个性化认知行为疗法在中重度围绝经期症状女性患者中的应用效果  

Effect of Personalized Cognitive Behavioral Therapy on Women with Moderate to Severe Perimenopausal Symptoms

作　　者：钟凯[1] 康汉珍[1] 胡启彩 曾祥华[1] 洪爱军[1] 汤惠茹[1] 

机构地区：[1]北京大学深圳医院,广东深圳518036

出　　处：《护理学报》2015年第6期63-66,共4页Journal of Nursing（China）

基　　金：2013年广东省科技计划项目(2013B021800095);2013年深圳市科技研发资金知识创新计划基础研究项目(JCYJ20130402112843375)

摘　　要：目的评价个性化认知行为疗法对中重度围绝经期症状女性患者的干预效果。方法 2014年7—9月对纳入58例中重度围绝经期症状女性患者从知、信、行方面实施个性化认知行为疗法,比较其干预前后改良Kupperman症状评分及围绝经期知信行调查问卷得分情况。结果经个性化认知行为疗法干预后,58例中重度围绝经期症状女性患者改良Kupperman各项得分较干预前均有下降,其中潮热出汗、感觉异常、失眠、易激动、抑郁、眩晕、骨关节肌肉痛及性交痛与干预前比较差异有统计学意义(P<0.05);干预后知、信、行评分较干预前均明显升高(P<0.01)。结论个性化认知行为疗法可有效改善中重度围绝经期女性患者相关症状,提高其预防保健意识,形成正确的健康信念,从而最终转化为行之有效的预防保健行为。Objective To assess the effect of personalized cognitive behavioral therapy on women with moderate to severe perimenopausal symptoms in terms of their perimenopausal symptoms and perimenopausal-related knowledge, attitude, and practice （KAP）. Methods Women with moderate to severe perimenopausal symptoms were treated with personalized cognitive behavioral therapy from July to September 2014. Kupperman index and perimenopausal-related KAP questionnaire were applied for the effect of the therapy. Results After treatment, the score of each symptom in Kupperman index of 58 women were declined. And the score of hot flashes sweating, paresthesia, insomnia, irritability, depression, dizziness and joint muscle pain was significantly decreased （ P〈;0.05）. Moreover, perimenopausal-related KAP scores were also increased significantly （ P〈;0.01）. Conclusion Personalized cognitive behavioral therapy is effective for improving the symptoms of women with moderate to severe perimenopausal symptoms, enhancing their prevention and healthcare awareness so as to help them lead a healthy life in perimenopausal period.

关 键 词：围绝经期 个性化认知行为疗法 健康信念 预防保健 

分 类 号：R473.71[医药卫生—护理学]