臺北地區35歲以上高中職女性教師更年期症狀、態度、知識與生活品質之探討

Abstract

Title of Thesis: Exploring the Relationships Between Quality of Life and Menopause Symptom, Attitude, Knowledge Among a Sample of Female High School Teachers Over 35 Years of Age in Taipei Institution: Graduate Institute of Nursing, Taipei Medical University Author: Wei-Hua Chen Thesis directed by: Yuan-Mei Liao (Assistance Professor, College of Nursing Taipei Medical University) This study was a cross-sectional, descriptive study and the subjects were selected using cluster sampling. Female teachers that were over 35 years old female from senior high school in Taipei were invited to participate. There were 482 questionnaires eventually completed with a response rate of 96.4%. The purpose of this study was to investigate current climacteric symptoms, menopause attitude, climacteric knowledge and quality of life (QOL), and related predictive factors in over 35 years old senior high school female teachers. Data were collected with structured questionnaires .Data analysis was conducted with the SPSS/15.0 Windows software statistical package. The main study findings are as follows: The mean age was 44.26（±6.40）years old for female teachers in this study. The standard score on The Greene climacteric scale was10.9±10.24(range=0-46). About 71%( n=287) women experienced one or more than one LUTS. The standard score on the menopause attitude scale was 44.91(±5.64),(range=23-58)”Menopause as a natural phenomenon” were the positive attitude that female teachers were most agree the scale was high. The standard score on the Climacteric knowledge scale was21.54 (±4.46)(range=0-35).” Climacteric health and Hormone replacement therapy” were the two scale that female teachers were more to lack the scale was low. The mean value of QOL (range = 0-100) measured by the SF-36 questionnaire in eight domains were: PF : 86.51±15.63,RP:73.70±37.52,BP:81.87±16.64, GH:57.60±18.43, vitality 54.05±17.70,SF: 76.08±17.57, RE:70.30±39.20, and MH:61.92±14.98. Age, regular exercise habit, menopause symptom(s), menopause attitude and Climacteric knowledge were significantly related to female teachers’ QOL in several domains. A negative relationship exists between menopause symptoms and QOL. Female teachers who experienced severer menopause symptoms reported lower QOL. With multiple regression analysis, age, regular exercise habit menopause symptoms, menopause attitude, and Climacteric knowledge were significant in explaining 22 % of the variance in QOL. The study’s results can be used as a reference for the health giver at schools in order to promote a related health care program. The study subjects were senior high school female teachers at age 35 or older in Taipei and the study range was limited. More scopes can be included in future studies in order to enlarge the inference.