RCSI School of Nursing and Midwifery, Dublin, Ireland.
Climacteric. 2023 Oct;26(5):419-427. doi: 10.1080/13697137.2023.2226318. Epub 2023 Jul 21.
A systematic review with meta-analysis was conducted to establish the impact of menopause health education on quality of life (QoL) among menopausal women. Research suggests that specific educational programs can support and enable women during the physical and emotional transition through menopause. The CINAHL, Medline, APA, Embase and Google Scholar databases were searched between 30 November 2021 and 9 January 2022 using the PRISMA guidelines. The Cochrane risk of bias tool was used to critically evaluate the included studies. Review Manager software was used to conduct the meta-analysis of suitable studies. Eight papers were eligible for this review. The participants were aged between 40 and 60 years, with diagnosis of menopause stemming from changes in the menstrual cycle to a last menstrual period of 7 years. Follow-up data were collected between 1 and 4 months post education. Meta-analysis of both the primary outcome (QoL) and secondary outcome (symptom control) demonstrated statistically significant improvements post intervention. Papers not suitable for meta-analysis were reviewed narratively; two papers assessing the primary outcome (QoL) demonstrated an improvement, but only one to a statistically significant level. Secondary outcomes revealed improvements, with all bar one paper doing so to statistical significance. Menopause health education demonstrated an improvement in both QoL and symptom control in menopausal women; however, given some weaknesses in the included studies, further research is justified. Limitations include participants' level of education, geographical location, risk of bias, that only half of the papers addressed participant use of hormone replacement therapy and length of follow-up.
系统评价和荟萃分析旨在确定更年期健康教育对更年期妇女生活质量（QoL）的影响。研究表明，特定的教育计划可以通过更年期为女性提供身体和情感上的支持和帮助。使用 PRISMA 指南，于 2021 年 11 月 30 日至 2022 年 1 月 9 日在 CINAHL、Medline、APA、Embase 和 Google Scholar 数据库中进行了检索。使用 Cochrane 偏倚风险工具对纳入的研究进行了批判性评估。Review Manager 软件用于对合适的研究进行荟萃分析。有 8 篇论文符合本综述的条件。参与者的年龄在 40 至 60 岁之间，更年期的诊断源于月经周期的变化，最后一次月经为 7 年。教育后的随访数据收集在 1 至 4 个月之间。对主要结局（QoL）和次要结局（症状控制）进行的荟萃分析表明，干预后有统计学意义的改善。不适合进行荟萃分析的论文进行了叙述性综述；两篇评估主要结局（QoL）的论文表明有所改善，但只有一篇达到统计学意义水平。次要结局显示有所改善，除一篇外，其余均达到统计学意义。更年期健康教育在更年期妇女的生活质量和症状控制方面都有所改善；然而，考虑到纳入研究的一些弱点，需要进一步的研究。局限性包括参与者的教育水平、地理位置、偏倚风险、只有一半的论文涉及参与者使用激素替代疗法和随访时间长度。
