Su Jing, Nakatsuka Akiko, Yamada Noriko, Yoshimura Hiroyuki
Faculty of Nursing and Health Sciences, Ehime University Graduate School of Medicine, Shitsukawa, Toon 791-0295, Japan.
Nihon Shinkei Seishin Yakurigaku Zasshi. 2008 Jun;28(3):105-11.
We assessed subjective menopausal symptoms in Chinese women using a multidimensional inventory that covered five dimensions: sexual function, mental condition, interpersonal anxiety, autonomic balance, and other subjective symptoms. We elucidated its relationship with the score on a self-efficacy scale. We surveyed subjective menopausal symptoms in 281 women between 40 and 59 years old, who resided in an urban area in northwest China using both 60-item self-reported subjective menopausal symptoms and 16-item general self-efficacy scales. The dimensional structure was evaluated statistically using confirmatory factor analysis. The five-factor model appeared to fit the data, with sufficient validity (RMSEA = 0.075) and the instrument had appropriate internal consistency, with an average Cronbach's alpha of 0.964. The subjects were divided into pre-menopause, menopause-transition, and post-menopause groups based on the number of menstruations per year. Factorial analysis of variance revealed a significant difference in the severity of subjective symptoms among the three groups. The correlation between the severity of subjective symptoms and the self-efficacy score was determined using canonical correlation analysis. All factors except sexual function had a negative influence on the self-efficacy score.
我们使用涵盖性功能、心理状况、人际焦虑、自主神经平衡和其他主观症状五个维度的多维量表,对中国女性的主观更年期症状进行了评估。我们阐明了其与自我效能量表得分之间的关系。我们使用60项自我报告的主观更年期症状量表和16项一般自我效能量表,对居住在中国西北部城市地区的281名40至59岁女性的主观更年期症状进行了调查。使用验证性因素分析对维度结构进行了统计评估。五因素模型似乎与数据拟合良好,具有足够的效度(RMSEA = 0.075),并且该量表具有适当的内部一致性,平均Cronbach's alpha为0.964。根据每年的月经次数,将受试者分为绝经前、绝经过渡和绝经后组。方差分析显示三组主观症状严重程度存在显著差异。使用典型相关分析确定主观症状严重程度与自我效能量表得分之间的相关性。除性功能外,所有因素均对自我效能量表得分有负面影响。