基于体质辨识的健康管理在围绝经期妇女中的应用  

Effects of health management based on constitution identification in perimenopausal women

作　　者：杨丹华[1] 方桂珍 陈超[1] 章松娟 李秀燕[1] 李秋爽 李中洲 Yang Danhua;Fang Guizhen;Chen Chao;Zhang Songjuan;Li Xiuyan;Li Qiushuang;Li Zhongzhou(Traditional Chinese Medicine Nursing Clinic,the First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China;Nursing Department,the First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China;Nursing Department,Shaoxing Yuecheng District Doumen Street Health Service Center,Shaoxing 312000,China;Clinical Evaluation and Analysis Center,the First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China;Endocrinology Department,the First Affiliated Hospital of Zhejiang Chinese Medical University,Hangzhou 310006,China)

机构地区：[1]浙江中医药大学附属第一医院中医护理门诊,杭州310006 [2]浙江中医药大学附属第一医院护理部,杭州310006 [3]绍兴市越城区斗门街道卫生服务中心护理部,绍兴312000 [4]浙江中医药大学附属第一医院临床评价分析中心,杭州310006 [5]浙江中医药大学附属第一医院内分泌科,杭州310006

出　　处：《中华现代护理杂志》2023年第16期2206-2211,共6页Chinese Journal of Modern Nursing

基　　金：浙江省医药卫生科技计划项目(2020KY658)。

摘　　要：目的探讨基于体质辨识的健康管理在围绝经期妇女中的应用效果。方法采用便利抽样法,选取2020年11月—2021年4月绍兴市越城区斗门街道的244名围绝经期妇女为研究对象,按照所属社区将其划分为对照组(121名)和观察组(123名)。对照组采用常规健康管理,观察组在常规健康管理的基础上实施基于体质辨识的健康管理。干预后3个月,比较两组围绝经期症状评分。干预后1年,比较两组偏颇体质人数和生活质量评分。结果干预后3个月,观察组潮热出汗、失眠、眩晕、疲倦乏力、肌肉骨关节痛、头痛、心悸评分及围绝经期症状总分低于对照组,差异有统计学意义(P<0.05)。干预后3个月,观察组与对照组感觉异常、情绪波动、抑郁疑心、皮肤蚁走感、性生活困难、泌尿系感染评分比较差异无统计学意义(P>0.05)。干预后1年,观察组偏颇体质人数少于对照组,差异有统计学意义(P<0.05)。干预后1年,观察组生理健康、心理健康、社会关系评分及生活质量总分高于对照组,差异有统计学意义(P<0.05)。干预后1年,观察组与对照组周围环境评分比较差异无统计学意义(P>0.05)。结论基于体质辨识的健康管理可以改善围绝经期妇女的围绝经期症状,使其偏颇体质转向平和质,从而提高其生活质量。Objective To explore the effect of health management based on constitution identification in perimenopausal women.Methods From November 2020 to April 2021,244 perimenopausal women from Doumen Street,Yuecheng District,Shaoxing were selected as the research subject by convenience sampling method,and divided into the control group(121 cases)and the observation group(123 cases)according to their respective communities.The control group adopted routine health management,while the observation group implemented health management based on constitution identification on the basis of routine health management.Three months after intervention,the perimenopausal symptom scores between the two groups were compared.One year after intervention,the number of individuals with biased constitution and quality of life scores between the two groups were compared.Results Three months after intervention,the scores of hot flashes,sweating,insomnia,dizziness,fatigue,muscle and joint pain,headache,palpitations,and total score of perimenopausal symptom of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).Three months after intervention,there were no significant differences in scores of paraesthesia,mood swings,depressive suspicion,skin ant sensation,sexual difficulties,urinary tract infection between the observation group and the control group(P>0.05).One year after intervention,the number of individuals with biased constitution of the observation group was less than that of the control group,and the difference was statistically significant(P<0.05).One year after intervention,the scores of physical health,mental health,social relationship,and total score of quality of life of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).One year after intervention,there was no statistically significant difference in the score of the surrounding environment between the observation group and the control group(P>0.05

关 键 词：妇女 健康管理 体质辨识 围绝经期 生活质量 

分 类 号：R473.71[医药卫生—护理学]