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绝经症状的综合管理。

Comprehensive Management of Menopausal Symptoms.

出版信息

Nurs Womens Health. 2024 Oct;28(5):381-392. doi: 10.1016/j.nwh.2024.04.007. Epub 2024 Aug 27.

DOI:10.1016/j.nwh.2024.04.007
PMID:39208867
Abstract

Menopause is an inevitable physiologic process that typically occurs in women between the ages of 45 and 56 years old. It involves the permanent cessation of ovarian function and is recognized to have occurred when there has been no menstrual cycle for 12 consecutive months without another cause. Vasomotor symptoms, such as hot flushes and night sweats, and genitourinary syndrome of menopause, which includes symptoms of vaginal dryness, dyspareunia, and urinary incontinence, are common symptoms of menopause. Symptoms range from mild to severe, and for those interested in treating their symptoms, there are hormonal and nonhormonal options available. Choosing appropriate therapies is based on each individual's health history and personal preferences. Because menopause can affect mental, physical, and emotional health, it is critical for nurses to recognize the changes that occur in menopause so that they can make appropriate inquiries to elicit symptom information. Nurses play an important role in counseling and supporting individuals through the menopause transition with evidence-based guidance.

摘要

绝经是一种不可避免的生理过程,通常发生在 45 岁至 56 岁的女性中。它涉及卵巢功能的永久性停止,当连续 12 个月没有月经周期且没有其他原因时,即可认为已经绝经。血管舒缩症状,如热潮红和盗汗,以及绝经后泌尿生殖系统综合征,包括阴道干燥、性交困难和尿失禁等症状,是绝经的常见症状。症状从轻度到重度不等,对于那些有治疗症状意愿的人,有激素和非激素治疗选择。选择合适的治疗方法基于每个人的健康史和个人偏好。因为绝经会影响心理、身体和情绪健康,所以护士必须认识到绝经期间发生的变化,以便能够进行适当的询问以获取症状信息。护士在提供基于证据的指导下,在绝经过渡期间为个人提供咨询和支持方面发挥着重要作用。

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