广州南方医科大学珠江医院医护人员绝经激素治疗的认知调查

摘要

Objective To investigate the awareness and attitude towards menopause and menopausal hormone therapy (MHT) among the medical staff of Zhujiang Hospital of Southern Medical University.Methods A self-designed questionnaire related to menopause and MHT was conducted among 1143 medical staffs in Zhujiang Hospital of Southern Medical University.Results The best-known symptoms,in sequences,were dysphoria and depression (90.6％),sleep disorders (81.5％),hot flashes and night sweating (69.4％),dizziness and palpitation (59.3％),and paresthesia (50.3％).Of 1143 respondents,42.1％(481) knew about MHT,and 62％(709) considered that MHT is necessary for symptomatic menopausal women.Significant differences existed in attitudes towards MHT between different titles and departments (P=0.027,P=0.000).Fifty-seven percent (651) of medical staff expressed concern about the side effects of MHT and had scruples about its use,73.1％(836) believed that MHT can improve menopausal symptoms,while 54.5％(623) believed MHT can prevent and treat osteoporosis.Conclusions The awareness rate on menopause and MHT is relatively low among the medical personnel of Zhujiang Hospital of Southern Medical University.There exist differences in attitudes towards menopause and MHT among different departments,doctors and nurses,and different titles.%目的 了解广州南方医科大学珠江医院医护人员对绝经及绝经激素治疗(MHT)的知晓率和态度.方法 采用自行设计的MHT问卷对南方医科大学珠江医院1143名医护人员进行绝经及MHT相关知识调查.结果 知晓率最高的症状依次是烦躁抑郁(90.6％)、睡眠障碍(81.5％)、潮热盗汗(69.4％)、头晕心悸(59.3％)、感觉异常(50.3％).MHT了解度为42.1％(481/1143).62.0％(709/1143)的医护人员认为有必要对有症状的绝经妇女行MHT.不同医师职称及不同科室分组之间对MHT态度差异均有统计学意义(P=0.027,P=0.000).57.0％(651/1143)的医护人员表示担心MHT的副作用而对其使用有顾忌.知道MHT可以改善围绝经期症状及预防和治疗骨质疏松的医护人员分别占73.1％(836/1143)和154.5％(623/1143).结论 南方医科大学珠江医院医护对绝经及MHT的知晓率较低,不同性别、不同科室、不同职称、医护之间对绝经及MHT的认识和态度存在差异,在医护人员中进行绝经及MHT的宣教对中老年妇女保健工作具有较大的现实意义.