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我仍然相当年轻:女性早熟或过早绝经的生活经历:一项针对埃及女性的定性研究。

I'm still quite young: women's lived experience of precocious or premature menopause: a qualitative study among Egyptian women.

作者信息

Osman Yasmine M, El-Kest Hend Reda Ali, Awad Alanazi Majed, Shaban Mostafa

机构信息

Department of Obstetrics and Gynecology Nursing, Faculty of Nursing, Zagazig University, Zagazig, Egypt.

Faculty of Nursing, Tanta University, Tanta, Egypt.

出版信息

BMC Nurs. 2025 May 28;24(1):612. doi: 10.1186/s12912-025-03133-6.

Abstract

BACKGROUND

Precocious menopause, the cessation of ovarian function before age 40, presents complex physical, emotional, and socio-cultural challenges. In settings where fertility is central to a woman's identity, early menopause can lead to stigma, psychological distress, and limited healthcare engagement. Nurses play a pivotal role in supporting affected women through education and empathetic care.

AIM

This study explored the lived experiences of Egyptian women diagnosed with precocious menopause, with a focus on physical and emotional challenges, cultural and familial dynamics, coping mechanisms, and interactions with healthcare providers-particularly nurses.

METHODS

A qualitative descriptive design was employed. Fifteen women diagnosed with precocious menopause were recruited through purposive sampling from reproductive health clinics in Tanta city and surrounding areas in the Nile Delta region. Data were collected through semi-structured, in-depth interviews and analyzed using thematic content analysis.

RESULTS

Participants reported significant disruption to self-identity and emotional well-being, compounded by cultural stigma and family pressures. Coping strategies included spiritual beliefs, peer support, and self-advocacy. Experiences with healthcare providers were mixed; nurses emerged as key figures in providing psychosocial support and education.

CONCLUSION

Findings underscore the need for culturally sensitive, nurse-led interventions to address the unique needs of women with precocious menopause. Enhancing nursing education and integrating psychosocial care into reproductive health services can improve health outcomes and quality of life.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

过早绝经是指40岁之前卵巢功能停止,会带来复杂的身体、情感和社会文化挑战。在生育对女性身份认同至关重要的环境中,过早绝经可能导致污名化、心理困扰以及医疗保健参与度受限。护士在通过教育和共情护理来支持受影响的女性方面发挥着关键作用。

目的

本研究探讨了被诊断为过早绝经的埃及女性的生活经历,重点关注身体和情感挑战、文化和家庭动态、应对机制以及与医疗保健提供者(尤其是护士)的互动。

方法

采用定性描述性设计。通过目的性抽样从坦塔市及尼罗河三角洲地区周边的生殖健康诊所招募了15名被诊断为过早绝经的女性。通过半结构化的深入访谈收集数据,并使用主题内容分析法进行分析。

结果

参与者报告称自我认同和情感幸福感受到了重大干扰,文化污名和家庭压力使情况更加复杂。应对策略包括精神信仰、同伴支持和自我主张。与医疗保健提供者的经历好坏参半;护士成为提供心理社会支持和教育的关键人物。

结论

研究结果强调需要有文化敏感性、由护士主导的干预措施来满足过早绝经女性的独特需求。加强护理教育并将心理社会护理纳入生殖健康服务可以改善健康结果和生活质量。

临床试验编号

不适用。

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