湘西地区围绝经期妇女对HRT的认知及影响因素分析

Analysis of cognition and influencing factors of perimenopausal women on HRT in Xiangxi area

目的了解湘西地区围绝经期妇女对激素替代治疗(Hormone Replacement Therapy,HRT)的认知状况及影响因素,为制定中老年妇女综合保健措施提供科学依据。方法抽取2015年11月—2017年1月湘西地区围绝经期妇女520例进行调查,采用自编问卷和改良Kupper-man评分量表,了解围绝经期妇女对HRT的认知现状。计数资料比较采用χ2检验,HRT认知影响因素采用多因素Logistic回归分析,P<0.05为差异有统计学意义。结果湘西地区围绝经期妇女对HRT认知率为13.2%,主要影响因素有年龄、民族、文化程度、社区、职业、年收入、是否具有围绝经期综合征。已有6.7%的围绝经期妇女采用HRT,对HRT的接受意愿为16.2%,获取HRT知识的主要途径是媒体(7.5%),咨询医生(78.6%),医学书籍(8.7%)其他途径(5.2%)。结论湘西地区围绝经期女性对HRT的认知率及接受程度低,迫切需要加强HRT知识健康宣教,提高围绝经妇女生活质量。

Objective To understand the cognitive status and influencing factors of hormone replacement therapy（HRT） among perimenopausal women in Xiangxi,and to provide scientific basis for formulating comprehensive health care measures for middle-aged and elderly women.Methods A total of 520 perimenopausal women in Xiangxi from November 2015 to January 2017 were investigated.A self-designed questionnaire and an improved Kupper-man scale were used to understand the current status of perimenopausal women＇s cognition of HRT.Enumeration data were compared by χ2 test,and HRT cognitive factors were analyzed by multiple factor Logistic regression analysis.P〈0.05 was Considered statistically significant.Results The cognitive rate of HRT among perimenopausal women in Xiangxi was 13.2%.The main influencing factors were age,nationality,educational level,community,occupation,annual income and perimenopausal syndrome.6.7% of perimenopausal women adopted HRT,and the willingness to accept HRT was 16.2%.The main ways to obtain HRT knowledge were media（7.5%）,consulting doctors（78.6%）,medical books（8.7%）,and other ways（5.2%）.Conclusion Perimenopausal women in Xiangxi have low cognition and acceptance of HRT,so it is urgent to strengthen HRT knowledge health education and improve the quality of life of perimenopausal women.