生物-心理-社会医学新模式在围绝经期及绝经后保健的应用.pdfVIP

· 1290· 中国妇幼保健2008年第23卷 · 更年期保健 · 生物一心理一社会医学新模式在围绝经期及绝经后保健的应用 徐国萍 王武燕 张秀梅 谢二辰 河北省石家庄市妇幼保健院 050051 中国图书分类号 Iu73 文献标识码 A 文章编号 1001-4411(2008)09-1290-03 【摘 要】 目的：研究及探讨用生物一心理一社会医学模式对绝经相关问题进行综合、立体治疗。方法：将300例围绝经 及绝经后妇女随机分为治疗组和对照组。治疗组采用生物学治疗、心理干预和健康教育相结合，将心理因素、社会负性事件对 躯体的影响降到最低限度。对照组仅以生物学治疗。结果：治疗后两组生物学症状、生存质量有显著差异 (P0．01)。结论： 围绝经及绝经后妇女相关疾病除与内分泌改变有关外，还与神经类型、文化、社会和遗传因素等密切相关，从生物一心理一社 会医学模式进行整体治疗，对减少该阶段对妇女健康的影响和提高妇女后半生生活质量是极有效的干预措施。 【关键词】 生物一心理一社会医学模式 围绝经及绝经后保健 绝经相关问题 Application of biopsychosocial model health care of perimenopausal and postmeno- pausal women XU Guo—P ng，WANG Wu—Yan，ZHANG Xiu—Mei，et a1．Shijiazhuang Maternal and Children Health care Hospital of Hebei Province，Shijiazhuang 050051，Hebei，China [Abstract] 0lbjective：To discuss the application of biopsychosocial model to menopause associated questions~synthetial and three — dimensional treatment．Methods：Three hundred patleus were divided into two groups at random．Two hundred cases were treated by com· bination of biomedical therapy，mental intervene and health education，for the influence of mental factors and negative events on the body had been reduced to the minimum．One hundred case was treated by biomedical model only．Re训 ts：Two groups in post—treatment had strik- insly difference on symptoms improvement and quality of life(P0． O1)．Conclusion：Women aged 40 and over associated diseases re- late closely to type of higher nervous activity，cultural factors，life events and genetic factors except endocrine dislocation．Synthesize treat- ment by biopsychosocial model is a very effective intervene measure in order to reduce influence of this stage on women health and to increase quality oflife． [Key words] Biopsychosocial model；Perimenopause and postmenopause health care 目前国内外对围绝经期及绝经后妇女的医学与保健问题 降到最低程度，必要时与患