摘要
分析围绝经期及绝经后妇女的围绝经期症状以及她们对围绝经期的认识程度和保健需求 ,为开展围绝经期及绝经后妇女的保健工作提供依据。随机调查 40～ 60岁不同职业 (医务人员、教师、农民 )妇女共 42 8人。采用问卷法 ,对围绝经期月经变化 ,围绝经期症状 ,对围绝经期保健的认识和需求 ,以及对激素替代治疗 ( HRT)的了解和接受程度进行分析。结果 :( 1)在绝经前 ,出现月经变化、围绝经期症状的妇女 ,分别有 44.3 %和46.6% ;平均年龄分别为 43 .4和 45 .6岁。( 2 )对围绝经期保健知识了解 ,医务人员优于教师 ,农民知之甚少。因围绝经期症状而就诊占有症状者 2 6.4% ,95 %的农村妇女认为不需治疗。( 3 )对 HRT的接受程度明显与文化程度、对围绝经期保健的认识及对 HRT的了解有关 ,但即使在医务人员中能较全面的了解 HRT利弊者也不足 1/3。接受 HRT者仅占有症状者的 7% ,且主要集中在医务人员和绝经后妇女。结论 :围绝经期保健应早期进行。书刊、讲座、围绝经期门诊及广播、电视将有利于不同文化层次的中老年妇女获得围绝经期保健知识。只有使更多的妇女了解围绝经期的生理变化和 HRT的利弊正确接受治疗 ,才能达到预防治疗疾病 ,提高生命质量 ,延长寿命的目的。
Objective: To investigate pre and post menopausal women in 40～60 years old and their knowledge and symptom in order to provide evidences for health care. Method: 428 women aged 40～60 yeas old engaged in different occupations were randomly investigated about their knowledge, symptoms and use of hormone replacement therapy (HRT), using questionaries. Results: (1)44 3% of women showed changes in menstrual cycle and 46.6% had menopausal syndrome. (2) Medical personnels had better menopausal knowledge than teachers, while farmers knew very little. Only 26.4% with symptoms saw doctors. No treatment necessary for 95% of farmers. (3) The acceptance of HRT evidently depends on the level of education. Even among medical staff only 1/3 knews about HRT. Conclusion: Health care during perimenopausal period should start early. Booklets, seminers, broadcast, television will be beneficial to all levels and different ages of wom en around menopause. When more people know about the physiologic changes around menopause and in advantages and disadvantages of HRT,this goal of disease prevention, improvement of life quality and prolonging life expectancy will be achieved.
出处
《生殖医学杂志》
CAS
2000年第3期146-148,共3页
Journal of Reproductive Medicine
关键词
激素替代治疗
围绝经期
妇女保健
Health care
Hormone replacement therapy
Perimenopause
