在绝经前的年龄段进行心理健康咨询 - - 一般医生和患者在同一页面上吗? : 一个定性研究
Jo Burgin1, Yvette Pyne2, Anna Davies3
1University of Bristol, Bristol Medical School jo.burgin@nhs.net.
概括
绝经前期的情绪变化往往被患者和全科医生 (GP) 错过. 改善全科医生培训和患者教育对于更好地管理这些心理健康症状至关重要.
科学领域:
- 妇女健康 妇女健康
- 心理健康 心理健康
- 主要护理医学 医疗保健
背景情况:
- 绝经前期与情绪变化的风险增加有关.
- 患者和全科医生 (GP) 可能会忽视绝经前期和心理健康症状之间的联系.
- 在管理绝经前期症状方面,人们缺乏信心.
研究的目的:
- 在临床咨询期间探索患者和GP的经验,以了解绝经前妇女的心理健康症状.
- 确定沟通和管理绝经前期心理健康问题的挑战.
主要方法:
- 定性研究涉及对18名女性 (45-55岁) 和11名全科医生的半结构面试.
- 专题分析用于分析咨询实践,沟通和教育差距.
- 参与者在过去6个月内就心理健康症状咨询了他们的全科医生.
主要成果:
- 妇女往往不认识或不确定绝经期是他们心理健康症状的原因.
- 患者感到受抑制或尬地与他们的全科医生讨论更年期前的症状.
- 总医生报告了各种方法,并承认在经更年期前症状管理方面存在培训缺口.
- 由于时间限制和更年期的耻辱,协商受到阻碍.
结论:
- 在初级保健中,需要采取积极主动和知情的方法来解决经更年期期间的心理健康症状.
- 建议加强全科医生关于更年期的培训,并提高患者的认识.
- 通过教育和更好的沟通,可以改善绝经前期心理健康症状的咨询和管理.
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