| Summary: | 碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 103 === Aim. The purpose of this study is to explore the relationship among health literacy, menopausal symptom and medical decision-making in perimenopausal women.
Method. The cross-sectional descriptive correlation study design was adopted and self-filled questionnaires including menopausal history, climacteric scale, menopausal women’s experience, Health Literacy Scale, SDM-Q-9（Taiwan translation version）, demographic data will be completed by 161 perimenopausal women from Women's Community College and Community Center in Hsinchu, Taiwan.
Result. Our study findings showed that communicative and critical health literacy were statistically and positively related to medical decision-making（p<.05）. The lower degree of menopausal symptoms in our object, the higher degree of participation in medical decision-making and the relationship was low, but not reach significant correlation statistically（p=.85）. Critical health literacy and the interaction of functional health literacy and menopausal symptoms in perimenopausal women that could effectively predict the level of participation in medical decision-making. 7.3% of the total variance was explained by the medical decision-making, and critical health literacy could predict the medical decision-making was 5.4% .
According to the results, our research suggests that clinical staff should understand and assess the level of health literacy and participation in decision-making in perimenopausal women. Thus the personal and appropriate menopausal caring can be provided and improved.
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