The Effects of Health Passport on the Health Status among Perimenopausal Women in Taiwan

Wednesday, 9 July 2008
Lee-Ing Tsao, DNSc , Nursing, National Taipei College of Nursing, Taipei, Taiwan

Learning Objective 1: to understand the effects of a perimenopausal health passport intervention for perimenopausal women

Learning Objective 2: to learn perimenopausal health education

The purpose of this study was to evaluate the longitudinal after 3 month and 6 month--effects of a perimenopausal health passport intervention for perimenopausal women in Gynecologic clinics. Quasi-experimental research was applied. Education effectiveness was compared on changes in their scores on three questionnaires -- practice of health behaviors, perceived uncertainty and perceived perimenopausal disturbances, and the changes of cholesterol, LDL, HDL after 6 month. The difference between experimental and controlled groups was estimated by GEE (SAS-GEE procedure) for repeated measures. 36 women were in the experimental group and 34 women were in the control group. Health education passport had positive longitudinal effects: increased the practice of health behaviors (=4.53, P=0.01) and decreased uncertainty (=-3.63, P=0.049) in experimental group of women after three month but did not show significant changes after 6 month. Decreased perceived perimenopausal disturbance showed that experimental groups have significantly more decreased score than control group (=-7.24, P=0.03) (only in group effect). However, there were no differences between two groups in cholesterol, HDL and LDL changes of pretest and after posttest. Therefore, the health passport has positive effects in increased health behaviors changes and decreased uncertainty for three month. In future study, we need more efforts to increase long effects for women keeping their health behaviors.