| 张颖,苏俊,张治芬,等.骨量减少女性对绝经相关症状及应对认识的质性研究[J].中国临床保健杂志,2025,28(6):817-822. |
| 骨量减少女性对绝经相关症状及应对认识的质性研究 |
| A qualitative study on awareness of perimenopausal symptoms and coping strategies among women with osteopenia |
| 投稿时间：2025-08-20 |
| DOI：10.3969/J.issn.1672-6790.2025.06.016 |
| 中文关键词: 骨质疏松 围绝经期 骨密度 疾病管理 |
| 英文关键词: Osteoporosis Perimenopause Bone density Disease management 〖FL |
| 基金项目:浙江省杭州市生物医药和健康产业发展扶持专项(2022WJC276,2022WJC159,2021WJCY179) |
| 作者 | 单位 | E-mail | | 张颖 | 浙江大学医学院附属精神卫生中心/杭州市第七人民医院心身二科,杭州 310013 | junjunsu@163.com | | 苏俊 | 杭州市妇产科医院杭州市妇幼保健院,杭州 310008 | junjunsu@163.com | | 张治芬 | 杭州市妇产科医院,ICU,杭州 310008 | junjunsu@163.com | | 胡婷婷 | 杭州市妇产科医院,围绝经期保健中心,杭州 310008 | junjunsu@163.com | | 周芸 | 杭州市妇产科医院,检验科,杭州 310008 | junjunsu@163.com | | 徐哲昀 | 杭州市妇产科医院,门诊部,杭州 310008 | junjunsu@163.com | | 阮志强 | 杭州市妇产科医院杭州市妇幼保健院,杭州 310008 | junjunsu@163.com |
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| 中文摘要: |
| 目的 调查骨量减少女性对围绝经期相关症状及应对认识的现状。方法 采用目的性抽样法选取2023年1—6月在杭州市妇产科医院门诊已经完成骨密度检查、40～60岁的骨量减少女性21例为研究对象,进行半结构式访谈,使用内容分析法梳理分析访谈资料。结果 骨量减少女性对围绝经期相关症状及应对困境可归纳为躯体症状管理(骨质疏松认知匮乏、绝经症状缺乏重视)、心理症状管理(负性情绪、医护支持需求)、治疗需求和顾虑(绝经相关激素治疗恐惧、围绝经期健康管理团队的需求、“互联网+”健康管理服务的需求)、健康知识普及和自我健康管理(健康生活方式支持、积极自我健康管理)4个主题。结论 40～60岁骨量减少女性受社会文化背景影响,围绝经期相关症状困扰较重,应关注该类人群的自我认知与应对体验,通过行为改变理论,激发其积极自我调整、健康的生活方式,加强绝经相关症状的早期评估和长期随访,提供专业的健康指导和便捷的医疗服务。 |
| 英文摘要: |
| Objective To investigate the awareness of perimenopausal symptoms and coping strategies among women with osteopenia.Methods A purposive sampling method was employed to select 21 women with osteopenia,aged 40 to 60 years,who had completed a bone density examination at the outpatient clinic of Hangzhou Women′s Hospital from January to June 2023.Semi-structured interviews were conducted,and content analysis was used to synthesize and analyze the interview data.Results The understanding of perimenopausal symptoms and coping challenges among women with osteopenia can be categorized into four themes:physical symptom management (lack of awareness regarding osteoporosis and underestimation of menopausal symptoms),psychological symptom management (negative emotions and need for medical support),treatment demands and concerns (fear of hormone therapy related to menopause,need for a perimenopausal health management team,and demand for “Internet+” health management services),and health knowledge dissemination and self-health management (support for healthy lifestyles and proactive self-health management).Conclusions Women with osteopenia aged 40 to 60 years in China are heavily influenced by social and cultural backgrounds and experience significant distress from perimenopausal symptoms.Attention should be paid to their self-awareness and coping experiences.Through behavioral change theory,it is important to stimulate positive self-adjustment and healthy lifestyles,strengthen early assessment and long-term follow-up of menopause-related symptoms,and provide professional health guidance and convenient medical services. |
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