围绝经期妇女就诊及激素替代治疗态度调查

Investigation on women's menopause treatment and attitude toward hormone replacement therapy

目的了解广东省围绝经期妇女的医疗保健行为,为有针对性地开展更年期预防保健工作提供依据。方法对广东省珠江三角地区、山区、东西两翼地区的地市级、县级的围绝经期妇女4489人进行问卷调查,用SPSS软件进行分析。结果我省围绝经期妇女有更年期症状的比例较高,但自我保健意识薄弱,就诊率仅为19.9%,其中36.2%的妇女就诊于内科,34.1%的妇女就诊于中医科,仅20.3%的妇女就诊于妇产科;在被调查人群中使用激素替代(HRT)治疗的比例仅1.4%;围绝经期妇女的医疗保健行为受文化程度、职业、经济发展、是否绝经及不同地域等因素的影响。结论需要进一步提高围绝经期妇女的自我保健意识,尤其要加强对农村、山区等地围绝经期妇女健康教育。

Objective To understand menopause women's prevention and health by investigating women's behavior and attitude toward menopause syndrome and hormone replacement therapy(HRT)Methods A prospective study was conducted in 4?489 Chinese women living in defferent areas of Guangdong province.A structured questionire was used to examine their perception of menopause and HRT.Results Most of women had the attitude to endure the climacteric symptoms,only 19.9% women would consult doctors.36.2% of them would consult physicians, 34.1% of them would consult herbalist doctors,only 20.3% of them would consult gynecologist.1.4% of investigated women were using HRT.The wonmen's behavior and attitude were affected by culture level,profession,economic level.And the women living in different areas had different attitude.Women of post menopause had different attitude from women before menopuse.Conclusion A relative lack of understanding of menopause and HRT was showed.Improved education about menopause and HRT in this group of Chineses should be considered,especially in poor countries and mountain areas.