目的：评价个性化认知行为疗法对中重度围绝经期症状女性患者的干预效果。方法2014年7—9月对纳入58例中重度围绝经期症状女性患者从知、信、行方面实施个性化认知行为疗法，比较其干预前后改良 Kupperman症状评分及围绝经期知信行调查问卷得分情况。结果经个性化认知行为疗法干预后，58例中重度围绝经期症状女性患者改良 Kupperman各项得分较干预前均有下降，其中潮热出汗、感觉异常、失眠、易激动、抑郁、眩晕、骨关节肌肉痛及性交痛与干预前比较差异有统计学意义（P＜0.05）；干预后知、信、行评分较干预前均明显升高（P＜0.01）。结论个性化认知行为疗法可有效改善中重度围绝经期女性患者相关症状，提高其预防保健意识，形成正确的健康信念，从而最终转化为行之有效的预防保健行为。%Objective To assess the effect of personalized cognitive behavioral therapy on women with moderate to severe perimenopausal symptoms in terms of their perimenopausal symptoms and perimenopausal-related knowledge, attitude, and practice (KAP). Methods Women with moderate to severe perimenopausal symptoms were treated with personalized cognitive behavioral therapy from July to September 2014. Kupperman index and perimenopausal-related KAP questionnaire were applied for the effect of the therapy. Results After treatment, the score of each symptom in Kupperman index of 58 women were declined. And the score of hot flashes sweating, paresthesia, insomnia, irritability, depression, dizziness and joint muscle pain was significantly decreased ( P<0.05). Moreover, perimenopausal-related KAP scores were also increased significantly ( P<0.01). Conclusion Personalized cognitive behavioral therapy is effective for improving the symptoms of women with moderate to severe perimenopausal symptoms, enhancing their prevention and healthcare awareness so as to help them lead a healthy life in perimenopausal period.
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