北京协和医院员工绝经过渡期状态和绝经激素治疗使用调查

发布时间：2018-08-27 15:10

【摘要】：目的了解北京协和医院职工绝经过渡期状态,对绝经的认识,对绝经激素治疗(Menopause Hormone Therapy,以下简称MHT)的知晓率、使用情况,及妇产科医师对绝经激素治疗的态度。方法对北京协和医院45～75岁职工及妇产科医师进行关于绝经过渡期及MHT的问卷调查,建立Excel数据库,用SPSS17.0软件进行t检验、卡方检验、双向无序分类资料关联性检验。结果691名职工及99名妇产科医生完成问卷调查。平均绝经年龄49.32岁。绝经过渡期情况与国内其他研究结果大致相仿,潮热及性生活障碍影响程度较重,χ2检验有明显的职业差异(P0.001)。调查人群对绝经期是否应当就诊持较积极的态度,就诊科室的选择大部分为妇产科,就诊原因主要为潮热、骨骼疼痛及失眠。未就诊率仍较高(43.30%)。职工了解MHT的主要途径为院内了解和咨询相应科室医生,对血栓形成、肥胖、子宫内膜癌等不同MHT风险认识有一定误区。50.24%的调查对象会向他人推荐MHT,36.32%的人表示愿意用药,实际使用率为22.29%。MHT提升患者健康评分较明显。将近51.51%妇产科医师本人或家人在使用MHT,经皮雌激素在协和医院院妇产科医师中使用率较低(23.3%)。讨论北京协和医院职工对绝经过渡期、MHT知晓率相对较高,MHT的使用率高于全国平均水平,但对性生活健康,MHT使用风险仍存在错误的认识。MHT的使用可明显提高女性健康状态。妇产科医师本人及家属使用MHT水平远高于院内平均水平,大部分妇产科医师对经皮雌激素的使用存在顾虑。
[Abstract]:Objective to understand the transition state of menopause, the understanding of menopause, the awareness and usage of menopausal hormone therapy (MHT) and the attitude of obstetricians and gynecologists to menopausal hormone therapy. Methods A questionnaire survey was conducted on the postmenopausal transition period and MHT among 45 ~ 75-year-old workers and obstetricians in Peking Union Hospital. The Excel database was established, and t-test, chi-square test and two-way disordered classification data correlation test were carried out with SPSS17.0 software. Results 691 workers and 99 obstetricians and gynecologists completed the questionnaire. The mean menopausal age was 49.32 years. The results of menopausal transition period were similar to those of other studies in China. The influence of hot flashes and sexual disorders was more serious, and there were significant occupational differences in 蠂 2 test (P0.001). The survey population had a positive attitude towards whether to see a doctor during menopause. Gynecology and obstetrics were the majority of the choice of department of consultation, the main reasons were hot flashes, bone pain and insomnia. The rate of non-visit was still high (43.30%). The main way for workers to understand MHT is to understand and consult the corresponding department doctors in the hospital. There are certain misunderstandings about different MHT risk perceptions such as thrombosis, obesity, endometrial cancer and so on. 50.24% of the respondents will recommend MHT,36.32% to others and express their willingness to use it. The actual usage rate of 22.29%.MHT was higher than that of the patients' health score. Close to 51.51% of obstetricians and gynaecologists themselves or their families were using MHT, transdermal estrogen in low rate (23.3%) among gynecologists and obstetricians in Union Hospital. It is discussed that the awareness rate of MHT in Beijing Union Hospital is higher than the national average, but there is still a wrong understanding of the risk of MHT use in sexual health. The use of MHT can obviously improve the health status of women. The level of MHT used by obstetricians and gynaecologists was much higher than the average level in hospital. Most obstetricians and gynaecologists had concerns about the use of transdermal estrogen.
【学位授予单位】：北京协和医学院
【学位级别】：博士
【学位授予年份】：2014
【分类号】：R711.75

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