• 中国核心期刊(遴选)数据库收录期刊
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(围)绝经期综合征的分级全程化管理初探

王丹瑾,李黎,谢少欧,王洁,马成斌   

  1. 上海市长宁区妇幼保健院 200000,上海市长宁区妇幼保健院 200000,上海市长宁区妇幼保健院 200000,上海市长宁区妇幼保健院 200000,上海市长宁区妇幼保健院
  • 收稿日期:2018-07-03 修回日期:2018-08-28 出版日期:2018-09-25

Preliminary Study on the Whole Process Management of Perimenopausal Syndrome

WANG Danjin,LI Li,XIE Xiaoou,WANG Jie and MA Chengbin   

  1. Shanghai Changning District Maternal and Child Health Hospital,Shanghai Changning District Maternal and Child Health Hospital,Shanghai Changning District Maternal and Child Health Hospital,Shanghai Changning District Maternal and Child Health Hospital,上海市长宁区妇幼保健院
  • Received:2018-07-03 Revised:2018-08-28 Online:2018-09-25

摘要: 目的: 通过对(围)绝经期妇女实施两种不同的管理模式,探索更适合(围)绝经期综合征的健康管理模式。方法: 按照研究对象初诊就诊地点的不同,将其分为干预组和对照组。干预组采用二级全程化管理模式,对照组采用传统专科医院就诊管理模式。比较不同管理模式下两组研究对象改良Kupperman评分前后改变。比较两组研究对象用药依从性。结果: 通过健康宣教,对照组对部分知识的知晓率高于干预组,差异有统计学意义(P<0.05)。两组研究对象的症状均有明显好转,改良Kupperman评分比较差异无统计学意义(P>0.05)。干预组的依从性高于对照组,差异有统计学意义(P<0.05)。结论: 采用分级全程管理模式,真正做到提前干预、规范治疗、完善随访,不仅对改善症状明显有效,同时患者依从性优于传统的诊疗模式。

Abstract: Objective:To explore a more suitable health management model for perimenopausal syndrome through the implementation of two different modes of health management for menopausal women. Methods: According to the different locations of the first visit, the patients were divided into the intervention group and the control group. The intervention group adopted the two level whole process management mode, while the control group adopted the traditional specialist hospital visiting management mode. The modified Kupperman scores of the two groups of subjects were compared before and after improvement. Drug compliance was compared between the two groups. Results: After health education, the awareness rate of related knowledge in the control group was higher than that in the intervention group, and the difference was statistically significant (P<0.05). The symptoms of the two groups were significantly improved, and there was no significant difference in the modified Kupperman score (P>0.05). The compliance of the intervention group was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion: The whole process management mode can make early intervention, standardize treatment and improve follow-up, which is effective not only in improving symptoms, but also in improving patients′ compliance.