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目的 :调查武汉市城区妇女更年期症状出现的情况及与更年期相关的健康寻求行为 ,提出合理的更年期保健措施。方法 :采用定量和定性的研究方法 ,共调查 4 0～ 6 0岁城区妇女 2 78名 ,其中包括 10 8名正在使用激素替代疗法 ( HRT)者。由经过培训的调查人员采用统一的调查问卷进行入户调查 ,对调查结果进行描述性统计分析。另外进行了 4组小组讨论以补充问卷调查的不足。结果 :绝大多数被调查者报告了至少一种自认为与更年期有关的症状或不适 ;超过一半的妇女选择到医院去就医 ,近一半的妇女采取了自我保健的方式 ;而近 1/ 5的妇女未采取任何措施 ;近 2 / 3的妇女认为没有必要采取治疗措施。感觉到有治疗需要的妇女更倾向于使用 HRT。结论 :大多数妇女已开始关注更年期并采取了不同的健康行为 ,医疗保健系统应加强更年期的健康教育宣传 ,提供与经济文化背景相一致的、更年期妇女能够接受的保健方案与措施
OBJECTIVE: To investigate the occurrence of menopausal symptoms and the seeking of health related to menopause in urban areas of Wuhan, and to put forward reasonable measures for menopause. METHODS: A total of 2 78 women aged 40-60 years were enrolled in this study, both quantitative and qualitative. A total of 108 women undergoing hormone replacement therapy (HRT) were enrolled. Household survey conducted by trained investigators using a unified questionnaire, the descriptive statistical analysis of the survey results. In addition, four panel discussions were conducted to supplement the deficiencies of the questionnaire. Results: The vast majority of respondents reported at least one symptom or discomfort that they considered to be related to menopause; more than half of women chose to go to the hospital for medical treatment and nearly half of them took self-care; and nearly one-fifth Women did not take any measures; nearly two thirds of women considered it unnecessary to take treatment. Women feeling the need for treatment are more likely to use HRT. Conclusion: Most women have started to pay attention to menopause and take different health behaviors. The health care system should strengthen publicity for health education in menopause and provide health care programs and measures that are acceptable to menopausal women in accordance with the economic and cultural background