Smith A J, Hall D R, Grové D
Panorama Hospital, Cape Town, South Africa.
Climacteric. 2005 Dec;8(4):327-32. doi: 10.1080/13697130500196817.
To evaluate current patient perspectives on the postmenopausal period in South Africa.
The study was conducted in a specialist private practice in Tygerberg, Cape Town, South Africa during 2004. All women with established postmenopausal status, seen over a period of 18 months, received a survey questionnaire by post. Of the 541 questionnaires that were posted, 421 were returned and 410 were used. Women gave written informed consent.
The average age of the women was 60 years, with almost half (49%) greater than 10 years postmenopausal, and 78.5% were using hormonal therapy (HT). Of note is that 42% had been on HT for more than 10 years. The doctor was the most important source of information (87%), the most frequent reason for initiation of, and the second most frequent reason for discontinuation of therapy. The most important advantages of HT given were skeletal protection (85%) and treatment of vasomotor symptoms (70%), while development of breast cancer was given as the most prominent disadvantage (79%).
This group of women was well informed regarding current indications and developments concerning HT. Despite their socioeconomic status, the doctor remained the key factor with regard to information and decision-making.
评估南非目前患者对绝经后时期的看法。
2004年在南非开普敦泰格堡的一家专科私人诊所开展了此项研究。在18个月期间就诊的所有已确定绝经后状态的女性均通过邮寄方式收到一份调查问卷。在邮寄的541份问卷中，421份被退回，410份被采用。女性均给予了书面知情同意。
这些女性的平均年龄为60岁，近半数（49%）绝经超过10年，78.5%正在使用激素疗法（HT）。值得注意的是，42%接受HT治疗已超过10年。医生是最重要的信息来源（87%），是开始治疗的最常见原因，也是停止治疗的第二常见原因。给予HT的最重要益处是骨骼保护（85%）和治疗血管舒缩症状（70%），而患乳腺癌被认为是最突出的弊端（79%）。
这群女性对HT目前的适应证和进展情况了解充分。尽管她们有社会经济地位，但医生仍是信息和决策方面的关键因素。
