Hekimlerin ve Hemşirelerin Menopoz ve Hormon Replasman Tedavisine İlişkin Görüşleri


Öğr. Gör. FİLİZ AK AZAR

Tez Türü: Tıpta Uzmanlık

Tezin Yürütüldüğü Kurum: Diğer (Kurumlar,hastaneler Vb.), Türkiye

Tez Danışmanı: Ö. Ferit Saraçoğlu

Tezin Onay Tarihi: 2001

Tezin Dili: Türkçe

Özet:

Background: Physicians' and women nurses' views on menopause and postmenopausal hormone replacement therapy (HRT), use of HRT by women physicians, nurses and mothers of health providers are unknown. Objective: To study the use of HRT by women physicians, nurses, and mothers of the participants and to investigate views of physicians and women nurses in Ankara Numune Education and Research Hospital in Turkey Methods: The study was conducted in Ankara Numune Education and Research Hospital in Turkey, between 15th June 2001 and 15th August 2001. The hospital, stuffed by a combination of specialties, assistants and women nurses, provides health care to a large patient population. A questionnaire was given to all physicians and nurses who wanted to participate the study, regarding personal background characteristics, symptoms and problems of menopause, indications, benefits, risks and contraindications and duration of HRT. 183 female physicians, 288 male physicians and 336 nurses replied the survey. Results: Only 15 (1 physician, 14 nurses) of 22 postmenopausal women (2 physicians, 20 nurses) among all the participants were using HRT. HRT use by the mothers of physicians (26,0%) was significantly more than use of nurses' mothers (13,4%). Vasomotor symptoms and osteoporosis were the problems that were known by nearly all participants. But small percentage of participants regarded ischemic heart disease, Alzheimer's disease, urinary difficulties, vaginal problems, and skin dryness as postmenopausal problems. There were differences in their views on benefits, risks contraindications and duration of HRT. Conclusion: Participants were positively inclined to hormone replacement therapy, but there were uncertainties in their opinions about the indications, benefits, risks, contraindications, and duration of HRT. To optimize HRT use and compliance in the society, physicians and nurses may need to improve their knowledge about menopause and HRT. Key Words: hormone replacement therapy (HRT), menopause: views of physicians and nurses, HRT use