社区围绝经期女性的健康特征与健康需求研究
The Health Characteristics and Health Needs of Perimenopausal Women in the Community
梁泓 1张莹 1徐汉平 1叶奥星 1吴玲玲 1赵静1
作者信息
- 1. 201204 上海市浦东新区花木社区卫生服务中心
- 折叠
摘要
背景 随着社会的不断发展和科技的持续革新,人类平均预期寿命逐渐延长,导致围绝经期女性群体逐渐庞大.这一趋势给社区开展围绝经期健康管理工作带来严峻挑战.目的 了解社区围绝经期女性的健康特征与健康需求,探讨二者间关系,为社区卫生服务机构开展和改进围绝经期健康管理工作提供证据支持.方法 选取 2023年2-3月在上海市浦东新区花木社区卫生服务中心及其下属站就诊或陪同就诊的围绝经期女性为研究对象(n=260).采用问卷调查法,收集研究对象健康特征(涉及生理阶段、社会特征、疾病状况、生活方式、生活质量)、对更年期的了解程度和治疗态度,以及对更年期相关知识和更年期疾病预防保健的需求.结果 50.0%(130/260)的围绝经期女性有慢性病现病史,51.9%(135/260)的围绝经期女性有慢性病既往史,73.8%(192/260)的围绝经期女性睡眠质量为一般/差,33.5%(87/260)的围绝经期女性几乎不运动.58.5%(152/260)的围绝经期女性完全不了解/仅听说过更年期,41.9%(109/260)的围绝经期女性对更年期治疗持消极态度,45.0%(117/126)的围绝经期女性较需要/非常需要更年期相关知识,66.6%(173/260)的围绝经期女性需要/非常需要更年期疾病预防保健.有序多分类Logistic回归分析显示,文化程度、近 3 个月更年期症状发生数量、对更年期治疗态度是围绝经期女性对更年期相关知识需求的影响因素(P<0.05),文化程度、对更年期治疗态度是围绝经期女性对更年期疾病预防保健需求的影响因素(P<0.05).结论 本研究揭示了围绝经期女性健康特征(如文化程度、症状严重程度)对健康需求的影响.社区卫生服务机构应基于精确数据优化围绝经期女性健康管理方案,为社区围绝经期女性提供全方位、个性化的健康管理服务.
Abstract
Background With the continuous development of society and technological innovations,the average life expectancy of human beings has gradually increased,leading to the gradual increase in the number of perimenopausal women.This trend poses a serious challenge to the management of perimenopausal health in the community.Objective To understand the health characteristics and health needs of perimenopausal women in the community,explore the relationship between the two,and provide evidence to support the development and improvement of perimenopausal health management in community health service organisations.Methods Perimenopausal women(n=260)who attended or were accompanied to the Huamu Community Health Service Centre and its subordinate stations in Pudong New Area,Shanghai,from February to March 2023 were selected as study subjects.Questionnaires were used to collect information on the health characteristics of the study subjects(related to physiological stage,social characteristics,disease status,lifestyle,and quality of life),their knowledge of menopause and attitudes toward treatment,as well as their needs for knowledge related to menopause and preventive health care for menopausal diseases.Results Fifty percent(130/260)of perimenopausal women had a current history of chronic disease,51.9%(135/260)of perimenopausal women had a past history of chronic disease,73.8%(192/260)of perimenopausal women had fair/poor quality of sleep,33.5%(87/260)of perimenopausal women did little exercise.58.5%(152/260)of perimenopausal women were completely unaware or had only heard of menopause,41.9%(109/260)of perimenopausal women had a negative attitude towards menopause treatment,45.0%(117/126)of perimenopausal women needed menopause-related knowledge,and 66.6%(173/260)of perimenopausal women needed preventive health care for menopausal diseases.The results of ordered multicategorical Logistic regression analyses showed that literacy,the number of menopausal symptoms in the last 3 monthss,and attitudes toward menopause treatment were the factors influencing perimenopausal women's need for menopause-related knowledge(P<0.05),and literacy and attitudes toward menopause treatment were the factors influencing perimenopausal women's need for preventive health care for menopausal diseases(P<0.05).Conclusion This study reveals the influence of health characteristics(e.g.,literacy level,symptom severity)on health needs of perimenopausal women.Community health service providers should optimise health management programmes for perimenopausal women based on accurate data and provide comprehensive and personalised health management services for perimenopausal women in the community.
关键词
围绝经期/健康特征/健康需求/社区卫生服务/健康管理Key words
Perimenopause/Health characteristics/Health needs/Community health services/Health management引用本文复制引用
基金项目
浦东新区科技发展基金事业单位民生科研专项(PKJ2021-Y57)
出版年
2024
国家科技期刊平台
NSTL
万方数据