2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/37786With the transition of socialization, development of medical technology and women？H？Hs longevity of life. WHO has predicted that it world have reached the number of 1,200,000,000 menopausal women in the world by the year of 2030. It is estimated that women over 50years old constitute 9.82% of the total population in Taiwan. Women in this stage have more possibilities of undergoing life changes and health problems. As a result, helping them live through their changes and health concerns become a very important issue. This is a two-year project. The purpose of this study are : (1) to explore the knowledge, attitude and behavior then focus on the emotional distress, self-efficacy and mental health of menopausal women, (2) to understand the relationship among these variables, and (3) to examine the effects of cognitive-behavior group counseling on these variables through pre- and post-tests. The populations are women aged 40-55 in Taiwan. In the first year, subjects will be selected by cluster sampling on 10 city countries, and then 300 samples (power 0.85) will be selected from hospital and health organization of the outpatient department of obstetrics and gynecology, family health and psychiatric. Research tools are 6 well-established instruments to evaluate the status of mental health, the experiences of menopause, the needs of health and feelings of uncertainty. In the second year, focused interview and Quasi-experimental design will be applied to the subjects who have negative experience or depressive moods. They will be assigned to either experiment group or control group (about 10-15 women in each group) willingly. The experiment group has to receive 6 times cognitive-behavior group counselings provided by the researcher. The consequences will be measured by the above-mentioned research instrutments and pre-test, post-test and follow-up will evaluate the effects of the group counseling. The results of the study will provide the information on knowledge, attitude and emotional distress of subjective perception with menopausal women, coming up with self-efficacy ways of health improvement and cultivating good and health behaviors and life patterns. The data will be effectuate for intervention and used as indicators for health organizations to formulate health care policies for women.隨著社會變遷、醫療科技提昇及婦女壽命延長，世界衛生組織預估公元2030年全球將有12億更年期婦女人口；台灣50歲以上婦女佔全國總人口數9.82 %，此階段婦女因遭逢許多人生轉變，其健康議題不容忽視。 本研究為二年期計劃，研究目的旨在探討更年期婦女對更年期知識、態度與行為(著重情緒困擾、自我效能與心理健康)，並瞭解以上三者間的關係及驗證認知行為諮商於改善上述變項之成效。本研究以台灣地區40-55歲婦女為母群體。第一年採調查法，以群聚抽樣方式，隨機於台北市、高雄市及二十一縣市中抽出十個縣市與其特定行政區後，再由各行政區所屬醫療機構之家醫科、婦科及身心科門診病患中再隨機取樣300位婦女為樣本(檢力0.85)；以獲信、效度肯定之六種研究工具測量樣本的知識與態度、停經經驗、情緒反應、不確定感、自我效能及心理健康需求，進而了解各變項間之關係。第二年採焦點訪談及類實驗設計法，針對篩選出更年期負向經驗或憂鬱傾向者進行訪談，並隨機分派至實驗組或對照組(每組約10-15人)，實驗組由研究者提供六次認知行為團體諮商；介入模式之成效將以上述研究工具，於團體諮商進行前、後測評值。 本研究期待藉由剖析更年期婦女的知識、態度及情緒困擾之主觀經驗，瞭解激發其促進健康自我效能之方法，進而協助其培養並實踐良好的心理健康行為與生活；透過類實驗性研究設計驗證介入措施之成效後，研究結果可作為未來衛生機構擬定心理健康促進策略之參考。更年期婦女情緒困擾認知行為諮商menopause womenemotional distresscognitive-behavioral counselingProject