Prado Mónica del, Fuenzalida Andrea, Jara Daniela, Figueroa Rodrigo, Flores Daniel, Blumel Juan E
Departamento de Gineco-obstetricia, Escuela de Medicina, Universidad Diego Portales, Santiago, Chile.
Rev Med Chil. 2008 Dec;136(12):1511-7. Epub 2009 Mar 23.
Climacteric symptoms have a direct relationship with biological and sociocultural factors and significantly impair the quality of life of women.
To assess quality of life and factors affecting it in women aged 40 to 59 years.
The Menopause Rating Scale (MRS) was applied to 370 healthy women aged 49 +/- 6 years, that accompanied patients to public hospitals in Santiago.
Forty four percent of women were postmenopausal and 6% used hormone replacement therapy. Half of the group had less than 12 years of formal education and 67% had a couple. The mean number of children was 2.8 +/- 1.5. Total MRS score was 16.2 +/- 8.5. The higher score was given by the psychological domain (7.7 + 4.4), followed by the somatic domain (5.8 +/- 3.5). The urogenital domain had the lowest score (2.7 +/- 2.9). Eighty percent of women had moderate to severe climacteric symptoms. A logistic regression analysis showed that the postmenopausal condition was the factor that caused the greatest derangement in quality of life, followed by her parity. Formal education had the lowest impact.
In this sample of women, menopause significantly deteriorated quality of life and sociocultural factors such as the parity also had an impact.
更年期症状与生物和社会文化因素直接相关，会显著损害女性的生活质量。
评估40至59岁女性的生活质量及其影响因素。
对370名年龄在49±6岁的健康女性应用更年期评定量表（MRS），这些女性陪同患者前往圣地亚哥的公立医院。
44%的女性已绝经，6%使用激素替代疗法。该组中有一半女性接受正规教育的年限不足12年，67%已婚。平均子女数为2.8±1.5。MRS总分为16.2±8.5。心理领域得分最高（7.7±4.4），其次是躯体领域（5.8±3.5）。泌尿生殖领域得分最低（2.7±2.9）。80%的女性有中度至重度更年期症状。逻辑回归分析显示，绝经状态是导致生活质量紊乱最严重的因素，其次是产次。正规教育的影响最小。
在这个女性样本中，更年期显著降低了生活质量，产次等社会文化因素也有影响。
