Centre for Postgraduate Nursing, University of Otago, Christchurch, New Zealand.
J Adv Nurs. 2012 Aug;68(8):1814-23. doi: 10.1111/j.1365-2648.2011.05873.x. Epub 2011 Nov 14.
This article is a report of a study that examined how women describe their decisions in relation to the use of menopausal hormone therapy following surgical menopause.
Women who have had a surgically induced menopause generally experience more intense menopausal symptoms than natural menopause and are regularly prescribed menopausal hormone therapy. Since 2002 the risks associated with this therapy have been widely reported.
This study is a qualitative analysis of semi-structured interviews between March and May 2009 with 30 participants who had experienced surgical menopause and were, or had in the past, taken menopausal hormone therapy. This was a community sample recruited in Christchurch, New Zealand. A risk management theoretical approach underpinned the analysis.
The womens' descriptions of managing the risks associated with menopausal therapy fell into two main themes: Life has to go on and Waiting for someone to tell me. All these women had either made an active decision to continue on treatment because of the impact of menopausal symptoms or took their doctor's advice to continue. A less dominant theme but one that was also evident was Relying on my body to get me through in which the women had decided to discontinue treatment because they regarded it as unnatural.
The study provided insights into how women utilize an experiential reasoning process to manage the health and lifestyle risks associated with taking menopausal hormone therapy. Nurses need to be aware of how this process influences women's reasoning processes when working with women following surgical menopause.
本文是一项研究报告，旨在探讨女性在接受手术绝经后使用绝经激素治疗时，如何描述自己的决策。
接受手术绝经的女性通常比自然绝经经历更强烈的更年期症状，并且经常被开处绝经激素治疗。自 2002 年以来，这种治疗方法的风险已被广泛报道。
本研究是对 2009 年 3 月至 5 月期间 30 名经历过手术绝经并正在服用或过去曾服用过绝经激素治疗的参与者进行的半结构化访谈的定性分析。这是在新西兰克赖斯特彻奇的社区样本。风险管理理论方法为分析提供了基础。
女性对管理绝经治疗相关风险的描述分为两个主要主题：“生活还得继续”和“等待有人告诉我”。所有这些女性都因为更年期症状的影响而积极决定继续治疗，或者听从医生的建议继续治疗。另一个不太突出但也很明显的主题是“依靠我的身体来度过难关”，这些女性决定停止治疗，因为她们认为这是不自然的。
该研究深入了解了女性如何利用经验推理过程来管理与服用绝经激素治疗相关的健康和生活方式风险。护士在为手术绝经后的女性提供服务时，需要意识到这一过程如何影响女性的推理过程。
