A systematic review of community pharmacy interventions to improve peri- and post-menopausal health.

Q3 Medicine
Post reproductive health Pub Date : 2024-03-01 Epub Date: 2024-01-07 DOI:10.1177/20533691231223681
H Chow, O Righton, H Berry, Z Bell, A C Flynn
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引用次数: 0

Abstract

Menopause is defined as the permanent cessation of menstruation due to loss of ovarian follicular function. Symptoms include mood disorders, vaginal atrophy, hot flashes and night sweats and can emerge during a gradual transition period called perimenopause. Community pharmacies are well placed to deliver a wide range of healthcare services, including supporting and educating menopausal women; however, to date, no systematic review has assessed the effectiveness of community pharmacy-led interventions in improving peri- and post-menopausal health. In accordance with PRISMA guidelines we evaluated community pharmacy-led interventions that targeted women in peri- or post-menopause. Electronic searches in EMBASE, MEDLINE, CINAHL and Cochrane Library were conducted on 13th February 2023. Additionally, we examined the included studies references and citation lists using Google Scholar. A total of 915 articles were identified and screened against the inclusion criteria. Two studies were included; one identified post-menopausal women at risk of developing osteoporosis (OP), and one evaluated the outcomes of a community pharmacy-based menopause education programme. Study one found 11 (11%) post-menopausal women were at risk of developing OP based on quantitative ultrasound screening offered by community pharmacists and referred to their physician. Study two reported that women had access to adequate personalised menopause counselling and increased knowledge of menopause topics because of the educational programme within community pharmacies. Both studies were of low quality. The lack of included studies reflects the need for high-quality research to determine whether community pharmacy-led interventions are feasible, effective and acceptable, to improve health outcomes of peri- or post-menopausal women.

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对社区药房改善围绝经期和绝经后健康的干预措施进行系统回顾。
更年期的定义是由于卵巢卵泡功能丧失而导致月经永久停止。更年期的症状包括情绪失调、阴道萎缩、潮热和盗汗,这些症状会在被称为围绝经期的逐渐过渡时期出现。社区药房可以提供广泛的医疗保健服务,包括为更年期妇女提供支持和教育;然而,迄今为止,还没有系统性综述对社区药房主导的干预措施在改善围绝经期和绝经后健康方面的效果进行评估。根据 PRISMA 指南,我们对社区药房主导的针对围绝经期或绝经后妇女的干预措施进行了评估。我们于 2023 年 2 月 13 日在 EMBASE、MEDLINE、CINAHL 和 Cochrane 图书馆进行了电子检索。此外,我们还使用谷歌学术(Google Scholar)检查了纳入研究的参考文献和引文列表。共确定了 915 篇文章,并根据纳入标准进行了筛选。其中一项研究确定了绝经后妇女患骨质疏松症(OP)的风险,另一项研究评估了社区药房更年期教育计划的成果。第一项研究发现,根据社区药剂师提供的定量超声波筛查,有 11 名(11%)绝经后妇女有患骨质疏松症的风险,并将其转介给医生。研究二报告称,由于社区药房开展了教育计划,妇女获得了充分的个性化更年期咨询,并增加了对更年期话题的了解。这两项研究的质量都不高。缺乏纳入研究反映出需要进行高质量的研究,以确定社区药房主导的干预措施是否可行、有效和可接受,从而改善围绝经期或绝经后妇女的健康状况。
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来源期刊
Post reproductive health
Post reproductive health Medicine-Obstetrics and Gynecology
CiteScore
2.50
自引率
0.00%
发文量
31
期刊介绍: Post Reproductive Health (formerly Menopause International) is a MEDLINE indexed, peer reviewed source of news, research and opinion. Aimed at all those involved in the field of post reproductive health study and treatment, it is a vital resource for all practitioners and researchers. As the official journal of the British Menopause Society (BMS), Post Reproductive Health has a broad scope, tackling all the issues in this field, including the current controversies surrounding postmenopausal health and an ageing and expanding female population. Initially this journal will concentrate on the key areas of menopause, sexual health, urogynaecology, metabolic bone disease, cancer diagnosis and treatment, recovering from cancer, cardiovascular disease, cognition, prescribing, use of new hormone therapies, psychology, the science of ageing, sociology, economics, and quality of life. However as a progressive and innovative journal the Editors are always willing to consider other areas relevant to this rapidly expanding area of healthcare.
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