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更年期女性的更年期症状强度与生活质量

Intensity of menopausal symptoms and quality of life in climacteric women.

作者信息

Szadowska-Szlachetka Zdzisława C, Stasiak Elżbieta, Leziak Anna, Irzmańska-Hudziak Anna, Łuczyk Marta, Stanisławek Andrzej, Ślusarska Barbara, Domżał-Drzewicka Renata

机构信息

Chair of Oncology and Environmental Health, Faculty of Nursing and Health Sciences, Medical University of Lublin, Poland.

A graduate of the Faculty of Health Sciences, Medical University of Lublin, Poland.

出版信息

Prz Menopauzalny. 2019 Dec;18(4):217-221. doi: 10.5114/pm.2019.93113. Epub 2020 Jan 15.

Abstract

Menopause is a difficult period in a woman's life, associated not only with the end of menstruation, but also with symptoms such as hot flashes, sweating, dizziness, and palpitations which occur due to fluctuations in the hormones oestrogen and progesterone. The aim of this study was to evaluate the quality of life of women (aged 48-55 years) in the physical, mental and social spheres, to determine the intensity of menopause symptoms and to ascertain whether the above indicators are influenced by sociodemographic factors. The study was conducted by diagnostic survey using two tools - the WHOQOL-BREF questionnaire for the measurement of the quality of life and the Kupperman index, which measures the severity of menopause symptoms. A total of 161 women not using hormone replacement therapy were examined. In their case, the intensity of menopause symptoms was moderate. The respondents assessed their functioning in the social sphere with the highest number of points (3.65) and in the physical sphere with the lowest number of points (3.14). The intensity of menopause symptoms positively correlated with the evaluation of the quality of life by the respondents. Higher assessment of the quality of life was reported by women working in a given period of time, with good material status, sexually active. The respondents suffered from chronic diseases, most often arterial hypertension. The occurrence of chronic diseases - arterial hypertension, coronary artery disease, diabetes and osteoporosis - negatively affected the quality of life of the respondents.

摘要

更年期是女性生命中的一个艰难时期,不仅与月经结束有关,还与潮热、出汗、头晕和心悸等症状相关,这些症状是由雌激素和孕激素波动引起的。本研究的目的是评估48至55岁女性在身体、心理和社会领域的生活质量,确定更年期症状的强度,并确定上述指标是否受社会人口学因素影响。该研究采用诊断性调查,使用两种工具——用于测量生活质量的WHOQOL - BREF问卷和测量更年期症状严重程度的库珀曼指数。共检查了161名未使用激素替代疗法的女性。在她们的案例中,更年期症状的强度为中度。受访者在社会领域功能的得分最高(3.65),在身体领域功能的得分最低(3.14)。更年期症状的强度与受访者对生活质量的评价呈正相关。在特定时间段工作、物质状况良好、有性活动的女性对生活质量的评价更高。受访者患有慢性疾病,最常见的是动脉高血压。慢性疾病——动脉高血压、冠状动脉疾病、糖尿病和骨质疏松症——的发生对受访者的生活质量产生了负面影响。

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