![[ Visit Client Website ]](images/banner.gif)
Saturday, 29 October 2011
Learning Objective 1: To recognize the decision-making disposition of the menopausal women that use hormone replacement in Taiwan.
Learning Objective 2: To realize that how and when the doctors influence the decision-making process of the menopausal women that use hormone replacement in Taiwan.
In order to achieve patient healthcare autonomy, the doctor-patient relationship has evolved from the paternalistic model to that of the consumerist model, where patients are encouraged to actively engage and participate in the process of decision making. This study focuses on the decision-making process regarding selection of hormone replacement therapy (HRT), explored the menopause disorder sings and symptoms and evaluated the life quality and health promotion behaviors within Taiwanese menopausal women. It was a descriptive study, using the unstructured and structured questionnaire included decision conflict, EORTC QoL questionnaire and Health-promoting lifestyle profile, to interview the women who attend the gynecological outpatient department. The results were shown: (1 ) Decisional conflict scores were significantly lower in women with higher level of education, those already taking HRT, and those already on HRT for over 5 years; (2) A lower decisional conflict score was associated with a higher perception of symptoms and knowledge regarding the disease and how to self-care; (3) Health-promoting behaviors of women were positively associated with decisional conflict scores. These finding will contribute to understanding the selected disposition of HRT among Taiwanese menopausal women. Nurses should provide sufficient information to facilitate and enhance the patient’s autonomy in the decision-making process in order to improve their quality of life.