Menopause health education work plan

Based on a 12-month cycle, hierarchical and classified health intervention will be carried out for women aged 40-65 in the jurisdiction, with the goal of covering more than 80% of the target population, reducing the misunderstanding rate of menopause from the current 72% to less than 30%, and the population-related physical and mental symptom relief rate reaching 60%.

I have been working at a grassroots maternal and child care post for 6 years. Last year, when I was conducting a survey, I met a 48-year-old Aunt Zhang. She suffered from insomnia and panic for more than half a year. She secretly diagnosed herself with "menopausal psychosis" and hid half a drawer of sleeping pills without telling her family. Finally, when she came to a free clinic to check her sex hormones, she found out that she was a common menopausal vasomotor symptom. After three weeks of standardized intervention, she returned to normal. If you have seen many such examples, you will know that the previous popular science about menopause was too vague. It either shouted a few slogans of "caring for women" or was full of incomprehensible terminology that everyone could not use at all.

We are not in a hurry to attend classes in the first two months of the year. We need to find out the basics first. Instead of just handing out a paper questionnaire for everyone to fill out, many aunts are embarrassed to check the boxes when they see words like "hot flashes" and "vaginal dryness." We arrange for female doctors and nurses to chat one-on-one during free clinics, and put a small partition at the door, so you don't have to be afraid of what you want to say. When making statistics, not only age is counted, but also whether there are underlying diseases, whether there is menopause, whether one is still working or retired, and whether one believes more in Western medicine or traditional Chinese medicine. All subsequent services will follow these data and not be one-size-fits-all.

When it comes to intervention plans, there have been internal quarrels several times before. Xiao Zhou from the Western Medicine Post took the latest "China Guidelines for Menopausal Management and Menopausal Hormone Therapy", which said that MHT (menopausal hormone therapy) should be used during the window period (within 10 years of menopause and under 60 years old). The benefits far outweigh the risks, and it must be placed first in popular science. ； Director Li of the Department of Traditional Chinese Medicine disagrees, saying that many people have high-risk factors for breast nodules and endometrial lesions, and are not suitable for hormone use. In addition, people are naturally resistant to the word "hormone". It is better to promote moxibustion, Baduanjin, and emotional care, which are highly acceptable. ； Teacher Wang from the Department of Psychology also added that at least 30% of people have mild symptoms and do not need to take medicine at all. They can just participate in a few group psychological counseling sessions to loosen the knots in their hearts. In the end, we simply put all three categories of content, instead of providing "only correct" guidance. People from the three departments are present at every science popularization event. You can ask which one you want to ask. We only clearly explain the applicable groups, benefits, and possible risks of each plan. Which one you choose depends on your own situation.

In the past, there were big lectures with hundreds of people, and half of the people left after half an hour of lectures, either to pick up their grandchildren or to go home to cook. This year, it was all changed to small lectures with staggered peak hours. Open to retired aunties on weekday afternoons, with a maximum of 20 people per session. Sit down and chat slowly, and you can also take a bone density test on the spot. ； Open to working women on weekend nights. Many of them are too embarrassed to tell their colleagues that they are menopausal, so they talk behind closed doors about how to deal with the embarrassment of reduced concentration and hot flashes in the workplace. ； Usually two 1-minute short videos are posted a week in the community group. They are all practical tips such as "How to calm down in 30 seconds when hot flashes come on" and "What two actions can be done to improve urinary leakage", which can be learned without using your brain.

During the pilot last year, I met a 52-year-old university teacher who had grade 3 breast nodules and was afraid to take hormones. He came to attend Director Li's class. After returning home, he insisted on playing Baduanjin every day, soaking his feet before going to bed, and doing moxibustion once every two months. He came back for a follow-up visit three months later. The hot flashes he suffered from more than a dozen times a day were basically gone, and his insomnia was mostly gone. He also invited several colleagues to come and attend the class. There was also a 49-year-old business executive who thought non-pharmacological methods were slow and had no contraindications after evaluation. He started using MHT. In the second month, he told us that the feeling of getting angry before was finally gone and his work efficiency was much higher. There is no superiority between the two options, the one that suits you is the best.

We have also signed cooperation agreements with 12 companies and 8 primary and secondary schools and kindergartens in the area. First, we will provide physical examination benefits to female employees over 45 years old in the unit, and free one-time hormone and bone density tests every year. Many people lose their bone mass without knowing it. Last year, a 51-year-old aunt fell and suffered a lumbar compression fracture while stepping on a small stool to get clothes. The bone density test showed that she had severe osteoporosis, and intervention was long overdue. Secondly, there is a 10-minute introduction to popular science during the parent-teacher meeting. It is not only taught to the aunts, but also to their husbands and children. Many family members do not know that the mother/wife’s bad temper and poor sleep are caused by menopause. They think they are deliberately looking for trouble. There have been a lot of family conflicts. After attending the class, I learned to be more considerate, and many people’s symptoms were relieved by half without taking medicine.

Last year, the pilot was originally planned to cover 1,000 people, but in the end only 723 were completed. Either the aunts had to take care of their grandchildren and couldn't spare time, or they felt that "menopause is not a disease" and there was no need to come. This year we added door-to-door mobile service points. We set up stalls at square dance gathering places and senior activity centers in the community two days a week. After sitting down and chatting, we received a small manual and free samples of calcium supplements. Many aunts were just joining in the fun, but after a few words they realized that their discomfort was caused by menopause.

In fact, to put it bluntly, this plan is nothing fancy. The core is to help women at this stage remove the labels of "pretentious" and "looking for trouble", and let them know that the hot flashes, insomnia, and inexplicable grievances you are experiencing now are not your problem, but a normal stage of life. No matter which method you want to choose to adjust, we will support you. Oh, by the way, this year’s plan also includes a “Family Open Day”. Husbands and children are welcome to come with each event. After all, the best healing is always the understanding of the people around you.