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多囊卵巢综合征及其对伊朗女性生活质量的影响:一项基于人群的研究。

Polycystic ovary syndrome and its impact on Iranian women's quality of life: a population-based study.

作者信息

Behboodi Moghadam Zahra, Fereidooni Bita, Saffari Mohsen, Montazeri Ali

机构信息

Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

BMC Womens Health. 2018 Oct 11;18(1):164. doi: 10.1186/s12905-018-0658-1.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is a major public health concern worldwide affecting up to one in five women at reproductive age. It is associated with biochemical and hormonal disturbances as well as adverse cosmetic, reproductive, metabolic, and psychological consequences, resulting in worsened quality of life. The aim of the present study is evaluating the quality of life and determining its degrading factors among Iranian women suffering from this syndrome.

METHODS

This cross-sectional study was conducted on 200 PCOS women in Hamadan, Iran. In order to measure quality of life we used the Persian version of Health-related Quality of Life Questionnaire for PCOS (PCOSQ). Descriptive statistics was used to explore the data. In addition linear regression analysis was performed to assess factors affecting health-related quality of life in this population.

RESULTS

The mean score for quality of life domains (from the greatest to the least serious concern) were: infertility (3.43 ± 1.63), emotions (3.55 ± 1.17), menstrual problems (3.77 ± 1.36), body hair (3.80 ± 2.05) and weight (4.32 ± 1.80), respectively. The higher score represents better function. However, multivariate analysis revealed that hirsutism had the strongest impact on the patients' quality of life (p < 0.001) followed by infertility (p = 0.038) and menstrual irregularity (p = 0.003).

CONCLUSION

The findings showed that impairment of quality of life was associated with PCOS related conditions such as hirsutism, infertility and menstrual problems.

摘要

背景

多囊卵巢综合征(PCOS)是一个全球主要的公共卫生问题,影响着高达五分之一的育龄妇女。它与生化和激素紊乱以及不良的美容、生殖、代谢和心理后果相关,导致生活质量下降。本研究的目的是评估伊朗患有该综合征的女性的生活质量,并确定其恶化因素。

方法

本横断面研究在伊朗哈马丹的200名PCOS女性中进行。为了测量生活质量,我们使用了PCOS健康相关生活质量问卷的波斯语版本(PCOSQ)。描述性统计用于探索数据。此外,进行线性回归分析以评估影响该人群健康相关生活质量的因素。

结果

生活质量领域的平均得分(从最严重到最不严重的关注)分别为:不孕(3.43±1.63)、情绪(3.55±1.17)、月经问题(3.77±1.36)、体毛(3.80±2.05)和体重(4.32±1.80)。得分越高表示功能越好。然而,多变量分析显示多毛症对患者生活质量的影响最强(p<0.001),其次是不孕(p = 0.038)和月经不规律(p = 0.003)。

结论

研究结果表明,生活质量受损与多毛症、不孕和月经问题等PCOS相关病症有关。

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