系统化健康管理对社区更年期妇女知信行和生活质量的影响研究

Influence of Systematic Health Management to Knowledge-attitude-practice and Quality of Life in Community Menopausal Women

目的探讨系统化健康管理对社区更年期妇女知信行和生活质量的影响。方法选取于2010年6月—2012年1月在我院就诊的、符合本研究纳入和排除标准的更年期妇女239例作为研究对象,采用随机数字表法分为干预组120例和对照组119例。干预组给予系统化的健康管理模式,对照组仅在就诊时给予一对一的健康教育。健康管理1年后,比较两组患者的知信行和生活质量变化情况。结果干预后,干预组妇女的更年期相关知识知晓率、健康行为采纳率较对照组提高,差异均有统计学意义(P<0.05);干预组妇女的Kupperman评分、焦虑自评量表(SAS)得分、抑郁自评量表(SDS)得分均较对照组降低,差异均有统计学意义(P<0.05);干预组妇女的更年期生活质量评分量表(MRS)中躯体感觉、心理感觉、泌尿生殖道症状得分及MRS总分均较对照组降低,差异均有统计学意义(P<0.05)。结论系统化健康管理可以提高社区更年期妇女的相关知识水平,改善其健康行为采纳率,减轻更年期症状,最终提高其生活质量。

Objective To investigate the effect of systematic health management to the knowledge- attitude- practice( KAP) and quality of life for community menopausal women. Methods Totally 239 menopausal women in our hospital from June2010 to January 2012,who were chosen through the inclusion and exclusion criteria,were divided as intervention group of 120and control group of 119 according to the random number table. The women in the intervention group were given systematic health management,while those in the control group were given one- on- one health education only during visit. The changes of KAP and quality of life between the two groups were compared one year later. Results After one year the awareness rate of menopause- related knowledge and adoption rate of health behavior were statistically higher in the intervention group than those in the control group( P < 0. 05). The scores of Kupperman score,self- rating anxiety scale( SAS),self- rating depression scale( SDS) were statistically lower in the intervention group than those in the control group( P <0. 05). And so were the somatosensory score,psychological feeling score and urogenital tract symptom score of menopause rating scale( MRS),as well as total MRS score( P < 0. 05). Conclusion Systematic health management can improve the level of knowledge of community menopausal women,improve their adoption of health behavior and reduce their menopausal symptoms,ultimately improving their quality of life.