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更年期教育干预对知识、症状及生活质量的影响:一项系统评价方案

Impact of menopause education interventions on knowledge, symptoms and quality of life: protocol for a systematic review.

作者信息

Marco Abigail, Lorenzo Elizabeth, DeBerg Jennifer, Cortes Yamnia I

机构信息

College of Nursing, University of Iowa, Iowa City, Iowa, USA.

School of Nursing, University of Texas Medical Branch, Galveston, Texas, USA.

出版信息

BMJ Open. 2025 Jun 5;15(6):e096235. doi: 10.1136/bmjopen-2024-096235.

DOI:10.1136/bmjopen-2024-096235
PMID:40473281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12142036/
Abstract

INTRODUCTION

The menopause transition is a critical period of life for women associated with a variety of symptoms that may impact health status and quality of life. Menopause education can improve menopause knowledge and self-efficacy, leading to the adaptation of self-management strategies that may reduce menopause symptom burden and enhance quality of life. The purpose of this review is to systematically evaluate the research on the effect of menopause education interventions among midlife women (age 35-55 years) on menopause knowledge, self-efficacy, symptoms and quality of life.

METHODS AND ANALYSIS

This protocol is guided by the 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. We will comprehensively search for articles published from all publication years through December 2024 in PubMed, Embase, CINAHL, PsycINFO, ProQuest Dissertation and Theses, and Scopus. The search strategy will include the following key terms and Medical Subject Headings terms: 'menopause', 'menopausal', 'menopause transition', 'climacteric', 'health promotion', 'health education' and 'patient education'. Eligible studies will be experimental or quasi-experimental and include midlife women (age 35-55 years) who have received a menopause education intervention. Studies must report on the impact of menopause education interventions on menopause knowledge, self-efficacy, symptoms or quality of life. Only peer-reviewed articles and dissertations in English and Spanish will be included. Behavioural interventions (diet, physical activity, yoga) and medical interventions will be excluded. Two reviewers will independently perform data extraction and assess study quality/risk of bias with the Cochrane Risk of Bias tool for randomised experimental studies (RoB2) and the Risk of Bias in Non-Randomized Studies of Interventions tool (ROBINS-I). A narrative approach will be used to synthesise findings.

ETHICS AND DISSEMINATION

Ethical approval is not required for this systematic review of published literature. Findings will be disseminated via peer-reviewed journal publications, presentations at professional scientific meetings and social media.

PROSPERO REGISTRATION NUMBER

CRD42024599106.

摘要

引言

绝经过渡是女性生命中的一个关键时期,会出现各种可能影响健康状况和生活质量的症状。绝经教育可以提高绝经知识和自我效能感,促使采取自我管理策略,从而减轻绝经症状负担并提高生活质量。本综述的目的是系统评价针对中年女性(35 - 55岁)的绝经教育干预措施对绝经知识、自我效能感、症状和生活质量影响的研究。

方法与分析

本方案遵循2015年系统评价与Meta分析方案的首选报告项目。我们将全面检索截至2024年12月在PubMed、Embase、CINAHL、PsycINFO、ProQuest学位论文数据库和Scopus中发表的所有年份的文章。检索策略将包括以下关键词和医学主题词:“绝经”、“绝经的”、“绝经过渡”、“更年期”、“健康促进”、“健康教育”和“患者教育”。符合条件的研究将是实验性或准实验性研究,纳入接受过绝经教育干预的中年女性(35 - 55岁)。研究必须报告绝经教育干预措施对绝经知识、自我效能感、症状或生活质量的影响。仅纳入英文和西班牙文的同行评审文章和学位论文。行为干预(饮食、体育活动、瑜伽)和医学干预将被排除。两名评审员将独立进行数据提取,并使用Cochrane随机实验研究偏倚风险工具(RoB2)和非随机干预研究偏倚风险工具(ROBINS - I)评估研究质量/偏倚风险。将采用叙述性方法综合研究结果。

伦理与传播

对已发表文献进行的本系统评价无需伦理批准。研究结果将通过同行评审期刊发表、在专业科学会议上报告以及社交媒体进行传播。

PROSPERO注册号:CRD42024599106。

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本文引用的文献

1
Effects of Physical Exercise on Symptoms and Quality of Life in Women in Climacteric: A Systematic Review and Meta-Analysis.体育锻炼对更年期女性症状及生活质量的影响:一项系统评价与荟萃分析
Healthcare (Basel). 2025 Mar 15;13(6):644. doi: 10.3390/healthcare13060644.
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Helping women prepare for menopause.帮助女性为更年期做准备。
BMJ. 2024 Jul 12;386:q1512. doi: 10.1136/bmj.q1512.
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A rapid review of menopausal education programmes.绝经教育计划的快速回顾。
Arch Womens Ment Health. 2024 Dec;27(6):975-983. doi: 10.1007/s00737-024-01476-8. Epub 2024 May 25.
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Women's knowledge and attitudes to the menopause: a comparison of women over 40 who were in the perimenopause, post menopause and those not in the peri or post menopause.妇女对更年期的知识和态度:比较处于围绝经期、绝经后和未处于围绝经期或绝经后的 40 岁以上妇女。
BMC Womens Health. 2023 Aug 30;23(1):460. doi: 10.1186/s12905-023-02424-x.
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The impact of menopause education on quality of life among menopausal women: a systematic review with meta-analysis.绝经教育对绝经后妇女生活质量的影响:系统评价与荟萃分析。
Climacteric. 2023 Oct;26(5):419-427. doi: 10.1080/13697137.2023.2226318. Epub 2023 Jul 21.
6
Symptom experience during the late reproductive stage versus the menopausal transition in the Spanish-language Women Living Better survey.在西班牙语 Women Living Better 调查中,处于生殖后期与绝经过渡阶段的症状体验。
Menopause. 2023 Mar 1;30(3):260-266. doi: 10.1097/GME.0000000000002132. Epub 2023 Jan 10.
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An exploration of women's knowledge and experience of perimenopause and menopause: An integrative literature review.探索女性围绝经期和更年期的知识和经验:综合文献回顾。
J Clin Nurs. 2023 Aug;32(15-16):4528-4540. doi: 10.1111/jocn.16568. Epub 2022 Nov 6.
8
An online survey of perimenopausal women to determine their attitudes and knowledge of the menopause.一项针对围绝经期女性的在线调查,旨在了解她们对更年期的态度和认知。
Womens Health (Lond). 2022 Jan-Dec;18:17455057221106890. doi: 10.1177/17455057221106890.
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A study on women's health information needs in menopausal age.一项关于更年期妇女健康信息需求的研究。
BMC Womens Health. 2021 Dec 28;21(1):434. doi: 10.1186/s12905-021-01582-0.
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Post Reprod Health. 2021 Dec;27(4):209-214. doi: 10.1177/20533691211039151. Epub 2021 Nov 8.