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子宫内膜异位症女性的主观幸福感及健康相关生活质量调查

Examining subjective wellbeing and health-related quality of life in women with endometriosis.

作者信息

Rush Georgia, Misajon RoseAnne

机构信息

a Monash University , Australia.

b The Cairnmillar Institute , Australia.

出版信息

Health Care Women Int. 2018 Mar;39(3):303-321. doi: 10.1080/07399332.2017.1397671. Epub 2017 Dec 6.

Abstract

The purpose of this study was to explore the subjective wellbeing, health-related quality of life and lived experience of women living with endometriosis. In 2015 five hundred participants between the ages of 18-63 (M = 30.5, SD = 7.46) were recruited through Endometriosis Australia and social media, completing an online questionnaire comprising the Personal Wellbeing Index, the Endometriosis Health Profile-30 and various open-ended questions. Results found that women with endometriosis reported low levels of subjective wellbeing (mean PWI total scores of 51.5 ± 2.03), considerably below the normative range of 70-80 for western populations. The mean Endometriosis Health Profile total score indicated a very low health-related quality of life amongst the women in this sample (78.9, ±13.14). There was also a significant relationship between scores on the Endometriosis Health Profile and Personal Wellbeing Index. The findings from the qualitative data suggest that endometriosis impacts negatively on women's lives in several areas such as; social life, relationships and future plans, this in turn affects women's overall life quality. The study highlights the strong negative impact that endometriosis can have on women's subjective wellbeing and health related quality of life, contributing to productivity issues, relationship difficulties and social dissatisfaction and increasing the risk of psychological comorbidities.

摘要

本研究的目的是探讨子宫内膜异位症女性的主观幸福感、健康相关生活质量和生活体验。2015年,通过澳大利亚子宫内膜异位症协会和社交媒体招募了500名年龄在18 - 63岁之间的参与者(M = 30.5,SD = 7.46),他们完成了一份在线问卷,其中包括个人幸福感指数、子宫内膜异位症健康概况 - 30以及各种开放式问题。结果发现,患有子宫内膜异位症的女性主观幸福感水平较低(个人幸福感指数总分平均为51.5 ± 2.03),大大低于西方人群70 - 80的正常范围。子宫内膜异位症健康概况总分平均值表明,该样本中的女性健康相关生活质量非常低(78.9,±13.14)。子宫内膜异位症健康概况得分与个人幸福感指数之间也存在显著关系。定性数据的研究结果表明,子宫内膜异位症在社会生活、人际关系和未来计划等多个方面对女性生活产生负面影响,这反过来又影响了女性的整体生活质量。该研究强调了子宫内膜异位症对女性主观幸福感和健康相关生活质量可能产生的强烈负面影响,导致生产力问题、人际关系困难和社会不满,并增加心理合并症的风险。

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