更年期综合征的影响因素及护理干预效果评价

陈虹，陈亚妮，王晓红，王莎，王伟

（陕西省安康市汉滨区第一医院，陕西 安康，725000）

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摘要：

目的 探讨更年期综合征的影响因素及综合护理对女性更年期综合征的干预效果。方法 将2015年4月至2017年1月在我院门诊就诊的142名女性更年期综合征患者作为研究组，并随机分为研究A 组68 例和研究B 组74 例；以同期在我院 进行健康体检的100 名同龄女性为对照组。①通过问卷调查及改良Kupperman 量表评分，探讨女性更年期综合征的相关影 响因素；②研究组使用激素治疗，其中研究A 组和研究B 组分别配合常规护理和综合护理干预，治疗3 个月后通过再次 Kupperman 评分，评价综合护理效果。结果 ①研究组中吸烟、超重或肥胖、缺乏运动习惯、经济压力大、对夫妻关系不满意、子 女适龄未婚、子女适龄未育、居住地夜晚噪音较大影响睡眠等发生率明显高于对照组，差异有统计学意义（P<0.05）。②干预 前，研究A 组和研究B 组Kupperman 评分比较，差异无统计学意义（P>0.05）；干预3 月后，研究A 组和研究B 组与干预前比 较，Kupperman 评分均有显著下降（P<0.01），且研究B 组（激素治疗+综合护理干预）的Kupperman 较研究A 组（激素治疗+常 规护理）评分更低（P<0.01）。结论 女性更年期综合征的发生，除更年期生理学激素改变外，生活环境对症状存在显著影响；综 合护理干预尤其心理护理有助于症状控制。

关键词：更年期综合征；影响因素；护理干预

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)35-0170-03

Influencing factors of climacteric syndrome and nursing intervention effect evaluation
CHEN Hong, CHEN Ya-ni, WANG Xiao-hong, WANG Sha, WANG Wei


(the First Hospital of Hanbin District, Ankang 725000, China)

ABSTRACT: Objective To explore the influencing factors of climacteric syndrome and the effect of comprehensive nursing on female climacteric syndrome. Methods A total of 142 female climacteric syndrome patients treated in our hospital outpatient from April 2015 to January 2017 were selected as the study group and divided into study group A (68 cases) and group B (74 cases) randomly; in the same period, 100 women of the same age who taken physical examination in our hospital were selected as the control group. ① The relevant influencing factors of female climacteric syndrome were compared by questionnaire and improved Kupperman scale. ②The study group was treated with hormone therapy, the study group A was treated with routine care, and the group B was treated with comprehensive nursing intervention. After 3 months of treatment, the effects of comprehensive nursing were evaluated by Kupperman scale in both groups. Results ① The incidences of the smoking, overweight or obesity, lack of exercise habits, high financial pressure, not satisfied with the relationship between husband and wife, children spinsterhood at the right age, children non -pregnant at the right age, residence night noise in the study group were significantly higher than those in the control group (P<0.05). ② Before intervention, there was no statistical significance in the scores of Kupperman scale between study group A and study group B (P>0.05). After intervention of 3 months, the Kupperman scale scores of the two groups were decreased significantly than before intervention (P<0.01); furthermore, the Kupperman score of the group B (hormone therapy+comprehensive nursing intervention) was lower than that of the group A (hormone therapy+routine nursing) (P<0.01). Conclusion The female climacteric syndrome etiology is complex, in addition to the menopause hormone physiology change, the living environment has significant impact on the symptoms; comprehensive nursing intervention is helpful to control the symptoms.

KEYWORDS: climacteric syndrome; influencing factors; nursing intervention

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