国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2019, Vol. 38 ›› Issue (4): 283-286.

• 论著 • 上一篇    下一篇

中老年女性对绝经综合征治疗和保健需求的调查

张崴，宋殿荣，陈然然，樊官伟   

  1. 300250 天津中医药大学第二附属医院（张崴，宋殿荣）；天津中医药大学（陈然然）；天津中医药大学第一附属医院（樊官伟）
  • 收稿日期:2019-02-21 修回日期:2019-05-14 出版日期:2019-07-15 发布日期:2019-07-15
  • 通讯作者: 宋殿荣，E-mail：songdr58@126.com E-mail:songdr58@126.com
  • 基金资助:
    国家科技支撑计划（2014BAI05B01）

Needs & Demands of Management and Health Care for Middle-Aged and Elder Women with Menopause Syndromes

ZHANG Wei，SONG Dian-rong，CHEN Ran-ran，FAN Guan-wei   

  1. Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine，Tianjin 300250，China（ZHANG Wei，SONG Dian-rong）；Tianjin University of Traditional Chinese Medicine，Tianjin 301617，China（CHEN Ran-ran）；First Teaching Hospital of Tianjin University of Traditional Chinese Medicine，Tianjin 300193，China（FAN Guan-wei）
  • Received:2019-02-21 Revised:2019-05-14 Published:2019-07-15 Online:2019-07-15
  • Contact: SONG Dian-rong，E-mail：songdr58@126.com E-mail:songdr58@126.com

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摘要： 目的：了解中老年女性对绝经综合征治疗和绝经相关知识的需求情况，为临床开展更年期保健提供科学指导。方法：采用分层随机整群抽样，选择天津地区40～60岁妇女进行问卷调查。结果：本研究共调查2 400例符合要求女性，最终收集2 018份合格问卷，合格率84.08%。2 018例受访妇女中1 212例自然绝经，其平均绝经年龄为（49.73±3.53）岁。对1 623例绝经过渡期、绝经早期和绝经晚期人群调查显示，9.61%（156/1 623）妇女正在接受绝经综合征治疗，其中69.23%（108/156）妇女接受了中药治疗，仅有9.62%（15/156）妇女接受了激素治疗。42.27%（686/1 623）妇女认为绝经综合征需要治疗，其中72.01%（494/686）妇女倾向于中药治疗，没有倾向于单纯激素治疗的妇女。65.06%（1 056/1 623）妇女接受过绝经相关保健知识宣教，其中61.27%（647/1 056）妇女保健知识来源于媒体，15.53%（164/1 056）妇女保健知识来源于医疗机构；66.67%（1 082/1 623）妇女希望了解相关保健知识。结论：中老年女性渴望了解绝经相关知识，目前来源于医疗机构的专业指导较匮乏；与激素替代治疗相比，中医药疗法在中国妇女中具有更高的接受度。

关键词: 绝经期, 健康知识, 态度, 实践, 认知, 需求估价

Abstract: Objective：To investigate the demand of treatment and health care of menopausal syndrome in middle-aged and old women, and the menopause-related knowledge, so as to provide the scientific guidance for the clinical health care of menopause. Methods：A stratified random cluster sampling was used to select women aged 40 to 60 years in Tianjin, to conduct a questionnaire survey. Results：A total of 2 400 eligible women were investigated in this study, and 2 018 eligible questionnaires were collected (the eligible rate, 84.08%). Of the 2 018 women interviewed, 1 212 were naturally menopausal, with an average age of (49.73±3.53) years. A survey of 1 623 cases of menopausal transition, early and late menopause showed that 9.61% (156/1 623) of women were receiving the treatment of menopausal syndrome, 69.23% (108/156) of whom received traditional Chinese medicine, and only 9.62% (15/156) received hormone therapy. 42.27% (686/1 623) women thought that menopausal syndrome needed treatment, 72.01% (494/686) of them tended to be treated with traditional Chinese medicine, but not with hormone alone. 65.06% (1 056/1 623) women received the education on menopause-related health knowledge, 61.27% (647/1 056) women got health knowledge from the media, 15.53% (164/1 056) women from medical institutions. Totally, 66.67% (1 082/1 623) women wanted to know about the health care-releted knowledge. Conclusions：Middle-aged and old women are eager to know about menopause. However, the professional guidance from medical institutions is insufficient. Compared with hormone replacement therapy, traditional Chinese medicine therapy has a higher acceptance in Chinese women.

Key words: Menopause, Health knowledge, attitudes, practice, Cognition, Needs assessment