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围绝经期女性生活质量的预测因素

Predictors of the quality of life of women in peri-menopausal period.

作者信息

Kanadys Katarzyna, Wiktor-Stoma Anna, Lewicka Magdalena, Sulima Magdalena, Wiktor Henryk

机构信息

Department of Obstetrics, Gynaecology and Obstetrics-Gynaecological Nursing, Faculty of Health Sciences, Medical University of Lublin, Poland.

Department of Prosthodontics, I Medical Faculty with Dentistry Division, Medical University, Lublin, Poland.

出版信息

Ann Agric Environ Med. 2016 Dec 23;23(4):641-648. doi: 10.5604/12321966.1226860.

Abstract

INTRODUCTION

The peri-menopausal period is the time of many biological, psychological and social changes. The quality of life of women in this period may be conditioned by many factors, and analysis of these factors may indicate the optimum directions of prophylactic and educational actions.

OBJECTIVE

Analysis of selected predictive factors of the quality of life of women in the peri-menopausal period.

MATERIALS AND METHOD

The study covered 268 peri-menopausal women. The qualification criteria were: age 45-55, lack of mental disorders and diseases requiring hospitalization during the period of study. The study was conducted using standardized instruments: Women's Health Questionnaire - WHQ, Beck Depression Inventory (BDI) and an author-constructed questionnaire.

RESULTS

The presented study of the quality of life showed that the women examined felt physically unattractive, lacking the full joy of life, and frequently experienced somatic complaints. Nevertheless, the respondents enjoyed life, had no constant feeling of anxiety and concern. Multi-factor analysis showed that the quality of life in the group of women in the study was affected by the following factors: level of depression, self-reported state of health, occurrence of menopausal symptoms, education level, and marital status.

CONCLUSIONS

The quality of life of the peri-menopausal women examined was the highest with respect to depressive mood (DEP) and anxiety/depressed mood (ANX), while it was the lowest with respect to the sense of attractiveness (ATT), and somatic symptoms (SOM). In addition, in the group of women in peri-menopausal period the quality of life was conditioned: level of depression, self-reported state of health, occurrence of menopausal symptoms, education level, and marital status.

摘要

引言

围绝经期是许多生理、心理和社会发生变化的时期。这一时期女性的生活质量可能受到多种因素的制约,对这些因素的分析可能会指明预防和教育行动的最佳方向。

目的

分析围绝经期女性生活质量的选定预测因素。

材料与方法

该研究涵盖了268名围绝经期女性。入选标准为:年龄45 - 55岁,在研究期间无精神障碍和无需住院治疗的疾病。研究使用标准化工具进行:女性健康问卷(WHQ)、贝克抑郁量表(BDI)以及一份作者自编问卷。

结果

所呈现的生活质量研究表明,接受检查的女性感觉自己身体缺乏吸引力,缺乏生活的充分乐趣,且经常出现躯体不适。然而,受访者享受生活,没有持续的焦虑和担忧感。多因素分析表明,研究组女性的生活质量受到以下因素影响:抑郁程度、自我报告的健康状况、绝经症状的出现、教育水平和婚姻状况。

结论

接受检查的围绝经期女性在抑郁情绪(DEP)和焦虑/抑郁情绪(ANX)方面生活质量最高,而在吸引力感受(ATT)和躯体症状(SOM)方面生活质量最低。此外,在围绝经期女性群体中,生活质量受以下因素制约:抑郁程度、自我报告的健康状况、绝经症状的出现、教育水平和婚姻状况。

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