Rindner Lena, Strömme Gunilla, Nordeman Lena, Wigren Margareta, Hange Dominique, Gunnarsson Ronny, Rembeck Gun
Närhälsan, Skene Health Care Center, Varbergsvägen 80, SE-511 81, Skene, Sweden.
Research and Development Center Södra Älvsborg, Närhälsan, Research and Development, Primary Health Care Region, Västra Götaland, Sweden.
BMC Womens Health. 2017 Dec 8;17(1):128. doi: 10.1186/s12905-017-0480-1.
Women's physical and mental ill-health such as stress-related symptoms, depression, pain, hypertension and urogenital health shows a marked increase around the ages 45-55 years. These women are an important group for Primary Health Care (PHC) due to their prevalent symptoms and illnesses. The aim of this study was to estimate the prevalence of somatic, psychological and urogenital symptoms in women aged 45-55 attending PHC and evaluate factors associated with severe symptoms.
One hundred and thirty-one women were recruited from PHC in southwestern Sweden. Data were obtained from two self-reported questionnaires, the Menopause Rating Scale (MRS) and the Montgomery-Asberg Depression Rating Scale (MADRS).
Exhaustion, depressive mood, muscle and joint problems, sleep and sexual problems were the most prevalent reported symptoms. Half of the women reported heart discomfort. Depression and increasing age were correlated to more severe symptoms.
We recommend that cardiovascular risk factors, musculoskeletal symptoms, sexual problems, sleeping problems and mental health should be actively asked for when women aged 45 to 55 attend PHC. We propose that preventive counselling of women in PHC before the age 45 should be evaluated in future studies.
女性的身心健康问题,如与压力相关的症状、抑郁、疼痛、高血压和泌尿生殖系统健康问题,在45 - 55岁左右显著增加。由于这些女性普遍存在症状和疾病,她们是初级卫生保健(PHC)的重要群体。本研究的目的是估计在接受初级卫生保健的45 - 55岁女性中躯体、心理和泌尿生殖系统症状的患病率,并评估与严重症状相关的因素。
从瑞典西南部的初级卫生保健机构招募了131名女性。数据来自两份自我报告问卷,即更年期评定量表(MRS)和蒙哥马利 - 阿斯伯格抑郁评定量表(MADRS)。
疲惫、抑郁情绪、肌肉和关节问题、睡眠和性问题是报告中最普遍的症状。一半的女性报告有心脏不适。抑郁和年龄增长与更严重的症状相关。
我们建议,当45至55岁的女性接受初级卫生保健时,应主动询问心血管危险因素、肌肉骨骼症状、性问题、睡眠问题和心理健康状况。我们建议在未来的研究中评估45岁之前接受初级卫生保健的女性的预防性咨询。