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基于人群的 Cervantes-SF 短式问卷在评估绝经期健康相关生活质量中的应用。

Population-based norms for the Cervantes-SF short-form questionnaire assessing health-related quality of life in menopause.

机构信息

Instituto de Salud de la Mujer, Hospital Clínico San Carlos, IdISSC, Universidad Complutense, Madrid, Spain.

Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain.

出版信息

Maturitas. 2021 Apr;146:34-41. doi: 10.1016/j.maturitas.2021.01.004. Epub 2021 Jan 30.

Abstract

OBJECTIVES

To develop the population-based norms for the Cervantes-SF scale, which measures the impact of menopause on the health-related quality of life (HRQOL) of women in Spain.

METHODS

We used a sample obtained from representative studies of the Spanish population according to geographic density and autonomous community. This sample was composed of 5,237 non- institutionalized peri- and post-menopausal women, aged 40-75 years. Measures of central tendency, dispersion and percentiles were calculated for the total score and its dimensions, in 11 three-year age categories. Construct validity was analyzed based on a comparison with known groups to confirm the validity of the normative scales.

RESULTS

The norms show a monotonic gradient, with an incremental impact on HRQOL as age increases, as shown by an increase in the total score and each of the dimensions. Fifty percent of women showed that peri-/post-menopausal symptomatology interfered with HRQOL > 39 %, ranging from 25 % (40-44 years) to 47 % (72-75 years). The population norms showed significant differences between groups according to generic HRQOL, number of comorbidities, history of osteoporotic fracture, educational level, and presence of obesity.

CONCLUSIONS

These results support the validity of the population-based norms for the Cervantes-SF scale, a valid instrument for measuring the impact of menopause on HRQOL in Spain. The norms obtained facilitate the interpretation of these scores in clinical practice, research, and health management.

摘要

目的

制定 Cervantes-SF 量表的人群常模,该量表衡量绝经期对西班牙女性健康相关生活质量(HRQOL)的影响。

方法

我们使用了根据地理密度和自治区抽取的具有代表性的西班牙人群研究样本。该样本由 5237 名非住院的围绝经期和绝经后妇女组成,年龄在 40-75 岁之间。在 11 个 3 年年龄组中,计算了总分及其维度的集中趋势、离散度和百分位数。根据与已知群体的比较分析了结构有效性,以确认规范量表的有效性。

结果

常模显示出单调递增的梯度,随着年龄的增长,对 HRQOL 的影响逐渐增加,总评分和每个维度均有所增加。有 50%的女性表示围绝经期/绝经后症状对 HRQOL 的干扰>39%,范围从 25%(40-44 岁)到 47%(72-75 岁)。人群常模根据一般 HRQOL、合并症数量、骨质疏松性骨折史、教育水平和肥胖的存在,在不同组之间显示出显著差异。

结论

这些结果支持 Cervantes-SF 量表的人群常模的有效性,这是一种在西班牙衡量绝经期对 HRQOL 影响的有效工具。获得的常模有助于在临床实践、研究和健康管理中解释这些分数。

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