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目的了解湘西地区围绝经期妇女对激素替代治疗(Hormone Replacement Therapy,HRT)的认知状况及影响因素,为制定中老年妇女综合保健措施提供科学依据。方法抽取2015年11月—2017年1月湘西地区围绝经期妇女520例进行调查,采用自编问卷和改良Kupper-man评分量表,了解围绝经期妇女对HRT的认知现状。计数资料比较采用χ2检验,HRT认知影响因素采用多因素Logistic回归分析,P<0.05为差异有统计学意义。结果湘西地区围绝经期妇女对HRT认知率为13.2%,主要影响因素有年龄、民族、文化程度、社区、职业、年收入、是否具有围绝经期综合征。已有6.7%的围绝经期妇女采用HRT,对HRT的接受意愿为16.2%,获取HRT知识的主要途径是媒体(7.5%),咨询医生(78.6%),医学书籍(8.7%)其他途径(5.2%)。结论湘西地区围绝经期女性对HRT的认知率及接受程度低,迫切需要加强HRT知识健康宣教,提高围绝经妇女生活质量。
Objective To understand the cognitive status and influencing factors of hormone replacement therapy (HRT) in perimenopausal women in Western Hunan and provide a scientific basis for formulating comprehensive health care measures for middle-aged and elderly women. Methods A total of 520 perimenopausal women from November 2015 to January 2017 in western Hunan Province were recruited to investigate the current status of perimenopausal women’s HRT cognition using self-compiled questionnaire and modified Kupper-man scale. Chi-square test was used to compare the count data. Multivariate Logistic regression analysis was used to identify the influencing factors of HRT cognition. P <0.05 was considered statistically significant. Results Peri-menopausal women in Xiangxi had 13.2% HRT, the main influencing factors were age, ethnicity, educational level, community, occupation, annual income and whether there was perimenopausal syndrome. 6.7% of menopausal women have adopted HRT, their willingness to accept HRT is 16.2%. The main ways to acquire HRT knowledge are media (7.5%), consulting doctors (78.6%) and medical books (8.7%). 5.2%). Conclusion Perimenopausal women in western Hunan have a low recognition rate and acceptance rate of HRT, and there is an urgent need to strengthen HRT knowledge and health education to improve the quality of life of menopausal women.