Development of Program of Systematic Nursing Counseling For The Women Experiencing Hormone Replacement Therapy

本研究分为三个步骤，分别是(1)激素替代治疗妇女现状调查及健康体检妇女和激素替代治疗妇女的护理干预试验；(2)对中年妇女健康促进总体支持的文献综述；(3)针对激素替代治疗妇女的系统护理咨询方案的开发。(1)对大学附属医院绝经期门诊接受激素替代治疗的患者数据分析结果表明，患者有选择激素替代治疗的倾向。通过生活方式检查表、心理测试和咨询的结果表明，我们需要一些材料来支持他们的评估，以及我们应该考虑的对包括接受激素替代疗法的中年妇女在内的中年妇女健康促进的总体支持。(2)文献综述结果表明，考虑是否使用HRT的女性需要适当和足够的HRT信息和支持HRT决策过程。(3)由于需要一些资料支持妇女回顾自己的情况，我们开发了妇女身心健康笔记本，并将参加健康妇女研讨会的妇女和开始HRT的妇女使用。我们开发了一个系统的护理咨询项目为那些使用笔记本进行激素替代疗法的女性提供帮助。我们认为这个程序和笔记本不仅对接受激素替代疗法的女性有用，而且对健康的中年女性也有用，但我们应该为未来检查程序的有效性和效率。

This research was consisted of three steps, as (1) research about the situation of the women experiencing Hormone Replacement Therapy and the trial of nursing intervention for the women taking a medical checkup and the women experiencing HRT, (2) the literature review about total support of health promotion for the midlife women, and (3) development of program of systematic nursing counseling for the women experiencing HRT. (1) The results of the data of the patients experiencing HRT at menopausal clinic in the university hospital pointed out the patients had tendency of preferring HRT. And the results of the trials using lifestyle checklist and psychological test, and counseling suggested the needs of some materials supporting them reviewing and the needs that we should think total support of health promotion for the midlife women including the women experiencing HRT. (2) The results of literature review suggested that the women considering about whether using HRT or not had the needs of the appropriate and enough information about HRT and support for decision making process about HRT. (3) Because of the needs of some materials supporting the women reviewing their situations, we developed the notebook for women's healthy mind and body and used that the women attending the healthy women's seminar and women starting HRT. And we developed program of systematic nursing counseling for the women experiencing HRT using that notebook. We think this program and notebook is useful for not only women using HRT but also healthy midlife women, but we should examine the validity and efficiency of the program tor the future.