BackgroundMenopausal women may experience menopausal syndrome and long-term effects caused by low estrogen levels, such as senile dementia and osteoporosis in the elderly. Most menopausal women may have misconceptions about menopause and low use of pharmacological interventions. These misconceptions may damage the quality of life and miss the critical period for preventing senile diseases. Thus, enhancing the awareness of menopausal women regarding psychosocial and physical changes through health education programs was a way to improve positive attitudes toward menopause and make further treatment options.ObjectivesThis study aimed to evaluate the effect of multidisciplinary health education based on lifestyle medicine on menopausal syndrome and lifestyle behaviors of menopausal women.MethodsThe study was conducted in several hospitals in Chongqing, China. The two groups were from different hospitals with similar medical levels in order to reduce information contamination. It was designed as a clinical controlled trial in which the intervention group (n = 100) and control group (n = 87) were matched for age, age at menarche, menopausal symptoms and drug use status at enrollment. Women in the intervention group received multidisciplinary health education based on lifestyle medicine for 2 months while those in the control group received routine outpatient health guidance. Menopausal syndrome, physical activity and dietary status of participants were assessed before and after the intervention. Paired t-tests and Independent-sample t-tests were adopted for comparison within and between groups, respectively, in the normal variables. Wilcoxon signed-rank tests and Mann-Whitney U tests were adopted for comparison within and between group, respectively, in the abnormal variables. Categorical variables were tested using Pearson's χ2. P-value < 0.05 was statistically significant in statistical tests.ResultsPost intervention testing indicated that menopausal syndrome of participants was significantly improved in the intervention group compared to the control group (P < 0.001). Between-group comparison showed a significant improvement of weekly energy expenditure of total physical activity (P = 0.001) and participation in exercise (P < 0.001) in the intervention group compared to the control group after the intervention. The dietary status of participants was significantly improved in the intervention group compared to the control group (P < 0.001). In the intervention group, the menopausal syndrome of participants improved more in the hormone drug group than in the non-hormone group (P = 0.007), as did the control group (P = 0.02). In the hormone drug group, the physical activity (P = 0.003) and dietary status (P = 0.001) mproved more in the intervention group than in the control group.ConclusionsThe multidisciplinary health education based on lifestyle medicine was effective in improving the menopausal syndrome and healthy lifestyle behaviors of menopausal women. Studies with extended observation period and larger sample size are in need to evaluate the long-term scale-up effects of the multidisciplinary health education.

目的:了解"一日门诊"持续性综合管理更年期参与者的真实体验,为更年期女性健康管理进一步实施提供依据.方法:采用目的抽样法,选取参加"一日门诊"持续性综合管理的更年期病人22例进行深度访谈,运用Colaizzi现象学研究法,对访谈资料进行整理和分析.结果:共提炼出更年期症状改善积极体验、更年期心理积极体验、强化自我健康管理意识和行为、提高更年期就医的准确性4个一级主题.结论:"一日门诊"持续性综合管理模式,可改善更年期病人的身心体验,增强自我健康管理意识和行为.

编者按:为切实保证农业增效和农民增收,吉林省双辽市紧紧围绕发展效益畜牧业这一中心,全面确定了把"一黄两白(牛、羊、鹅)"产业作为实现农村经济壮大、县域经济突破的支柱产业来抓的主攻方向,获得了良好的经济效益和社会效益.现将其经验予以介绍,供广大从业者参考.

辽宁省高校档案工作自1980年以来的发展形势,可以用N字来形容,即由起步到高潮,又降为低潮,再走向高潮.究其根源,林林总总,其主要的因素是高校档案工作的主管机关--教育行政管理部门和统管机关--档案行政管理部门以及高校档案学会促进作用发挥得如何.