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題 名 | 中醫及西醫門診求醫婦女更年期症狀困擾情況之探討=An Exploration of Self-perceived Disturbance of Perimenopausal Symptoms among Perimenopausal Women in Traditional Chinese Medicine Clinics and Western Medicine Clinics |
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作 者 | 曹麗英; 蘇美禎; 邱小鳳; | 書刊名 | 長庚科技學刊 |
卷 期 | 1 2002.09[民91.09] |
頁 次 | 頁91-102 |
分類號 | 417.224 |
關鍵詞 | 更年期婦女; 更年期症狀困擾; 中西醫門診; Perimenopausal women; Disturbance of perimenopausal symptoms; Traditional Chinese medicine clinics and western medicine clinics; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究是以橫斷式調查法探討中醫及西醫門診兩組更年期婦女的人口學特性、更年期症狀自覺困擾程度(以五等分)之差異、及兩組婦女症狀困擾程度之排序狀況,以期能作為中醫及西醫門診更年期婦女健康需求之參考。採立意取樣方式,共有116位婦女參與此研究,其中,西醫組婦女有58位,中醫組婦女有58位。以結構式問卷,進行訪談資料收集。資料分析採次數分配、百分比、平均值、標準差、卡方檢定、t檢定等方式進行。研究結果發現:中醫組婦女之更年期症狀自覺困擾程度高於西醫組,且兩組婦女皆以骨關節症狀困擾程度最嚴重,其平均值分別為2.42及2.35;而中醫組婦女以生殖系統及心理精神症狀之困擾程度有顯著昇高(P<0.05)。中醫及西醫組婦女在更年期症狀自覺困擾程度之排序狀況中,中醫組婦女最感困擾症狀依次排序為:覺得自己睡眠不足、晚上不易入睡及對房事不感興趣;西醫組最感困擾症狀為:覺得自己健忘、對房事不感興趣及覺得關節酸痛。值得注意的是兩組婦女在「房事不感興趣」均感到困擾,根據上述結果,本研究建議宜加強骨質疏鬆症狀及預防之相關知識,建立以婦女健康需求之門診環境例如:重視求醫婦女更年期症狀困擾是 主觀的,不要因年齡尚未接近停經年齡而忽視其更年期症狀的主訴。另一方面,應加強求醫婦女更年期自我保健知識,色括下列幾方面:骨質疏鬆的認識與預防、更年期性行為、荷爾蒙治療及中藥療程等之諮詢與衛教。 |
英文摘要 | The purpose of this cross-section survey study was to explore the diffence of characteristics of demographic data, self-perceived disturbance of perimenopausal symptoms between two groups of perimenopausal women who visited in Western-medicine and Traditional Chinese-medicine clinics. A purposive sample consisted of 116 women. 58 women were recruited from Westem-medicine and the other 58 women were recruited from Traditional Chinese-medicine clinics. Self-perceived disturbance scale of perimenopausal symptoms ranged from 1 to 5. The results were as follows: There was no difference of demographic data between the two groups of women except the slightly higher post-menopause status in the traditional Chinese-medicine group. The women in Traditional Chinese medicine clinics scored higher in Self-perceived disturbance of perimenopausal symptoms than the women in Westem medicine clinics (p<0.05). Both groups perceived muscle-skeletal system as the highest disturbance of perimenopausal symptoms. Women in Traditional Chinese medicine group perceived reproductive and psycho-mental system as higher disturbance of perimenopausal symptoms (p<0.05). The rank of disturbance of perimenopausal symptoms in Traditional Chinese medicine group was: sleep pattern disturbance, difficulty of falling in sleep and decreased sexual desire. In Westem medicine group the ranking was: forgetfulness, decreased sexual desire and sore joint. The study suggested that perimenopausal women needed: (1) health education about the symptoms and prevention of osteoporosis and (2) A culturally sensitive and humanistic clinical environment providing health knowledge of perimenopause including osteoporosis, sexual consulting, hormone replacement therapy and Chinese medicine regimen. Meanwhile, the age of perimenopause is various and individual, therefore we should pay more attention to women's subjective perimenopausal complaints than women's age closing to menopause. Finally, the further study focusing on subjective health need for medical seeking and sexual desire among perimenopausal women is necessary. |
本系統中英文摘要資訊取自各篇刊載內容。