以问题为导向的教育模式应用于围绝经期萎缩性阴道炎患者激素替代治疗期间的效果

Effect of Problem-oriented Education Model on Hormone Replacement Therapy in Patients with Perimenopausal Atrophic Vaginitis

目的:探讨以问题为导向教育模式对围绝经期女性萎缩性阴道炎激素替代治疗患者的遵医行为及心理影响。方法:纳入2021年2月—2023年2月经本院收治行激素替代治疗的围绝经期女性萎缩性阴道炎患者90例,按随机数字表法设为对照组及观察组,每组45例。对照组予以常规教育模式进行干预,观察组实施以问题为导向教育模式进行干预,比较两组遵医行为、心理状态、生活质量及复发率。结果:观察组遵医行为依从率为95.56%,高于对照组的80.00%(P<0.05);两组教育后SAS、SDS评分低于教育前,且观察组低于对照组(P<0.05);两组教育后GQOL-74评分高于教育前,且观察组高于对照组(P<0.05);观察组复发率低于对照组(P<0.05)。结论:行激素替代治疗的围绝经期女性萎缩性阴道炎患者采用以问题为导向教育模式进行干预,可提升遵医行为,改善负性心理状态,且生活质量获得提高,复发率更低。

Objective:To explore the effect of problem-oriented education model on compliance behavior and psychology of perimenopausal women with atrophic vaginitis treated with hormone replacement therapy.Methods:From February 2021 to February 2023,90 perimenopausal women with atrophic vaginitis who underwent hormone replacement therapy in our hospital were included.According to the random number table method,they were divided into control group and observation group,with 45 perimenopausal women in each group.The control group was intervened by routine education mode,and the observation group was intervened by problem-oriented education mode.The compliance behavior,psychological state,quality of life and recurrence rate of the two groups were compared.Results:The compliance rate of the observation group was 95.56%,which was higher than 80.00%of the control group(P<0.05).The SAS and SDS scores of the two groups after education were lower than those before education,and those in the observation group were lower than those in the control group(P<0.05).The GQOL-74 scores of the two groups after education were higher than those before education,and the observation group was higher than the control group(P<0.05).The recurrence rate of the observation group was lower than that of the control group(P<0.05).Conclusion:The intervention of problem-oriented education model in perimenopausal women with atrophic vaginitis treated with hormone replacement therapy can improve the compliance behavior,improve the negative psychological state,improve the quality of life and lower the recurrence rate.