| Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 91 === Under the policy of women friendly clinic, it is a challenge to provide a comprehensive and effective climacteric education at an outpatient department. The objectives were as follows. 1. to understand the perceptions and health information needs of climacteric women, 2. to establish a convenient, accessible, and fulfilling the women''s needs of nursing counseling program, 3. to compare the differences in satisfaction with health services, number of hospital visits, and costs between with and without using nursing counseling program for women at outpatient departments, 4. to analyze the effects between women demographics and health knowledge and satisfaction with health services.
Data were collected from two stages. First stage, focus group interview method was used to collect data from peri- and post-menopause women related to their perceptions, future expectations, health information needs, and current status of education counseling program. The results of focus group were then used to set up a telephone nursing counseling hot line, to make education materials, and to establish a nursing counseling program. Second stage, the quasi-experimental design was used. Peri- and post-menopause women were selected as study subjects. A nursing counseling program was provided to women in experimental group, but not to women in control group. After consent forms were obtained from all women, then health knowledge and satisfaction with health service questionnaires were administrated as pre-test. After participating in climacteric sharing group in three months, women redid the health knowledge and satisfaction with health service questionnaires as post-test. Meanwhile, numbers of hospital visits related to climacteric and costs were collected from reviewing women''s charts. The data collection period was from March to November of 2002. Twenty-six women were in experimental group and 38 were in control group. Data were analyzed by Mann-Whitney U test, Wilcoxon signed ranks test, Spearman correlation, and Kruskal-Wallis one way analysis.
The results indicated that climacteric women''s perceptions and health information needs were positive climacteric perceptions, understanding the up coming uncomfortable and affective degrees, preparations for mind and body, releasing uncomfortable methods, and enforcing the knowledge of hormone therapy replacement. The nursing counseling program did improve climacteric women''s health knowledge and satisfaction with health services, but reduction was not significant in numbers of hospital visits related to climacteric and costs which may due to short period of three months follow-up. Besides, a significant correlation was found only between age and satisfaction with health service, but not for other variables. In conclusion, if the nursing counseling program could improve its operational accessibility and extend to community women, the number of hospital visits related to climacteric and costs could be reduced, and the quality of climacteric women and the finance of National Health Insurance coverage would be benefit in the long run.
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