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目的:了解遵义市绝经后老年妇女生殖健康及保健需求情况。方法:以遵义市老年妇女为例,采取抽样调查的方法选取1 600例绝经后老年妇女作为研究对象,对其基本情况、生殖健康和保健需求进行调查。结果:调查对象年龄以55~60岁居多(36.25%),文化程度以初中、高中居多(51.25%),已婚者或同居者居多(77.50%),经济状态以中等居多(45.94%)。54.38%的妇女怀孕过1次,多数调查者未做过人工流产,避孕措施多数采用上环(41.00%),妇科检查异常者居多(74.70%)。定期行妇科检查者占70.00%,在乡镇及以上医疗机构就诊者占87.20%,多数绝经期妇女希望得到妇科疾病诊疗指导和更年期保健知识。结论:遵义市绝经后老年妇女的生殖健康水平较低,保健服务需求大,需要加强健康知识宣传,重视妇科生殖系统疾病普查普治工作,提高绝经后老年妇女的健康水平和生活质量。
Objective: To understand the reproductive health and health care needs of postmenopausal elderly women in Zunyi city. Methods: Taking the elderly women in Zunyi City as an example, a sample survey was conducted to select 1 600 elderly postmenopausal women as research subjects, and their basic conditions, reproductive health and health care needs were investigated. Results: The survey subjects were mostly aged 55-60 (36.25%). The majority were middle school and high school students (51.25%), married or cohabitants (77.50%) and middle class economists (45.94%). 54.38% of the women were pregnant one time. Most of the investigators did not make any abortion. Most of the contraceptive methods used Sheung Wan (41.00%), while the majority of gynecological examinations were abnormal (74.70%). Regular gynecological examiner accounted for 70.00%, 87.20% of the patients in the township and above medical institutions, most women expect to get gynecological disease diagnosis and treatment guidance and knowledge of menopause. Conclusion: The elderly postmenopausal women in Zunyi City have low reproductive health level and high demand for health care services. They need to strengthen the publicity of health knowledge, pay attention to the general survey of gynecological reproductive system diseases and improve the health and quality of life of postmenopausal women.