Ingram-Fogel C
NAACOGS Clin Issu Perinat Womens Health Nurs. 1991;2(4):509-25.
The middle years for women present many challenges and opportunities. The changes of life--physical, psychosocial, developmental, and environmental--can be rewarding, positive experiences. At the same time, as women enter the middle years, they may face a number of health problems. Preparation for health maintenance, illness prevention, and coping with problems as they occur can prevent many of the potential health alterations through life style changes. Even when these health problems are unpreventable, modification of behaviors and habits may ameliorate some of their consequences. The nurse is the logical person to educate and counsel women on how to lower their risks for midlife health problems. An overview of the health status of women at midlife is presented, including current life expectancy, mortality, and morbidity data. Risk factors and risk assessment specific to diseases prevalent in midlife and older women are reviewed, with emphasis on nutrition and obesity. Nursing strategies for reducing the risk factors (obesity, hypercholesterolemia, and sedentary life style) related to many of the health concerns of midlife women are presented.
中年女性面临诸多挑战与机遇。生活中的变化——身体、心理社会、发育以及环境方面的——可以是有益的积极体验。与此同时,随着女性步入中年,她们可能会面临一些健康问题。为保持健康、预防疾病以及应对出现的问题做好准备,通过改变生活方式可预防许多潜在的健康变化。即便这些健康问题无法预防,改变行为和习惯也可能减轻其一些后果。护士是教育和指导女性如何降低中年健康问题风险的合适人选。本文概述了中年女性的健康状况,包括当前的预期寿命、死亡率和发病率数据。回顾了中年及老年女性中常见疾病的特定风险因素和风险评估,重点是营养和肥胖问题。还介绍了针对与中年女性诸多健康问题相关的风险因素(肥胖、高胆固醇血症和久坐的生活方式)的护理策略。