医院工作人员围绝经期认知情况调查研究  

Investigation of perception about menopause in hospital staff

作　　者：黄禾[1] 林秀峰[1] 王宝京 刘诗芳[1] 侯鑫楠 金鸿雁[1] HUANG He;LIN Xiu-feng;WANG Bao-jing;LIU Shi-fang;HOU Xin-nan;JIN Hong-yan(Department of Obstetrics&Gynecology,Peking University First Hospital,Beijing 100034)

机构地区：[1]北京大学第一医院妇产科,北京100034

出　　处：《生殖医学杂志》2021年第1期45-51,共7页Journal of Reproductive Medicine

基　　金：国家自然科学基金(81971348,61673024);北京大学医学青年科技创新培育基金(PKU2018LCXQ001)。

摘　　要：目的了解医院工作人员对围绝经期症状、管理以及绝经激素治疗(MHT)的认知情况,为开展科普宣教、患者健康管理提供参考。方法对北京大学第一医院工作人员发放调查问卷,调查内容包括绝经症状认知、生活质量影响、绝经相关慢性病认知、MHT认知以及MHT使用意愿等。结果共回收有效问卷654份,研究对象中女性占比90.06%(589人)、男性占比9.94%(65人);其中妇产科工作人员占比19.88%(130人),已绝经者占比11.47%(75人)。在被调查绝经者中,记忆力减退是最常见的绝经相关症状(65.33%,49人),失眠对生活质量的影响最大(32.00%,24人)。在绝经相关慢性疾病中,骨质疏松及骨折的人群认知比最高(95.57%,625人)。48.93%(320人)被调查者愿意本人或家人使用MHT治疗,拒绝MHT的原因主要是对于肿瘤的顾虑(25.38%,166人)。对MHT获益的认知中,对改善血管舒缩症状的认知比最高(89.45%,585人)。妇产科工作人员整体认知情况优于其他临床科室及职能科室,男性被调查者认知情况低于女性,绝经与非绝经被调查者认知情况无明显差异。结论公众对于绝经的认知仍有局限,院内和社会宣教还需进一步强化,兼顾科学性和实用性,以促进绝经健康管理在绝经人群中的推行和应用,改善人群生活质量。Objective:To survey the perception about perimenopausal symptoms,management and menopausal hormone therapy(MHT)in hospital staffs,in order to provide reference for carrying out popular science education and health management of patient.Methods:Questionnaires were distributed to the staffs of the First Hospital of Peking University.The survey content included perception of menopausal symptoms,impact on life quality,menopause related chronic diseases and MHT usage.Results:A total of 654 valid questionnaires were collected.Among the study subjects,females accounted for 90.06%(n=589)and males accounted for 9.94%(n=65).19.88%of them were from Department of Obstetrics and Gynecology(n=130).11.47%of the respondents were menopausal women(n=75).Among the menopausal respondents,memory loss was the most common menopause-related symptom(65.33%,n=49).Insomnia had the most serious impact on life quality(32.00%,n=24).Osteoporosis and fracture were the most widely recognized menopause related chronic diseases(95.57%,n=625).48.93%(n=320)of the respondents were willing to use MHT for themselves or their family members,and the main reason for rejecting MHT was their concerns about tumor risk(25.38%,n=166).Vasomotor symptoms improvement was the most widely recognized MHT benefit(89.45%,n=585).The overall status in the staff of Department of Obstetrics and Gynecology was better than that of other departments,and there was no much difference between menopausal and non-menopausal respondents.Conclusions:The public awareness of menopause is still limited.The publicity and education of both science and practicality in the hospital and in society should be further strengthened,in order to promote the implementation and application of menopausal health management in menopausal population and improve the life quality of them.

关 键 词：围绝经期 绝经 绝经激素治疗 认知情况 

分 类 号：R711.51[医药卫生—妇产科学]