更年期婦女自覺不確定感相關因素之研究

A Correlative Study of the Uncertainty in the Climacteric Women

本研究探討婦女更年期症狀、更年期知識與不確定感程度之相關性。樣本取自台灣嘉南地區某護專學生母親，以兩階段採立意取樣 70 位正處於停經中期及後期之更年期婦女，研究工具為「更年期症狀量表」、「更年期知識量表」、「自覺更年期不確定感量表」，以面對面訪談收集資料。使用 SPSS 10 . 0 版進行分析，統計方法： t 檢定、皮爾森積差相關及逐步線性複迴歸等。結果姿現：（一）婦女具有中等程度之不確定感，停經中期較後期為高；個人社經地位與不確定感達顯著負相關；同樣本在症狀頻率及困擾程度得分在「無」至「偶爾」及「無」至「輕度」間，與不確定感呈顯著正相關；（三）更年期知識得分在中下程度，與不確定感達顯著負相關；（四）對整體不確定感有效的預測因素是症狀困擾、停經狀態及更年期知識，解釋變異量 34 ％。根據以上結果，婦女護理中若能減輕更年期症狀困擾及增加更年期知識，將能降低其不確定感，此可作為促進更年期婦女健康之參考。

The purpose of this study was to explore the relationship between climacteric symptoms, knowledge, and uncertainty in climacteric women. A cross-sectional correlational research design was used. Data were collected by face-to-face interview. The Greene Climacteric Scale, Health Knowledge about Menopause Scale, and Perceived Uncertainty Scale were used to assess data. A convenience sampling approach was used to enlist 70 female subjects who were mothers of students in a nursing college located in southern Taiwan and were in perimenopause or post-menopause. The results of the study indicated that levels of uncertainty on the part of the subjects toward the climacteric state were moderate. Subjects in the perimenopause period had significantly higher levels of uncertainty about the climacteric state than those in the post-menopause period. The levels of uncertainty were significantly negatively correlated with socio-economic status. The frequency and disturbance levels of climacteric symptoms among subjects were between “not at all” and “a little’. The levels of uncertainty were significantly positively correlated with frequency of and disturbance caused by the symptoms. The score on the knowledge about menopause was below average and was significantly negatively correlated with uncertainty. The degree of disturbance caused by the symptoms, menopause status, and knowledge explain 34% of the variance in uncertainty. The findings of the study support the view that climacteric women who had fewer symptoms and more knowledge had lower levels of uncertainty. Nurses can develop interventions to reduce uncertainty in climacteric women.