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目的:通过对更年期知识女性进行自身对照的健康促进干预研究,评价干预措施对提高生存质量,探索改善更年期人群健康状况的行为模式。方法:采用分层整群抽样的方法,自贵阳市不同行业中抽取40～60岁大专或中级职称以上的女性679名为研究对象,同时在同单位选择40～60岁大专以下文化程度妇女100例为对照组,采用世界卫生组织生存质量量表(WHO-QOL-BREF)进行健康体检,根据健康体检结果整理出促进健康的干预模式,随机抽取研究组部分自愿参加该研究活动的更年期知识女性共计122名,进行为期1年健康促进干预,1年后用相同的量表复测生存质量及健康检查,两次测定结果进行比较。结果:更年期知识女性生存质量较对照人群低。通过实施健康促进的干预措施:膳食指导、体育锻炼指导、心理咨询、定期的健康教育讲课以及针对干预对象所患疾病的防治等健康促进措施后,更年期知识女性的生存质量得到提高,差异有显著性(P<0.05)。结论:健康行为干预对改善更年期知识女性生存质量是有效的,健康促进干预模式值得深入探讨。
OBJECTIVE: To evaluate interventions to improve quality of life and to explore behavioral patterns to improve the health status of menopausal women through self-control intervention studies on menopausal women. Methods: A stratified cluster sampling method was used to select 679 female students aged 40-60 years or above with intermediate or above professional title from different industries in Guiyang City. At the same time, women aged 40-60 under the same educational level were selected In the case of control group, WHO-QOL-BREF was used for physical examination, health promotion intervention was made according to the result of physical examination, and part of the research group were randomly selected to participate in the study. Menopause knowledge women A total of 122, for a one-year health promotion intervention, one year after the same scale retest quality of life and health checks, two measurements were compared. Results: The quality of life of menopausal women than the control group. After implementing health promotion interventions such as dietary guidance, physical exercise instruction, psychological counseling, periodic health education lectures, and prevention and treatment of diseases such as prevention and treatment of intervention subjects, the quality of life of menopausal women was improved with significant differences (P <0.05). Conclusion: The health behavior intervention is effective to improve the quality of life of climacteric women, and the intervention model of health promotion deserves further study.