協助一位更年期婦女走出健康困擾之社區個案照護經驗

Helping a Woman to Walk through her Perimenopausal Health Disturbance

更年期是每一位婦女必經之路，每位婦女之經驗卻不相同。社區之更年期婦女沒有為其更年期求診，然而這並不代表她沒有任何健康需求。本個案研究為照護一位44歲家庭主婦歷經其更年期之護理經驗。採用更年期健康評估－－更年期症狀困擾評估及更年期健康行為評估－－分析個案有以下之健康問題：陰道癢、性交時疼痛，關節疼痛、未執行攝取健康飲食、運動量少於身體標準的需求量、心理壓力大等之更年期健康問題，給予個別之護理，所提供之護理措施有以下幾點：一、與其分擔擔憂之心情，二、衛教以水性潤滑劑減緩性行為之不適，三、與個案討論選擇兼顧更年期營養及家人喜好之食物，四、鼓勵個案挪出時間運動－－快走代替運動，五、協助個案走出家庭擴展生活。更年期之婦女處於健康多變化之人生時期，需要被了解及陪伴她走過，期望藉由此護理過程，可作為往後護理更年期婦女之參考。

Perimenopausal period is inevitable for most women. However, experiences vary from person to person. This case report described the nursing experience of helping a 44-year old woman to walk through her perimenopausal period. By using perimenopausal disturbance and health behaviors scales, this woman was assessed to have the following health problems: vagina itches, vagina pain during sexual intercourse, joint pains, knowledge deficit of taking healthy diet, exercise less than the body requirement, and psychological pressure, etc. The nursing intervention included: sharing client’s worries, teaching client to use watery lubricant during sexual intercourse, teaching client to take healthy food, encouraging client to choose exercise she likes -quick walking, and helping client to expand her life from house to neighborhoods community. Perimenopausal period is changeable. Woman needs to be understood and accompanied to pass through her perimenopausal period. The nursing experiences provided a good reference for taking care of perimenopausal woman.