Silva Filho Euvaldo Angeline da, Costa Aurélio Molina da
Instituto Materno-Infantil Professor Fernando Figueira, Recife, PE, Brazil.
Rev Bras Ginecol Obstet. 2008 Mar;30(3):113-20. doi: 10.1590/s0100-72032008005000001. Epub 2008 Feb 29.
to evaluate quality of life of climacteric women attended at a school hospital in Recife, Pernambuco, Brazil, adopting the Medical Outcome Study 36-item Short Form Health Survey (MOS SF-36 Health Survey) and the Women's Health Questionnaire (WHQ), as well as the modified Blatt-Kupperman index.
according to a descriptive, transversal study, 233 women, assisted from February to June 2006, were evaluated. Within a convenience sample, the inclusion criteria were age from 40 to 65 years old and agreement in participating of the research, excluding previous history of bilateral oophorectomy, hormonal therapy in the last semester and uncontrolled illnesses. The sample size was calculated admitting a prevalence of climacteric symptoms of 4% and a precision of 2.5%. The variables were: general health and physical and mental components based on the MOS SF-36 Health Survey; quality of health based on the WHQ and climacteric symptoms according to the modified Blatt-Kupperman index. Data were analyzed by the Statistical Package for Social Sciences, version 13.0 software.
the quality of life was classified as bad. Based on the MOS SF-36 Health Survey, there was more damage in the mental component (18.53 versus 27.77% for physical components), higher losses in social functions (80.28%) and limitations for emotional problems (78.61%). According to WHQ, there were limitations due to sleep disturbances (69.77%), somatic (69.15%) and vasomotor symptoms (68.80%), considering regular sexual function and menstrual symptoms. Estrogenic deficiency symptoms were found in 53% of the women. The increase of hypoestrogenism symptoms were followed by worsening of general and menopausal health.
it seemed reasonable to assume that menopause, for the researched women, was really configured as a biopsychosocial event, more than organic, derived predominantly from estrogenic deficiency.
采用医学结局研究简明健康状况调查量表（MOS SF - 36健康调查）、女性健康问卷（WHQ）以及改良的布拉特 - 库珀曼指数，评估巴西伯南布哥州累西腓一所学校医院中更年期女性的生活质量。
根据一项描述性横断面研究，对2006年2月至6月期间接受诊治的233名女性进行评估。在便利样本中，纳入标准为年龄在40至65岁之间且同意参与研究，排除既往双侧卵巢切除术史、过去半年内的激素治疗以及未控制的疾病。样本量的计算假设更年期症状患病率为4%，精确度为2.5%。变量包括：基于MOS SF - 36健康调查的总体健康状况以及身体和心理成分；基于WHQ的健康质量以及根据改良的布拉特 - 库珀曼指数得出的更年期症状。数据采用社会科学统计软件包13.0版软件进行分析。
生活质量被归类为较差。基于MOS SF - 36健康调查，心理成分受损更严重（心理成分为18.53%，身体成分为27.77%），社会功能损失更高（80.28%），情感问题受限比例为78.61%。根据WHQ，考虑到正常性功能和月经症状，睡眠障碍（69.77%）、躯体症状（69.15%）和血管舒缩症状（68.80%）导致了生活受限。53%的女性存在雌激素缺乏症状。低雌激素症状的增加伴随着总体健康和更年期健康状况的恶化。
对于所研究的女性而言，更年期似乎合理地被视为一种生物心理社会事件，而非主要源于雌激素缺乏的器质性事件。
