Liu Peihao, Yuan Yannan, Liu Mengfang, Wang Ying, Li Xu, Yang Mukun, Xi Sisi, Ding Yanming, Liu Jun-E, Xu Guoying, Guo Xiuying, Ren Zhen, Bai Wenpei, Yao Chen
Peking University First Hospital , Beijing , China .
Gynecol Endocrinol. 2015 Feb;31(2):119-24. doi: 10.3109/09513590.2014.971237. Epub 2014 Oct 13.
To determine factors related to menopause symptoms among middle-aged registered nurses in Beijing.
Self-administered questionnaires that included closed-ended questions on many factors possibly related to menopausal symptoms were distributed to 2100 registered nurses aged 40-55 at 20 hospitals in Beijing, China.
Menopausal status was most associated with menopausal symptoms (p < 0.01), including hot flashes and sweating, paresthesiae, insomnia, arthralgia/myalgia, palpitations, skin formication and an unsatisfactory sexual life. The odds ratios (ORs) were highest for hot flashes and sweating. Upsetting events in the past year and being pessimistic were significantly inversely correlated with almost all the symptoms analyzed. Hot flashes and sweating (p < 0.01), paresthesiae (p < 0.01), unsatisfactory sexual life (p < 0.01), irritability (p < 0.05), depression or suspicion (p < 0.05) and dizziness (p < 0.05) were negatively correlated with the frequency of sexual activity.
Many factors may influence symptoms of the menopause. We found that menopausal status was most strongly associated with most menopausal symptoms, especially hot flashes and sweating. Psychosocial factors also played an important role. A higher frequency of sexual activity negatively correlated with most menopausal symptoms.
确定与北京中年注册护士更年期症状相关的因素。
向中国北京20家医院的2100名年龄在40 - 55岁的注册护士发放了包含许多可能与更年期症状相关因素的封闭式问题的自填式问卷。
更年期状态与更年期症状最相关(p < 0.01),包括潮热盗汗、感觉异常、失眠、关节痛/肌痛、心悸、皮肤蚁走感和性生活不满意。潮热盗汗的优势比(OR)最高。过去一年中的烦心事和悲观情绪与几乎所有分析的症状均呈显著负相关。潮热盗汗(p < 0.01)、感觉异常(p < 0.01)、性生活不满意(p < 0.01)、易怒(p < 0.05)、抑郁或多疑(p < 0.05)和头晕(p < 0.05)与性活动频率呈负相关。
许多因素可能影响更年期症状。我们发现更年期状态与大多数更年期症状最密切相关,尤其是潮热盗汗。社会心理因素也起重要作用。较高的性活动频率与大多数更年期症状呈负相关。