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不孕女性的生活质量和总体健康状况。

Quality of life and general health of infertile women.

作者信息

Namdar Azam, Naghizadeh Mohammad Mehdi, Zamani Marziyeh, Yaghmaei Farideh, Sameni Mohammad Hadi

机构信息

Department of Health, School of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.

出版信息

Health Qual Life Outcomes. 2017 Jul 12;15(1):139. doi: 10.1186/s12955-017-0712-y.

Abstract

BACKGROUND

Measuring the quality of life (QOL) is a benchmark in today's world of medicine. The aim of the present study was to determine the general health and QOL of infertile women and certain affecting conditions.

METHODS

In a cross-sectional study, 161 infertile women referring to Dr. Rostami's Infertility Center of Shiraz, Southern Iran, in 2013 were enrolled by the convenience sampling method. Data were collected via a socio-demographic, general health (GHQ28), and the QOL Questionnaire of Infertile Couples and analyzed using descriptive and analytical statistics.

RESULTS

According to 146 completely filled-out questionnaires, the mean age of the participants and their spouses were 29.4 ± 5.4 and 33.8 ± 5.8 years, respectively. Moreover, the general health of 57 (39%) patients was normal and that of 89 (61%) patients showed a degree of impairment. The scores for depression and physical symptoms were the highest and lowest, respectively. In addition, quite positive, positive, neutral, and negative specific QOL of infertile women were detected in 4 (2.8%), 72 (49.3%), 70 (47.9%), and 0 (0%) individuals, respectively. The total QOL scores had maximum correlation with GHQ anxiety (r = -0.596, P < 0.001) and general health scores had the highest correlation with physical QOL (r = -0.637, P < 0.001). The QOL was economically (P = 0.027), emotionally (P = 0.004), sexually (P = 0.017), physically (P = 0.037), and psychologically (P = 0.001) less for the women living in rural areas than other infertile women. However, university education (P = 0.015) and higher income per month (P = 0.008) had positive associations with QOL.

CONCLUSION

General health of more than half of the infertile women indicated a degree of disorder. These women face the risk of anxiety, social dysfunction, and depression. Educational status, monthly income, and rural/urban residency are the major factors influencing the QOL.

摘要

背景

在当今医学领域,测量生活质量(QOL)是一项基准。本研究的目的是确定不孕女性的总体健康状况和生活质量以及某些影响因素。

方法

在一项横断面研究中,2013年通过便利抽样法招募了161名前往伊朗南部设拉子罗斯塔米不孕不育中心就诊的不孕女性。通过社会人口统计学、总体健康(GHQ28)以及不孕夫妇生活质量问卷收集数据,并使用描述性和分析性统计方法进行分析。

结果

根据146份填写完整的问卷,参与者及其配偶的平均年龄分别为29.4±5.4岁和33.8±5.8岁。此外,57名(39%)患者的总体健康状况正常,89名(61%)患者的总体健康状况有一定程度的损害。抑郁和身体症状得分分别最高和最低。此外,分别在4名(2.8%)、72名(49.3%)、70名(47.9%)和零名(0%)个体中检测到不孕女性的生活质量相当积极、积极、中性和消极。生活质量总分与GHQ焦虑的相关性最高(r = -0.596,P < 0.001),总体健康得分与身体生活质量的相关性最高(r = -0.637,P < 0.001)。农村地区女性在经济(P = 0.027)、情感(P = 0.004)、性(P = 0.017)、身体(P = 0.037)和心理(P = 0.001)方面的生活质量低于其他不孕女性。然而,大学教育(P = 0.015)和每月较高收入(P = 0.008)与生活质量呈正相关。

结论

超过一半的不孕女性总体健康状况存在一定程度的紊乱。这些女性面临焦虑、社会功能障碍和抑郁的风险。教育程度、月收入和农村/城市居住情况是影响生活质量的主要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8aae/5508693/22ac26cd2d49/12955_2017_712_Fig1_HTML.jpg

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