中老年女性对绝经综合征治疗和保健需求的调查  

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

作　　者：张崴[1] 宋殿荣[1] 陈然然[2] 樊官伟[3] ZHANG Wei;SONG Dian -rong;CHEN Ran -ran;FAN Guan -wei(Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China;Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China)

机构地区：[1]天津中医药大学第二附属医院,300250 [2]天津中医药大学 [3]天津中医药大学第一附属医院

出　　处：《国际生殖健康／计划生育杂志》2019年第4期283-286,共4页Journal of International Reproductive Health/Family Planning

基　　金：国家科技支撑计划(2014BAI05B01)

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。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 only9.62%(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.

关 键 词：绝经期 健康知识 态度 实践 认知 需求估价 

分 类 号：R173[医药卫生—妇幼卫生保健]