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探索女性围绝经期和更年期的知识和经验:综合文献回顾。

An exploration of women's knowledge and experience of perimenopause and menopause: An integrative literature review.

机构信息

Western Sydney University, Campbelltown, New South Wales, Australia.

出版信息

J Clin Nurs. 2023 Aug;32(15-16):4528-4540. doi: 10.1111/jocn.16568. Epub 2022 Nov 6.

Abstract

AIM

To explore the international literature related to women's knowledge and experience of perimenopause and menopause and to inform future directions for research and individualised healthcare delivery.

BACKGROUND

Menopause is a normal physiological process experienced by most women. Despite this, care and support is fragmented and the implication on women's long-term health is not sufficiently understood.

DESIGN

An integrative review of primary research on women's knowledge and experience of perimenopause and menopause.

METHOD

CINAHL, Medline, Wiley Online Library, SCOPUS, PubMed and Google Scholar were searched from 2011 to 2021.Quantitative and qualitative studies written in English exploring women's knowledge and experience of menopause were included. The search strategy for the review complied with PRISMA guidelines. The mixed methods appraisal tool was used to assess quality. Thematic analysis was employed to present a narrative synthesis of the data.

RESULTS

A total of 17 studies, comprising 10 quantitative, and seven qualitative studies met the inclusion criteria. The four themes regarding women's knowledge and experience of perimenopause and menopause identified in the literature were as follows: (1) Symptoms associated with perimenopause and menopause; (2) Strategies to manage symptoms; (3) Support and information (4) Attitudes, education and health literacy.

CONCLUSION

This integrative review of the international literature highlights that women's knowledge of perimenopause and menopause varies significantly globally and within countries. The experience of perimenopause and menopause for women is heterogenous and influenced by deeply embedded sociocultural patterns.

RELEVANCE FOR CLINICAL PRACTICE

This integrative review has shown that individualised support for women during perimenopause and menopause is critical to ensure the diverse needs of women are suitably addressed.

NO PATIENT OR PUBLIC CONTRIBUTION

As this was a review of the literature, no patients, service users, caregivers or members of the public were involved in this review.

摘要

目的

探索国际上关于女性围绝经期和绝经知识和经验的文献,为未来的研究和个体化医疗服务提供方向。

背景

绝经是大多数女性经历的正常生理过程。尽管如此,护理和支持仍然分散,对女性长期健康的影响也没有得到充分理解。

设计

对女性围绝经期和绝经知识和经验的原始研究进行综合回顾。

方法

2011 年至 2021 年,在 CINAHL、Medline、Wiley Online Library、SCOPUS、PubMed 和 Google Scholar 上进行了检索。纳入了探讨女性绝经知识和经验的英文定量和定性研究。该综述的检索策略符合 PRISMA 指南。使用混合方法评价工具对质量进行评估。采用主题分析对数据进行叙述性综合。

结果

共有 17 项研究符合纳入标准,其中包括 10 项定量研究和 7 项定性研究。文献中确定的关于女性围绝经期和绝经知识和经验的四个主题如下:(1)与围绝经期和绝经相关的症状;(2)管理症状的策略;(3)支持和信息;(4)态度、教育和健康素养。

结论

对国际文献的综合回顾强调,全球和各国女性对围绝经期和绝经的知识差异很大。女性围绝经期和绝经的经历是异质的,并受到根深蒂固的社会文化模式的影响。

临床实践的相关性

这篇综合回顾表明,在围绝经期和绝经期间为女性提供个体化支持对于确保满足女性的多样化需求至关重要。

无患者或公众贡献

由于这是对文献的回顾,因此没有患者、服务用户、护理人员或公众参与本综述。

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