对围绝经期妇女激素补充治疗的认知度调查

目的探讨医护人员和妇女主任对激素补充治疗(HRT)的知晓率及培训需求情况。方法采用自行设计的调查问卷,对桐乡市医护人员和妇女主任进行问卷调查,调查表的主要内容分为一般情况、对HRT的利弊认知度、推荐与否、培训需求等方面。结果共调查医护人员430人、妇女主任206人,两组人员在平均年龄、工作年限、文化程度等基本特征方面无统计学差异。68.9%的妇女主任认为围绝经期妇女有必要应用HRT,明显高于医护人员。只有8.6%的医护人员表示一定会推荐患者使用HRT,明显低于妇女主任。医护人员不推荐使用HRT的原因主要是对副作用的担心。医务人员组更倾向于从相关书籍、期刊获得信息,而妇女主任组更倾向于从医生及媒体获得相关信息。结论桐乡市部分医护人员对HRT的相关知识了解不够,担心HRT发生不良反应,HRT的推荐率低。医护人员和妇女主任在HRT的认知上存在差异。针对不同人群,开展形式多样的HRT知识宣教及培养妇女主任成为HRT知识的传播者是提高HRT应用的关键措施。

Investigation on awareness of perimenopausal hormone replacement therapy

Objective To study the awareness and training demands of perimenopausal hormone replacement therapy (HRT) among a part of the medical care personnel and all the village woman representatives in Tongxiang.Methods A survey was conducted among the medical care personnel and all the village woman representatives in Tongxiang using questionnaire which is about the baseline characteristics of the two groups and the level of understanding,recommendation and training demand for knowledge regarding hormone replacement therapy (HRT).Results The survey involved 430 medical staff members and 206 village women representatives.No significantly statistical differences were found among the age,working lifetime and academic careers in the two groups.About 68.9％ village woman representatives thought that the HRT was necessary to perimenopausal women which was significantly higher than the medical personnel.Only 8.6％ of the medical personnel were willing to recommend HRT which was significantly lower than the village women representatives.The reason why the medical care personnel would not like to recommend HRT to patients was worrying about side effects.The medical personnel would like more perimenopausal health knowledge and information mainly through medical books and journals yet the village women representatives mainly through doctors and media.Conclusion The knowledge of HRT in part of the medical care personnel is not sufficient in Tongxiang.The side effects of HRT was still a concern.The recommending rate of HRT was low.There were differences between the medical care personnel and the village woman representatives in HRT knowledge.Therefore carrying out various forms of HRT knowledge education for different groups and training the village women representatives to become a disseminator of HRT knowledge are the key measures to improve HRT application.