Blumel J E, Tacla X, Brandt A, Gramegna G, Estartus A
Servicio de Obstetricia y Ginecología, Hospital Barros Luco-Trudeau.
Rev Chil Obstet Ginecol. 1994;59(1):10-6.
The benefits of hormonal replacement therapy are widely known. In spite of this, the proportion of women under treatment is low. The study aims to evaluate the amount of knowledge that patients have, about menopause, and how it influences compliance with therapy. In our study, 494 women attending the outpatient's clinic of Hospital Barros Luco-Trudeau were interviewed; 93.5% considered that menopause has adverse effects upon health; 87.9% believes that it produces emotional disturbances; 55.1% bone-related and 40.9% cardiac problems. Sixty six point eight percent of the consulted women know that there is a treatment for menopause. Half of the women interviewed had consulted the physician specifically for this reason; however, only one third are or were under treatment. Obesity, hirsutism and cancer are considered to be the main secondary effects to treatment. Patients who have not received hormone therapy have a much lower degree of knowledge about menopause than the treated ones, and amongst the latter, those who abandon treatment have less information than the ones that remain under treatment. As a conclusion, we may say that our patients have information about menopause and also that they attend to the physician's office for this reason. The knowledge about the matter and related beliefs influence both adherence to and compliance with therapy.
激素替代疗法的益处广为人知。尽管如此,接受治疗的女性比例仍然很低。本研究旨在评估患者对更年期的了解程度,以及这如何影响其对治疗的依从性。在我们的研究中,对494名前往巴罗斯·卢科 - 特鲁多医院门诊就诊的女性进行了访谈;93.5%的女性认为更年期对健康有不良影响;87.9%的女性认为更年期会产生情绪障碍;55.1%的女性认为更年期会导致骨骼相关问题,40.9%的女性认为会导致心脏问题。66.8%的受访女性知道有针对更年期的治疗方法。一半的受访女性专门为此原因咨询过医生;然而,只有三分之一的女性正在或曾经接受治疗。肥胖、多毛症和癌症被认为是治疗的主要副作用。未接受激素治疗的患者对更年期的了解程度远低于接受治疗的患者,而在接受治疗的患者中,放弃治疗的患者比继续接受治疗的患者了解的信息更少。总之,我们可以说我们的患者了解更年期相关信息,并且也因此前往医生办公室就诊。对该问题的了解以及相关观念既影响治疗的坚持程度,也影响治疗的依从性。