在当代NHS中获得公平的更年期护理 - - 妇女的经历
Abi Eccles1, Sabrina Keating2, Claire Mann3
1University of Oxford Nuffield Department of Primary Care Health Sciences,Oxford, United Kingdom of Great Britain and Northern Ireland.
概括
更年期对现代女性产生重大影响,特别是那些来自较低社会经济和少数民族背景的女性. 获得激素替代疗法 (HRT) 是不平等的,在贫困地区和少数民族妇女中存在差异.
科学领域:
- 健康和疾病的社会学
- 妇女健康 妇女健康
- 生殖内分泌学 生殖内分泌学
背景情况:
- 更年期症状在较低社会经济背景和少数民族背景的妇女中表现得更早,更复杂.
- 激素替代疗法 (HRT) 的使用显示出显著的差异,贫困地区的妇女和来自黑人和亚洲族群的妇女的比例较低,与白人妇女相比.
- 现有的研究表明,需要了解导致更年期管理和获得HRT的不平等因素.
研究的目的:
- 调查影响女性对更年期管理方法的因素.
- 探索激素替代疗法 (HRT) 处方和吸收的模式.
- 了解寻求更年期护理的妇女的生活经历,以及这些经历如何受到社会经济和文化背景的影响.
主要方法:
- 一项定性研究,采用深入的半结构面试和焦点小组,对40名经历更年期的女性进行了深入的半结构面试.
- 目的性抽样被用来捕捉各种各样的经验.
- 进行了主题分析,以确定女性经历和寻求帮助行为的关键主题.
主要成果:
- 女性经历更年期的经历是由"当代背景"塑造的,包括管理高工作量和照顾责任,与前几代不同.
- 关于更年期的咨询往往是充满情绪的,许多女性觉得他们需要主张HRT,并表达对有限的选择感到丧.
- 文化和经济背景影响了寻求帮助;一些来自黑人或亚洲背景的女性在社区内没有讨论更年期,对医疗机构的不信任和缺乏代表性是非白人参与者的问题.
结论:
- 由于当代生活环境,更年期对现代女性来说可能特别具有破坏性.
- 妇女经常表达对可用的更年期管理选择的不满.
- 在初级保健机构需要改进,特别是在关于HRT的好处和风险的沟通方面.
更多相关视频
14:26A Method to Study the Impact of Chemically-induced Ovarian Failure on Exercise Capacity and Cardiac Adaptation in Mice
Published on: April 7, 2014
15.6K
05:36Herbs-Partitioned Moxibustion on the Navel in a Rat Model of Primary Dysmenorrhea with Cold Coagulation and Blood Stasis
Published on: October 4, 2024
643
相关概念视频
01:28Menopause
253
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
253
01:22Hormonal Regulation of the Menstrual Cycle
713
The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
713
01:19The Menstrual Cycle
1.4K
The menstrual cycle is a recurrent sequence of changes in the uterine endometrium, specifically its functional layer, the stratum functionalis. This cycle prepares the uterus for potential pregnancy. This cycle typically spans 21–35 days, averaging 28 days, and aligns with the ovarian cycle, regulated by fluctuating levels of ovarian hormones, primarily estrogen and progesterone.
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
The menstrual phase occurs from days 1 to 5 and involves the shedding of the stratum functionalis, as a...
1.4K
01:30Hormonal Control of the Ovarian Cycle
3.2K
The ovarian cycle is meticulously regulated by the hypothalamic-pituitary-gonadal axis. This cycle orchestrates the release of a mature oocyte, essential for reproduction.
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
Before puberty, the hypothalamus releases GnRH in a low frequency, low amplitude pulsatile manner. This along with the immature hypothalamic-pituitary-gonadal axis activity, results in low estrogen levels and the absence of a fully functional ovarian cycle. At puberty, GnRH secretion increases in both frequency and...
3.2K
01:24Disorders of the Female Reproductive System
500
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
500
01:28Current Trends in Nursing I
1.7K
Current trends in nursing include:
1.7K