An Investigation Of Health Care Needs Of The 45-59 Year-old Women In Taiyuan City And Exploration Of Countermeasures

The topic is a study in health education and health promotion areas,researching for the Taiyuan City 45～59-years old middle-aged women.Theoretical Background:In order to meet the changes in medical model,to meet the acceleration of the aging process,to meet the diversity of diseases and to meet the people's changes in demands for health services,it is imminent to develop community health service positively and health education is a basic measure to realize the global goal—Health for All by 21 st century.Apart from this,health prevention and health promotion are two core concepts in the future health vwork.Domestic and international surveys consistently show that:the health of 45-59-years old middle-aged women in physical and psychologocal is not so optimistic; middle-aged women are lack of the health-related knowledges in many ways;The health needs and willingness are varies from different aged-women;and middle-aged women are dissatisfied with the care they receive mostly so they want a new health care model.According to some research,the future demands of middle-aged women for health services will be greatly increased.Objective:This study aims to providing evidence for effective health education and health promotion and helping improve the quality of life of middle-aged women by assessing the existing major health problem,the status of health KAP and the level of community health services requirement of middle-aged women.In particular,it can provide scientific evidence for both rational allocating health resources and medical health reform,What's more it is benefit for the development of regional health development planning and can provide scientific reference for decision-making of related management.Methods:This study adopted the multi-stage sampling method to get samples from three communities in Taiyuan City,using the cluster sampling to build groups based on the apartment unit of the above community with 45-59 years old middle-aged women.After being trained,investigators made a survey about general situation of middle-aged women(age,education level,marital status,occupational status, menstruation,the self-rating health status,economic situation of self-assessment,etc.); health status(chronic disease and sick for two weeks,the peri-menopausal syndrome through Kupperman score table);health KAP and community health service needs through a questionnaire.Statistical package SPSS 13.0S was used for statistical analysis. After analysing all data with descriptive statistics,took the data for normality test and homogeneity of variance test.If they met the normal distribution and(or) homogeneity,they were carried out in one-way ANOVA,or non-parametric test. Countable data were analyzed by X2 test. The main conclusions:(1) The two-week prevalence rate and chronic disease prevalence rate of 45-59 year-old middle-aged women in Taiyuan city are higher than the average level of national residents.Neck,lumbar spine disease,hypertension and peri-menopausal syndrome are the main health problems of the population.Insomnia, fatigue,hot flashes sweating,arthralgia,muscle pain,have the highest frequency in all common perimenopausal symptoms.(2) The level of knowledge about the health in 45-59 year-old middle-aged women was generally not high,especially for the peri-menopausal syndrome prevention and the role of hormone replacement therapy,it also shows that current health education is not enough.(3) The health belief of 45-59 year-old middle-aged women in Taiyuan city are good,but can't being carried out is a problem that can not be ignored.Vast numbers of middle-aged women have a low rate of health behavior.Suggestions:(1) The ways of health education in middle-aged women should be flexible and diversify.(2)It should be emphasized that the intervention must be planned and change of behavior is also important in health education.(3)The community health service departments should be in charge of the major work of health education,and the various related departments should be in full co-operation with each other,so that the health education may be effective.(4)The technical support to the community health station should be strengthenned.(5) In women's health care, community should put regular health exzamination as the most important task to improve their health and standardize the projects and contents of physical examinations.