Meta-integration of sex life experience in perimenopausal and postmenopausal women
黄新平 1甘甜甜 1关华2
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作者信息
1. 成都中医药大学护理学院,成都 610032
2. 四川省医学科学院·四川省人民医院健康管理中心,成都 610042
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摘要
目的 系统整合围绝经期及绝经后女性性生活的心理体验,为临床医护人员开展性健康指导和针对性的干预方案提供循证依据.方法 计算机检索中国知网、万方、维普网、中华医学期刊网、中国生物医学数据库、PubMed、Web of Science、Cochrane Library、Embase等数据库中有关围绝经期及绝经后女性性生活体验的质性研究,检索时限为建库至2023年5月25日.采用澳大利亚循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性Meta整合方法进行结果整合.结果 共纳入13篇文献,提炼出32个完整结果,归纳成9个新类别,综合成4个整合结果.整合结果1:围绝经期及绝经后女性出现明显的性认知、性需求差异;整合结果2:围绝经期及绝经后女性体验到性生理兼性心理的改变;整合结果3:多重复杂因素影响围绝经期及绝经后女性性生活;整合结果4:围绝经期及绝经后女性采取不同方式应对性改变.结论 医护人员应关注围绝经期及绝经后女性性改变,探索其相关影响因素,帮助其树立正确的性观念,并给予性健康支持与帮助.
Abstract
Objective To systematically integrate the psychological experience of sex life in perimenopausal and postmenopausal women,so as to provide evidence-based basis for clinical medical staff to provide sexual health guidance and targeted intervention plans.Methods Qualitative studies on sexual experience of perimenopausal and postmenopausal women were searched by computer from China National Knowledge Infrastructure,Wanfang data,VIP,Chinese Medical Journal Network,China Biology Medicine disc,PubMed,Web of Science,Cochrane Library,Embase and other databases.The search period was from the establishment of the databases to May 25,2023.The quality of the literature was evaluated using the quality evaluation criteria of the Australian Evidence-based Health Care Center,and the results were integrated by the pooled Meta-integration method.Results A total of 13 literatures were included,and 32 complete results were extracted,which were summarized into nine new categories and synthesized into four integrated results.Integration result one showed significant differences in sexual cognition and needs between perimenopausal and postmenopausal women.Integration result two showed that perimenopausal and postmenopausal women experienced sexual physiological and psychological changes.Integration result three showed that multiple complex factors affected perimenopausal and postmenopausal women sex life.Integration results four was that perimenopausal and postmenopausal women took different ways to cope with sexual changes.Conclusions Medical staff should pay attention to perimenopausal and postmenopausal women's sexual changes,explore its related influencing factors,help them establish a correct sexual concept and give sexual health support and help.
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