在初级保健环境中解决更年期症状:弥合护理提供差距的机会
Mackenzie L Bevry1, Emily R Stogdill2, Catherine M Lea1
1From the Department of Pharmacy Services Mayo Clinic Health System-Northwest Wisconsin Region, Eau Claire, WI.
Menopause (New York, N.Y.)
|October 1, 2024
概括
电子健康记录 (EHR) 中的更年期症状记录不一致,许多女性出现症状,但很少有人正式记录或治疗. 在初级保健中需要改进识别方法.
科学领域:
- 妇女健康 妇女健康
- 主要护理医学 医疗保健
- 医疗信息学 医疗信息学
背景情况:
- 更年期症状显著影响生活质量和财务福祉.
- 这些症状在初级保健机构中经常没有得到解决.
- 电子健康记录 (EHR) 对于跟踪患者健康信息至关重要.
研究的目的:
- 评估初级保健专业人员在电子健康记录中对更年期症状记录的程度.
- 评估在成年女性中记录血管运动症状的充分性.
- 在初级保健中发现更年期症状管理的差距.
主要方法:
- 通过梅奥诊所调查 (2021年3月至6月) 报告中度至严重血管运动症状的成年女性的回顾性审查.
- 对在调查期间进行初级保健访问的妇女在电子健康记录中对更年期症状记录的评估.
- 对2019年5月至2021年5月期间记录的血管运动症状的分析.
主要成果:
- 229名妇女报告了中度/高度的血管运动症状;只有23%的妇女在EHR问题列表中列出了症状.
- 60%的这些女性在临床注释中记录了血管运动症状.
- 激素治疗被约6%的妇女使用,而非激素处方治疗被约15%的妇女使用.
结论:
- 虽然更年期症状的EHR文档比以前的研究更高,但症状在很大程度上没有得到治疗.
- 需要改进的方法来识别中年妇女在初级保健中有烦人的更年期症状.
- 加强识别可以促进讨论和提供适当的治疗选择,包括激素治疗.
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