更年期知识女性健康促进干预的研究

Analysis on health care intervention of well-educated women in menopause

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 improve the health care status by health care intervention of well- educated women in menopause. Methods： 679 junior college and above women aged 40 -60 years from different professions in Guiyang city （case group） were selected by stratified cluster sampling, 100 lovelyshx women aged 40 -60 years in the same profession were seleetd as control group, all of the women in case group and control group received physical examination according to WHO - QOL - BREF. 122 women from case group received health care intervention for 1 year （intervention group） , examination results were compared between intervention group and control group after 1 year. Results： Health care status of intervention group in menopause was poorer than that of control group before health care intervention, while the situation reversed after health care intervention （ P 〈 0. 05 . Conclusion ： Health care intervention is effective for improving health care status of well - educated women in menopause.