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目的了解更年期妇女激素替代疗法(HRT)使用与否的原因,为改善更年期保健提供相关信息。方法采用问卷调查和专题小组讨论收集相关资料,共计278例妇女(包括155例从未使用者,108例正在使用者及15例曾经使用者)接受了调查;另外进行了4组专题小组讨论以补充问卷调查的不足。结果缓解身体不适和医生的推荐是开始HRT的主要原因;不知道或未听说过HRT以及认为更年期是一个自然的过程,没有必要用药的认知是从未使用HRT的最主要的原因;停止使用的主要原因包括症状已经缓解和难以忍受的副作用等。结论治疗更年期症状成为开始HRT使用的主要动机,而医生起着相当重要的作用。在保健服务提供过程中,医生应充分尊重妇女的想法,为她们提供足够的信息,促进HRT使用的知情选择,提高更、老年期健康水平和生活质量。
Objective To understand the reasons for the use of hormone replacement therapy (HRT) in menopausal women and to provide relevant information for improving menopause health care. Methods A total of 278 women (including 155 uninvited, 108 active users and 15 former users) were surveyed using questionnaires and panel discussions. In addition, four panel discussions were conducted with To supplement the lack of questionnaires. Results Mitigating physical discomfort and doctor’s recommendation are the main reasons for starting HRT; knowing or having not heard of HRT and thinking of menopause is a natural process and that no need for medication is the most important reason why HRT has never been used; Stop The main reasons for use include the symptoms have been alleviated and unbearable side effects and so on. Conclusion Treatment of menopausal symptoms is the primary motivation for starting HRT, and doctors play a significant role. In the delivery of health services, physicians should fully respect women’s attitudes, provide them with sufficient information to promote informed choices about HRT use, and improve health and quality of life in more advanced age-groups.