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目的 为了使广大更年期妇女得到更好的保健服务 ,对使用更年期自我保健卡的 2 379名妇女的健康情况进行了分析。方法 通过二阶段抽样 ,选取 7个区 7个街道的 2 379名妇女作为使用对象 ,由经过培训的区县妇幼保健所和地段妇幼保健人员对选出的对象进行面对面的健康教育 ,然后更年期妇女每季度自己填卡一次。结果 从使用的总体效果来看 ,更年期保健卡 2年的应用 ,使有更年期症状的妇女人数下降 ,特别是 40～ 44岁年龄组下降最明显 ,下降了 2 1.5 %。各类更年期症状和健康行为方面维持良好或好转者占绝大多数 ,乳房受检率几乎达 10 0 %,2 / 3的妇女能控制体重增长。各年龄组在接受健康教育后 ,更年期症状和健康行为的改变效果以 40～ 44岁组的好转趋势最明显 ,45～ 49岁组较差 ,但在失眠和关节痛方面 ,年龄越小好转趋势越明显 ;在健康行为方面年纪越轻 ,健康行为越良好 ,进步也越明显。这提示开展更年期健康教育越早越好 ,让广大妇女在更年期症状尚未出现时既已做好心理准备 ,并能掌握自我保健的理论知识。上述结果显示 :更年期保健卡是促进社区更年期妇女健康的有效措施之一 ,同时也反映出某些方面的不足。提示在今后的社区更年期保健工作中 ,应针对上述薄弱环节 ,加强健康教育 ,并进一步充实和完善自?
Objective To analyze the health status of 2 379 women using menopause self-care cards in order to provide better health services to the majority of menopausal women. Methods A total of 2 379 women from 7 streets in 7 districts were selected for two-stage sampling. Face-to-face health education was conducted on the selected subjects by trained district MCH and district maternal and child health workers. Quarter fill their own card once. Results From the overall effect of use, the application of menopause card for two years reduced the number of women with menopausal symptoms, especially in the 40-44 age group, the most significant decrease of 21.5%. Women with various types of menopausal symptoms and wellbeing or improvement were healthy, with nearly 100% of breast exams, and two-thirds of women were able to manage weight gain. After receiving health education in all age groups, the changing effects of menopausal symptoms and health behaviors were most obvious in the 40-44 years old group, and poor in the 45-49 years old group, however, the younger the age was, the better the trend was in insomnia and joint pain The more obvious; the younger in health behavior, the healthier the better and the more obvious the progress. This suggests that as soon as possible to carry out menopause health education, so that the majority of women in menopausal symptoms have not yet appeared when both mentally prepared and able to grasp the theoretical knowledge of self-care. The above results show that menopause card is one of the effective measures to promote the health of climacteric women in the community and also reflects the deficiency in some aspects. Prompted in the future community menopause care work, we should focus on the weak links, strengthen health education, and to further enrich and improve self?