Theroux Rosemary
Graduate School of Nursing, University of Massachusetts, Worcester, Massachusetts 01655, USA.
J Am Acad Nurse Pract. 2010 Nov;22(11):612-21. doi: 10.1111/j.1745-7599.2010.00553.x. Epub 2010 Oct 19.
To describe women's experiences during decision making about hormonal and nonhormonal therapies during the menopausal transition.
Transcripts from 21 semi-structured audio taped interviews with seven peri- and postmenopausal women who had a recently visited a nurse practitioner (NP) and were making a decision about menopausal management.
Decision making was a nonlinear process in which women considered available options, weighed benefits and risks and likely outcomes. Reevaluation of the decision was ongoing. Both internal and external conditions influenced their decisions. Media reports of findings from the Women's Health Initiative study may have influenced some women's perceptions of the risk of using hormones for symptom relief.
Women described caring and empowering consultations with the NPs. They appreciated provision of information, adequate time spent at the visit, and decision support. NPs have a critical role to play in providing women with current research findings about hormone therapy and alternatives for symptom relief, and assisting women with understanding risks and benefits of each possible choice. Both individual and group approaches for decision support should be available to women. The approach of a collaborative partnership in decision making is a model that is congruent with nursing practice.
描述女性在绝经过渡期间决定采用激素疗法和非激素疗法时的经历。
对7名围绝经期和绝经后女性进行的21次半结构化录音访谈的文字记录，这些女性最近拜访了一名执业护士（NP），并正在就绝经管理做出决定。
决策是一个非线性过程，在此过程中女性会考虑可用的选择，权衡益处、风险和可能的结果。对决策的重新评估一直在进行。内部和外部条件都会影响她们的决策。关于女性健康倡议研究结果的媒体报道可能影响了一些女性对使用激素缓解症状风险的认知。
女性描述了与执业护士进行的贴心且赋予她们权力的咨询。她们赞赏提供信息、就诊时花费足够的时间以及决策支持。执业护士在向女性提供有关激素疗法和缓解症状替代方法的当前研究结果，并协助女性理解每种可能选择的风险和益处方面起着关键作用。应向女性提供个体和团体决策支持方法。决策中的合作伙伴关系方法是一种与护理实践相符的模式。
