes. IMPLICATIONS FOR PRACTICE: Considering the average women will spend approximately one third of her life past menopause, a concerted effort is needed to ensure her well-being. Diet and exercise represent two modifiable areas of concern for perimenopausal women. Dietary selections of phytoestrogens, calcium, fiber and fat along with exercises plans are relatively simple interventions to begin the process of change.     

Uncertainty during perimenopause: perceptions of older first-time mothers

morgan p., merrell j., rentschler d. & chadderton h. (2012) Uncertainty during perimenopause: perceptions of older first-time mothers. Journal of Advanced Nursing68(10), 2299-2308. ABSTRACT: Aim. This article is a report of a study exploring older first-time mothers' perceptions of health during their transition to menopause. Background. Increasing numbers of women world-wide are delaying motherhood, yet little is known about the unique phenomenon created when midlife motherhood is closely followed by the transition to menopause. A literature search revealed that the effect of these overlapping life transitions on women's health was unknown. Design. A hermeneutic phenomenological approach utilizing Gadamer's philosophical underpinnings guided the study. Method. A purposive sample of thirteen women aged 45-56?years who were mothering children aged 12?years or younger and experiencing symptoms of perimenopause was recruited. Two in-depth interviews were conducted with each woman and meaning was mutually negotiated through participative dialogue with the women, ongoing construction and thematic analysis of data collected between 2004 and 2007. Findings. The key theme 'Perimenopause as a State of Uncertainty' is an interpretation of older first-time mothers' perceptions of health during perimenopause and is the focus of this article. Hermeneutic interpretation culminated in the construct 'uncertainty' as theoretical embodiment of the women's lived experience. An uncertain temporality, projection of the lifespan and valuing health as precious enabled these women to transform uncertainty into opportunities for health promotion to 'be there' for their children. Conclusion. Nurses, nurse practitioners and midwives will increasingly be caring for midlife mothers and need to understand the unique issues of older mothers to offer education and health promotion that support healthy transitions to menopause.     

The lived experience of perimenopause and menopause

Menopause is a universal life experience, and yet there is a paucity of qualitative research giving voice to women who actually live this important life transition. Historically, menopause has been conceived as a pathological condition, and therefore, medicalized by healthcare providers. The purpose of the study was to give voice to the menopausal experiences of women. The research question was: What has your experience been with perimenopause and/or menopause? Thirteen women, meeting inclusion criteria and obtained through snowball effect, were interviewed. Data were collected through semi-structured interviews and drawings. The women interviewed repeatedly had questions and concerns regarding perimenopause, and often reported receiving conflicting and confusing information. The transition theory (Meleis, 2010) was used to understand the thematic results. Three major themes emerged: My Body, Sharing with Others: Not My Mother and Going on with Life.