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为探索农村社区开展围绝经期妇女保健的模式,在对上海市某农村社区40～55岁全部女性1667名基线调查的基础上,进行以社区为主体的综合干预。基线调查发现,49%的农村妇女有至少1种及以上的围绝经期综合征不适症状,对围绝经期保健知识缺乏,专业机构在这方面服务滞后。通过18月的研究,建立了一个干预模式,包括建立一支社区专业队伍,建立一个服务网络,建立一套社区服务指南,建立一个服务保障体系,建立一套服务评估指标。干预对象保健知识知晓率从35%提高到95%,有症状妇女就诊率从14%提高到38%,对该课题模式应用的满意率为90%。
In order to explore the mode of health care for perimenopausal women in rural communities, based on the baseline survey of 1667 women aged 40-55 in a rural community in Shanghai, a community-based comprehensive intervention was conducted. Baseline surveys found that 49% of rural women had at least one malady symptom of perimenopausal syndrome, a lack of knowledge of peri-menopausal health care, and a lack of professional service in this area. Through the 18-month study, an intervention model was set up that included setting up a team of community professionals, setting up a service network, setting up a guide to community service, establishing a service guarantee system and setting up a set of service evaluation indicators. The awareness rate of health care knowledge among intervention subjects increased from 35% to 95%, while that of symptomatic women increased from 14% to 38%. The satisfactory rate of applying the model was 90%.