Kim Jisoon, Ahn Sukhee
College of Nursing, Graduate School, Chungnam National University, Daejeon, Korea.
Korean J Women Health Nurs. 2016 Dec;22(4):275-286. doi: 10.4069/kjwhn.2016.22.4.275. Epub 2016 Dec 27.
This study explored influencing factors on quality of life (QoL) above middle-aged women in relation to demographic factors, health-related factors, menopausal status, metabolic syndrome (MS) and its risk factors.
This study was secondary data analysis from the Sixth Korea National Health and Nutrition Examination Survey 2013~2015 that utilized a complex, multi-stage probability sample design. Study sample of 2,310 was inclusive of (28.8%) of women who were over 40. To evaluate the factors that would influence an impaired quality of life, χ² test, GLM, and logistic regression analysis were done.
Level of quality of life was lower in women with late post-menopause(over 10 years since menopause) than women with pre-menopause. Factors influencing impaired QoL were as follows: graduated middle school and elementary school or less (OR=2.43, 4.42, respectively, p<.05), no job (OR=1.92, p<.001), stress (OR=1.92, p=.001), depression (OR=1.93, p=.001), insufficient sleep (OR=1.64, p=.003), late post-menopause (OR=2.61, p=.044) and over 85cm of waist circumference (OR=1.76, p=.01).
These results suggest that late post-menopause may be an independent factor influencing an impaired QoL. To promote post-menopausal womens' health, a nursing strategy is required to teach women how to manage levels of stress, depression, insufficient sleep, and abdominal obesity through health education, nutritional counselling, and physical activity program.
本研究探讨了中年以上女性生活质量(QoL)的影响因素,涉及人口统计学因素、健康相关因素、绝经状态、代谢综合征(MS)及其危险因素。
本研究是对2013年至2015年第六次韩国国家健康与营养检查调查的二次数据分析,该调查采用了复杂的多阶段概率抽样设计。2310名研究样本包括40岁以上女性(占28.8%)。为评估影响生活质量受损的因素,进行了χ²检验、广义线性模型(GLM)和逻辑回归分析。
绝经后期(绝经超过10年)女性的生活质量水平低于绝经前期女性。影响生活质量受损的因素如下:初中毕业以及小学及以下学历(OR分别为2.43、4.42,p<0.05)、无工作(OR=1.92,p<0.001)、压力(OR=1.92,p=0.001)、抑郁(OR=1.93,p=0.001)、睡眠不足(OR=1.64,p=0.003)、绝经后期(OR=2.61,p=0.044)以及腰围超过85厘米(OR=1.76,p=0.01)。
这些结果表明,绝经后期可能是影响生活质量受损的一个独立因素。为促进绝经后女性的健康,需要一种护理策略,通过健康教育、营养咨询和体育活动计划,教导女性如何管理压力、抑郁、睡眠不足和腹部肥胖水平。