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绝经后妇女肌肉骨骼症状的特征、测量、决定因素、治疗和结局:范围综述。

Features, measurements, determinants, treatments, and outcomes of musculoskeletal symptoms in postmenopausal women: A scoping review.

机构信息

National Cheng Kung University, No.1, University Road, Tainan City 701, Taiwan; Duy Tan University, 120 Hoang Minh Thao, Da Nang, 550000, Viet Nam.

National Cheng Kung University, No.1, University Road, Tainan City 701, Taiwan.

出版信息

Geriatr Nurs. 2024 Jul-Aug;58:416-429. doi: 10.1016/j.gerinurse.2024.05.038. Epub 2024 Jun 19.

DOI:10.1016/j.gerinurse.2024.05.038
PMID:38901307
Abstract

BACKGROUND

The literature lacks a consistent review of musculoskeletal symptoms in postmenopausal women.

AIM

To identify features, measurements, determinants, treatments, and outcomes of musculoskeletal symptoms in postmenopausal women.

METHOD

A scoping review was completed using six databases: Embase, Medline, Cochrane, CINAHL, Web of Science, and Scopus up to December 2022. Sixty-three articles were identified.

RESULTS

Musculoskeletal symptoms in postmenopausal women include somatic symptoms of non-specific origin, upper and lower limb symptoms, spinal pain, and decline in physical performance. Measurements were categorized into four groups: musculoskeletal symptoms for menopause, general musculoskeletal symptoms, menopause-specific quality of life, and general quality of life questionnaires. The determinants were grouped into four themes: demographics, physical determinants, psychosocial determinants, and lifestyle. Pharmacological interventions, supplementation options, and exercise regimens exist for postmenopausal women with musculoskeletal symptoms.

CONCLUSION

A comprehensive policy is needed to address musculoskeletal symptoms in postmenopausal women, promoting diverse treatments for improved quality of life.

摘要

背景

文献中缺乏对绝经后妇女肌肉骨骼症状的一致综述。

目的

确定绝经后妇女肌肉骨骼症状的特征、测量方法、决定因素、治疗方法和结果。

方法

使用 Embase、Medline、Cochrane、CINAHL、Web of Science 和 Scopus 六个数据库进行范围综述,截至 2022 年 12 月共确定了 63 篇文章。

结果

绝经后妇女的肌肉骨骼症状包括非特异性起源的躯体症状、上下肢症状、脊柱疼痛和身体机能下降。测量方法分为四组:与绝经相关的肌肉骨骼症状、一般肌肉骨骼症状、绝经特异性生活质量和一般生活质量问卷。决定因素分为四个主题:人口统计学、身体决定因素、心理社会决定因素和生活方式。对于有肌肉骨骼症状的绝经后妇女,存在药物干预、补充选择和运动方案。

结论

需要制定综合政策来解决绝经后妇女的肌肉骨骼症状,促进多样化的治疗方法以提高生活质量。

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