更年期综合征妇女社区健康管理效果评价

Effectiveness of community health management for women with menopausal syndrome

目的了解北京月坛社区更年期综合征妇女健康管理实施效果。方法采用目的抽样，应用自行设计的问卷对200名更年期妇女进行问卷式调查，了解干预前后更年期症状发生率及改良式Kupperman评分、激素替代治疗（HRT）知晓率及接受率、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分的改善情况。结果干预后，管理组发生率、症状Kupperman评分、SAS量表及SDS量表评分较干预前下降，而非管理组较干预前有所上升，差异有统计学意义（P〈0．05）。两组HRT知晓率及接受率均较前上升，管理组差异有统计学意义（P〈0．05），而非管理组差异无统计学意义（P〉0．05）。结论干预后，管理组健康管理效果明显，而非管理组不明显或有的反而加重，因此，应大力加强社区更年期妇女健康管理。

Objective To evaluate the effectiveness of community health manage for women with menopausal syndrome. Methods Based on purposive sampling method, a self-designed questionnaire survey was conducted in 200 women with menopausal syndrome in Yuetan Community and to understand the incidence of menopausal syndrome, level of modified Kupperman score, awareness and acceptance rates of hormone replacement therapy （HRT）, self-rating anxiety scale （SAS）, and self-rating depression scale （SDS）. Results In comparison with the baseline, the incidence of menopausal symptoms, Kupperman score,and SAS or SDS scales in the management group were decreased following intervention, while those parameters were increased in the non-management group after the intervention （ P 〈 0. 05 ）. The awareness and acceptance rates of HRT of the two groups were improved （ for the management group, P 〈 0. 05 ）. Conclusion The effectiveness of health management could be found in the management group. The community health management should be improved in menopausal women.