摘要
本研究旨在对比多元化护理干预与常规护理在改善更年期女性症状及提升生活质量方面的效果。选取 2023 年 3 月至 2024 年 3 月于我院接受诊治的 150 例更年期女性，随机分为试验组（75 例）与对照组（75 例）。将对照组女性采用常规护理方式，试验组女性则实施心理疏导、运动指导、饮食调节及中医护理的多元化干预方案。通过改良 Kupperman 评分量表、世界卫生组织生活质量测定量表（WHOQOL-BREF）以及血清激素水平检测，对两组干预 3 个月后的效果进行比较。结果显示，试验组的改良 Kupperman 的评分显著低于对照组（12.36±3.25 vs 21.78±4.12，P<0.01）；试验组 WHOQOL-BREF 各维度得分均显著高于对照组（P<0.05）；试验组的血清雌二醇水平高于对照组（35.27±8.41pg/mL vs 28.63±7.59pg/mL，P<0.05），促卵泡生成素水平低于对照组（52.34±10.67IU/L vs 68.92±12.45IU/L，P<0.05）。由此可见，多元化护理干预能更有效地改善更年期症状，明显提高了生活质量，调节了激素水平，值得在临床中推广和应用。
关键词： 更年期；多元化护理；症状改善；生活质量
Abstract
This study aims to compare the effects of diversified nursing interventions and conventional nursing on improving symptoms and enhancing quality of life in menopausal women. 150 menopausal women who received treatment in our hospital from March 2023 to March 2024 were randomly divided into an experimental group (75 cases) and a control group (75 cases). The control group of women will receive routine nursing care, while the experimental group of women will receive diversified intervention programs including psychological counseling, exercise guidance, dietary regulation, and traditional Chinese medicine nursing. The effects of two intervention groups after 3 months were compared by improving the Kuperman scoring scale, the World Health Organization Quality of Life Inventory (WHOQOL-BREF), and serum hormone level testing. The results showed that the improved Kuperman score in the experimental group was significantly lower than that in the control group (12.36 ± 3.25 vs 21.78 ± 4.12, P<0.01）； The scores of all dimensions of WHOQOL-BREF in the experimental group were significantly higher than those in the control group (P<0.05); The serum estradiol level in the experimental group was higher than that in the control group (35.27 ± 8.41pg/mL vs 28.63 ± 7.59pg/mL, P<0.05), and the follicle stimulating hormone level was lower than that in the control group (52.34 ± 10.67IU/L vs 68.92 ± 12.45IU/L, P<0.05). It can be seen that diversified nursing interventions can more effectively improve menopausal symptoms, significantly improve quality of life, regulate hormone levels, and are worthy of promotion and application in clinical practice.
Key words： Menopause; Diversified nursing care; Symptom improvement; Quality of life
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