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绝经症状对埃及绝经后妇女生活质量的影响。

The effect of menopausal symptoms on the quality of life among postmenopausal Egyptian women.

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Department of Obstetrics and Gynecology, Faculty of Medicine, Assiut University, Assiut, Egypt.

出版信息

Climacteric. 2020 Feb;23(1):9-16. doi: 10.1080/13697137.2019.1656185. Epub 2019 Sep 19.

DOI:10.1080/13697137.2019.1656185
PMID:31533486
Abstract

The current study aims to assess the prevalence of menopausal symptoms among postmenopausal Egyptian women and their effect on the quality of these women's lives. A cross-sectional study was carried out in a tertiary university hospital between January and December 2017. We enrolled 350 postmenopausal women aged 45-70 years. All women were interviewed using the Menopause-Specific Quality of Life (MENQOL) questionnaire after translation into the Arabic language by a certified translation expert. The Mann-Whitney test and the Kruskal-Wallis test were used to compare MENQOL item scores. Low backache was the most common complaint among the study participants (86%). The sexual domain imposed the greatest impact on quality of life (mean = 3.12 ± 1.66), followed by physical (mean = 3.18 ± 0.92), psychological (mean = 3.08 ± 0.98), and vasomotor (mean = 3.01 ± 1.78) domains. Moreover, we found a significant positive moderate correlation between body mass index (BMI) and the total score ( = 0.689,  < 0.001). Multivariable linear regression analysis found that the best-fitting predictors for the MENQOL score were age ( < 0.001), BMI ( < 0.001), and exercise ( < 0.001). Physical symptoms were the most prevalent symptoms in this study. In general, older women, housewives, hand workers, less physically active women, and those of low socioeconomic status had poor quality of life.

摘要

本研究旨在评估埃及绝经后妇女的更年期症状发生率及其对这些妇女生活质量的影响。我们于 2017 年 1 月至 12 月在一所三级大学医院进行了一项横断面研究。共纳入 350 名年龄在 45-70 岁之间的绝经后妇女。所有妇女均接受了绝经特异性生活质量(MENQOL)问卷的访谈,该问卷在由认证翻译专家翻译成阿拉伯语后使用。Mann-Whitney 检验和 Kruskal-Wallis 检验用于比较 MENQOL 项目评分。研究参与者中最常见的抱怨是腰背疼痛(86%)。性领域对生活质量的影响最大(均值=3.12±1.66),其次是身体(均值=3.18±0.92)、心理(均值=3.08±0.98)和血管舒缩(均值=3.01±1.78)领域。此外,我们发现体质指数(BMI)与总分之间存在显著正中度相关( =0.689, <0.001)。多变量线性回归分析发现,MENQOL 评分的最佳拟合预测因子为年龄( <0.001)、BMI( <0.001)和运动( <0.001)。本研究中最常见的症状是身体症状。总的来说,年龄较大、家庭主妇、体力劳动者、较少进行体力活动的妇女和社会经济地位较低的妇女生活质量较差。

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