中年女性对更年期热潮红的感知控制。

Perceived control over menopausal hot flushes in mid-aged women.

机构信息

Research Group for the Ecuadorian Climacteric & Menopause Society (SECLIM), Ecuador.

出版信息

Gynecol Endocrinol. 2010 Aug;26(8):607-11. doi: 10.3109/09513591003632282.

DOI:10.3109/09513591003632282

PMID:20482444

Abstract

BACKGROUND

Hot flushes (HFs) and night sweats are frequent complaints among both peri- and postmenopausal women. Perceived control of this complaint may vary from one population to another.

OBJECTIVE

To assess perceived control over menopausal HFs and determinant factors among mid-aged Ecuadorian women.

METHODS

In this cross-sectional study healthy women aged 40-59 years, seeking healthcare centres of eight main cities of Ecuador with more than 100,000 inhabitants, were assessed with the Menopause Rating Scale (MRS) and those presenting HFs were requested to fill out the Perceived Control Index (PCI) and a questionnaire containing socio-demographic data (female and partner).

RESULTS

A total of 1154 women participated in this study of which 56% presented HFs (n = 646). According to the MRS, 29.1% and 9.1% of these HFs were graded as severe and very severe, respectively. Mean age of women presenting HFs was 49.5 +/- 5.2 years, with 51.9% having 12 years or less of education, 61.5% being postmenopausal and 47.2% living in high altitude. At the moment of the survey 13.9% were on hormone therapy, 12.8% on phytoestrogens and 7.1% on psychotropic drugs. There was a significant decreasing trend for PCI scores (total and difficulty in control items) from one menopausal stage to the next, with no differences observed for time since menopause onset. Despite this, logistic regression analysis determined that HF severity, as determined with the MRS, was the only single predictive factor related to lower HF perceived control (total PCI score <38) (OR: 1.83 CI 95% [1.15-2.90], p < 0.01).

CONCLUSION

As determined with the PCI, HF severity was related to a lower perceived control among mid-aged women.

摘要

背景

热潮（HFs）和盗汗是绝经前和绝经后妇女常见的抱怨。对这种抱怨的控制感可能因人群而异。

目的

评估厄瓜多尔中年女性对更年期 HFs 的感知控制及其决定因素。

方法

在这项横断面研究中，年龄在 40-59 岁之间的健康女性，在厄瓜多尔 8 个主要城市的医疗中心寻求医疗服务，这些城市的居民超过 10 万人，使用更年期评定量表（MRS）进行评估，那些出现 HFs 的女性被要求填写感知控制指数（PCI）和一份包含社会人口统计学数据（女性和伴侣）的问卷。

结果

共有 1154 名女性参与了这项研究，其中 56%（n=646）出现了 HFs。根据 MRS，这些 HFs 中有 29.1%和 9.1%被评为严重和非常严重。出现 HFs 的女性平均年龄为 49.5±5.2 岁，其中 51.9%接受过 12 年或以下的教育，61.5%已绝经，47.2%生活在高海拔地区。在调查时，13.9%的人正在接受激素治疗，12.8%的人正在服用植物雌激素，7.1%的人正在服用精神药物。PCI 评分（总分和控制难度项目）从一个更年期阶段到下一个阶段呈显著下降趋势，但从绝经开始到现在的时间没有差异。尽管如此，逻辑回归分析确定，HF 严重程度（由 MRS 确定）是与较低的 HF 感知控制相关的唯一单一预测因素（总 PCI 评分<38）（OR：1.83 CI 95% [1.15-2.90]，p<0.01）。