간호사의 호르몬 대체요법에 대한 지식 및 태도
Study of Nurses’ Knowledge and Attitudes on Hormone Replacement Therapy
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
연구목적: 본 연구는 간호사의 호르몬 대체요법에 대한 지식, 태도를 조사하여 폐경기 여성의 호르몬 대체요법의환자 상담과 교육 등의 기초자료를 위해 시도하였다. 연구재료 및 방법: 전국 산부인과 병원 간호사를 대상으로 한 것으로 총 221명을 대상으로 하였다. 질문지는 폐경 관련 지식과 호르몬 대체요법에 대한 지식과 태도로 구성되었으며 총 9문항이다. 결과: 간호사들은 폐경 여성에게 우려되는 질환으로 골다공증 (78%), 우울증 (69%)이라고 답하였다. 대부분의간호사는 (95%) 호르몬 대체요법이 폐경 증상의 효과적인 치료법이라고 하였다. 또한 간호사들은 호르몬 대체요법의 장점 (59%)과 단점 (44%)에 대해 잘 알고 있다고 하였다. 호르몬 대체요법으로 우려되는 질환은 암(71%), 부작용 증상에는 유방통 (77%)과 질 출혈 (77%)이었다. 호르몬 대체요법의 적절한 치료기간은 기간제한을 할 필요가 없다고 (46%)하였다. 호르몬 대체요법 선택 시 가장 중요 고려사항은 안정성 (59%), 삶의 질 개선(36%)이었다. 대부분의 간호사들이 (95%) 본인/가족에게 폐경 증상의 치료로 호르몬 대체요법을 권유하겠다고답하였다. 폐경 증상에 대한 호르몬 대체요법 상담은 진료 전 (40%), 약물 처방 후 (42%) 모두에서 시행되고 있었다. 결론: 호르몬 대체요법에 대해 매우 긍정적인 태도를 가지고 있는 것으로 나타났으나 호르몬 대체요법에 대한지식이 부족하므로 앞으로 교육이 더 이루어져야 할 것이다. 또한 이러한 교육은 간호사가 호르몬 대체요법을설명하고 상담하는 효과적인 간호중재가 될 것이다.
Abstract
Objectives: This study was performed to identify nurses’ knowledge and attitudes on hormone replacement therapy (HRT) of menopausal women. Methods: Data were collected from 221 nurses who were working at maternity hospitals in the whole country using questionnaires consisting of 9 questions related to menopause-related knowledge and HRT-related attitudes and knowledge. Results: According to the nurses’s responses, the diseases of concern in menopausal women were osteoporosis (78%), and depression (69%). Most nurses replied that the most effective treatment of menopausal symptoms is HRT, and nurses were very knowledgeable about its strengths (59%) and weaknesses (44%). Cancer was regarded as the major complication of HRT (71%),and its side effects were breast pain (77%) and vaginal bleeding (77%). Forty-six percent of nurses thought that the appropriate treatment duration of HRT is not necessary to limit the period. The most important considerations when conducting HRT were drug stability (59%) and improving the quality of life (36%). Ninety-fi ve percent of nurses responded that they personally would use HRT for menopausal treatment or would recommend their family. HRT for menopausal symptoms was being utilized before seeking medical treatment (40%) and after drug prescription (42%). Conclusion: Nurses have very positive attitudes about HRT but appeared to lack critical knowledge about HRT. Therefore, more educational programs for nurses about HRT should be required.
참고문헌 (25)
- Park HM, "The HRT awareness and acceptance in Korean postmenopausal women: results of Korean gallup epidemiologic survey on menopause and HRT", J Korean Soc Menopause, 8, pp.3~18 (2002)
- "Population projections and summary indicators for Korea" (2011)[URL]
- Korean Society of Menopaus, "Health of menopause. 3rd Edn" (2006), Kunja Publishing Co
- Choi H, "The Korean menopausal women’s attitudes and awareness on menopause : results of Korean gallup epidemiologic survey on menopause and HRT", J Korean Soc Menopause, 9, pp.36~43 (2003)
- Haines CJ, "Prevalence of menopausal symptoms in different ethnic groups of Asian women and responsiveness to therapy with three doses of conjugated estrogens", medroxyprogesterone acetate: the Pan-Asia Menopause (PAM) study, 2005, pp.52, 264~276
- 이병석, "Efficacy and tolerability of estradiol 1 mg and drospirenone 2 mg in postmenopausal korean women: A double-blind, randomized, placebo-controlled, multicenter study", MATURITAS, 57, pp.361~369
- Nelson HD, "Assessing benefits and harms of hormone replacement therapy : clinical applications", JAMA, 288, pp.882~884 (2002)
- Cho SJ, "The knowledge and attitude of menopause and hormone replacement therapy among the middle aged women", J Korean Acad Fam Med, 19, pp.811~819 (1998)
- Stephens C, "What is this thing called hormone replacement therapy? Discursive construction of medication in situated practice", Qual Health Res, 12, pp.347~359 (2002)
- The Study Gruop for Menopause, "Trends and attitudes of Korean physicians toward recommending when hormone replacement therapy (HRT) is started and how long it is continued", J Korean Soc Menopause, 9, pp.273~279 (2003)
- Newton KM, "What factors account for hormone replacement therapy prescribing frequency?", Maturitas, 39, pp.1~10 (2001)
- Becker H, "The decision to take hormone replacement therapy among women with disabilities", West J Nurs Res, 24, pp.264~281 (2002)
- Chung CW, "Factors of intention to take hormone replacement therapy in Korean menopausal women", Korean J Women Health Nurs, 9, pp.369~378 (2003)
- Kim JG, "A survey of menopausal women’s attitudes on menopause and hormone replacement therapy", J Korean Soc Menopause, 1, pp.42~50 (1995)
- Yu HK, "A servey of obstetricians & gynecologists’ attitudes on hormone replacement therapy", Ewha Med J, 21, pp.233~242 (1998)
- The Study Group for Menopause, "Trends and attitudes to postmenopausal hormone replacement therapy in Korea", J Korean Soc Menopause, 9, pp.51~57 (2003)
- Utian WH, "NAMS-Gallup survey on women’s know ledge, information sources, and attitudes to menopause and hormone replacement therapy", Menopause, 1, pp.39~48 (1994)
- Kim JG, "A survey of gynaecologists’ attitudes on hormone replacement therapy", J Korean Soc Menopause, 2, pp.16~26 (1996)
- Lew YO, "Side effects and management of postmenopausal hormone replacement therapy", J Korean Soc Menopause, 10, pp.14~20 (2004)
- Carlson KJ, "Menopause management after the women’s health initiative (WHI)", Pri-Med South Conference (2003)
- Blumel JE, "Quality of life after the menopause : a population study", Maturitas, 34, pp.17~23 (2000)
- Kim OM, "The climacteric symptoms and quality of life in climacteric women according to hormone replacement therapy", Korean J Women Health Nurs, 74, pp.642~656 (2001)
- Andersson K, "Swedish gynecologists’ and general practitioners’ views on the climacteric period: knowledge, attitudes and management strategies", Acta Obstet Gynecol Scand, 77, pp.909~916 (1998)
- Cho SJ, "The knowledge and attitude of menopause and hormone replacement therapy among the middle aged women", J Korean Acad Fam Med, 19, pp.811~819 (1998)
- Chang HJ, "Postmenopausal hormone therapy and breast cancer", J Korean Soc Menopause, 14, pp.81~108 (2008)