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更年期妇女生存质量及影响因素的临床研究
【作者】 樊俊华；
【导师】 魏绍斌；
【作者基本信息】 成都中医药大学 ， 中医妇科学， 2008， 硕士
【摘要】 目的了解成都地区更年期妇女生存质量的状况及影响因素,为有针对性地制定提高更年期妇女生存质量的干预措施提供科学依据。方法横断面调查方法对成都市区552名更年期妇女,以问卷形式调查了更年期妇女的一般情况,采用世界卫生组织WHOQOL-BREF量表对生存质量进行测评,进行更年期妇女生存质量现况研究,并采用多元线性回归分析研究生存质量四个领域及生存质量总体均分的影响因素。结果本次调查共发放问卷600份,收回有效问卷552份,应答率为92%。1.更年期妇女生存质量问卷调查,生存质量满意程度由高到低为:生理领域、社会领域、心理领域、环境领域。自身生存质量总的主观感受“一般”以上(包括一般、好和很好)者515名,占93.3%;自身健康状况总的主观感受“一般”以上(包括一般、好和很好)者410名,占74.3%。更年期妇女自评分最低20分,最高100分,平均82.34±11.49分。2.围绝经期综合症妇女生理、心理、社会和环境各领域及生存质量总体均分得分分别为13.65±2.22,13.52±2.24,13.68±2.35,12.92±1.92和13.39±1.86,与非围绝经期综合症妇女相比,得分均低于非围绝经期综合症者。3.经单因素分析,年龄、婚姻状况、文化程度、就业、经济、月经情况、服豆制品、服牛奶、围绝经期综合症、家庭摩擦及食欲等因素与生存质量的生理、心理、社会、环境领域中的大多数领域有关系。4.经过多元线性回归分析,按照影响因素作用由大到小排序,生理领域得分影响因素为:食欲、家庭摩擦、围绝经期综合症、教育、豆类。心理领域得分影响因素为:家庭摩擦、食欲和服豆制品;社会领域得分影响因素为:家庭摩擦、围绝经期综合症和食欲;环境领域得分影响因素为家庭摩擦、食欲、牛奶和经济收入。生存质量总体均分的得分影响因素为:家庭摩擦、食欲、围绝经期综合症、经济、豆类和就业情况。结论围绝经期综合症患者生存质量较低,但主观感受积极。生存质量生理、心理、社会和环境四个领域及生存质量总体均分得分与诸多因素存在相关关系,掘此可制定相应的卫生保健干预措施,提高更年期妇女生存质量。
【Abstract】 Objective:To understand the quality of life state and its related factors for perimcnopausal woman in Chengdu and to provide scientific bases for formulating policies to improve their quality of life.Method:A cross-sectional study methods was uscd to survcy 552 Perimcnopausal woman aged 40-60years.Possible factors were investigated and quality of life was measured by WHOQOL-BREF.Then the quality of life state was studied and corresponding related factors were analyzed using multiple linear regression.Results:We got 600 validated from 552 questionnaires with answering rate 92%.1.The satisfactory degree in four areas for the quality of life of the perimcnopausal woman takes tums from high to low:physiological、social、psychological and environmental erea.515(93.3%) Pcrimcnopausal woman had’average’,’good’or’pretty good’feelings of their own quality of life.410(73.5%) Pcrimcnopausal woman had ’averag’,’good’ or ’pretty good’ feelings of their own health state.The mean score of own judgment of quality of life was 82.34±11.49 with minimum 20 and maximum 100.2.The mean scores of physical,psychological,social,environmental domain and overall domain were 13.65±2.22,13.52±2.24,13.68±2.35,12.92±1.92和13.39±1.86, respectively and statistically lower than the normal range.3.Single factor analysis found that age,marriage state,educational leve,employment, incomes,catamenia,menopausal symptoms,intake rats of soybean,intake rats of milk, family trouble and appetite were correlated with most of physical,psychological,social, environmental domain and overall domain.4.Based on multiple linear regression analysis,the ranked factors from strong to weak correlated with physical domain were appetite,family trouble menopausal symptoms,educational level,intake rats of soybean.The ranked factors from strong to weak correlated with psychological domain were family trouble,appetite,intake rats of soybean.The ranked factors from strong to weak correlated with social domain were family trouble,menopausal symptoms,appetite.The ranked factors from strong to weak correlated with environment domain were family trouble,appetite,intake rats of milk.and incomgs.The ranked factors from strong to weak correlated with overall domain were family trouble,appetite,menopausal symptoms,incomes,intake rats of soybean and employment.Conclusion:The quality of life of the wenman who had the menopausal symptoms is lower than the normal range.But their subjective feelings were positive.Many factors were correlated with physical,psychological,social environmental domain and overall domain.Corresponding health policies could be formulated to improve their quality of life.