Unidad de Investigación Epidemiológica y en Servicios de Salud, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México D.F., México.
BMC Womens Health. 2011 Feb 20;11:6. doi: 10.1186/1472-6874-11-6.
Climacteric stage women experience significant biological, psychological and social changes. With demographic changes being observed in the growing number of climacteric stage women in Mexico, it is important to improve their knowledge about the climacteric stage and its potential associated problems, encourage their participation in screening programs, and promote the acquisition of healthy lifestyles.At Mexican health care institutions the predominant health care model for climacteric stage women has a biomedical perspective. Medical doctors provide mostly curative services and have limited support from other health professionals. This study aims to design an integrative health care model (IHCM: bio-psycho-social, multidisciplinary and women-centered) applicable in primary care services aimed at climacteric stage women.
METHODS/DESIGN: We present the design, inclusion criteria and detailed description of an IHCM. The IHCM consists of collaborative and coordinated provision of services by a health team, which is involves a family doctor, nurse, psychologist, and the woman herself. The health team promotes the empowerment of women through individual and group counseling on the climacteric stage and health related self-care. The intervention lasts three months followed by a three-month follow-up period to evaluate the effectiveness of the model. The effectiveness of the model will be evaluated through the following aspects: health-related quality of life (HR-QoL), empowerment, self-efficacy and knowledge regarding the climacteric stage and health-related self-care activities, use of screening services, and improvement in lifestyles (regular leisure time physical activity and healthy diet).
Participation in preventive activities should be encouraged among women in Mexico. Designing and evaluating the effectiveness of an integrative health care model for women at the climacteric stage, based on the empowerment approach and focus on health-related self-care to improve their HR-QoL is pertinent for current health conditions of this age group.
The study is registered at the ClinicalTrials.gov (NCT01272115).
更年期女性经历着显著的生理、心理和社会变化。随着墨西哥更年期女性人数的增加，人口结构发生了变化，因此提高她们对更年期及其潜在相关问题的认识，鼓励她们参与筛查计划，并促进健康生活方式的养成至关重要。在墨西哥医疗机构中，更年期女性的主要保健模式是生物医学模式。医生主要提供治疗服务，而其他卫生专业人员的支持有限。本研究旨在设计一种综合保健模式（IHCM：生物-心理-社会、多学科和以女性为中心），适用于针对更年期女性的初级保健服务。
方法/设计：我们介绍了 IHCM 的设计、纳入标准和详细描述。IHCM 由一个医疗团队协作和协调提供服务，该团队包括家庭医生、护士、心理学家和女性自身。医疗团队通过对更年期和健康相关自我保健的个体和小组咨询，促进女性赋权。干预持续三个月，随后进行三个月的随访期，以评估该模式的效果。将通过以下方面评估该模式的有效性：与健康相关的生活质量（HR-QoL）、赋权、自我效能和对更年期及健康相关自我保健活动的知识、筛查服务的使用情况以及生活方式的改善（定期休闲时间体育活动和健康饮食）。
应该鼓励墨西哥女性参与预防活动。设计和评估基于赋权方法和关注健康相关自我保健的更年期女性综合保健模式的有效性，以提高她们的 HR-QoL，这对于该年龄段当前的健康状况是相关的。
该研究在 ClinicalTrials.gov 注册（NCT01272115）。
