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伊朗子宫肌瘤女性的健康相关生活质量:一项横断面研究。

Health-Related Quality of Life Among Iranian Women With Uterine Fibroids: A Cross Sectional Study.

作者信息

Najafiarab Hanieh, Farzaneh Farah, Talebian Niki, Ghasemi Zahra, Talayeh Maryam

机构信息

Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Family Reprod Health. 2024 Sep;18(3):164-169. doi: 10.18502/jfrh.v18i3.16658.

Abstract

OBJECTIVE

Uterine fibroids (UFs) are the most common benign tumors in women, and their prevalence varies between 5.4 and 77.0% in reproductive-aged women. Patients with UFs may experience severe symptoms that they can affect different aspects of their lives, including quality of life. This study aimed to investigate the health-related quality of life among Iranian women with UFs.

MATERIALS AND METHODS

This cross-sectional study was conducted at Imam Hossein Hospital, Tehran, Iran, between November 2023 and February 2024, Data collection was based on the census method. Uterine Fibroid Symptom and Health-related Quality of Life (UFS-QOL) questionnaire was used to assess symptom severity and health-related quality of life (HRQOL) of women with UFs. Data were analyzed using the SPSS software version 23.0.

RESULTS

Overall, 220 patients with a mean age of 43.10±5.01 years were included in the study. Patients had total UFS-QOL score of 64.11±20.35 with the following subscales' scores: symptom severity: (19.00±6.39), concern: (60.79±26.47), activities: (71.76±23.02), energy/mood: (54.39±25.14), control: (66.52±22.82), self-consciousness: (77.63±26.39), and sexual function: (59.40±31.18). Furthermore, patients with multiparity history (P= 0.001), obesity (P<0.001), increased menstrual duration (P<0.001), irregular menstruation (P<0.001), and hyper menorrhea (P<0.001) had lower HRQOL scores.

CONCLUSION

All subscales' scores of HRQOL were over 50 in patients with UF. HRQOL in these patients can be affected by certain factors, such as features of the menstrual cycle, multiparity, and obesity.

摘要

目的

子宫肌瘤(UFs)是女性最常见的良性肿瘤,在育龄妇女中的患病率在5.4%至77.0%之间。子宫肌瘤患者可能会出现严重症状,这些症状会影响她们生活的不同方面,包括生活质量。本研究旨在调查伊朗子宫肌瘤女性患者的健康相关生活质量。

材料与方法

本横断面研究于2023年11月至2024年2月在伊朗德黑兰的伊玛目侯赛因医院进行,数据收集基于普查方法。使用子宫肌瘤症状与健康相关生活质量(UFS-QOL)问卷评估子宫肌瘤女性患者的症状严重程度和健康相关生活质量(HRQOL)。数据使用SPSS 23.0软件进行分析。

结果

本研究共纳入220例患者,平均年龄为43.10±5.01岁。患者UFS-QOL总评分为64.11±20.35,各分量表得分如下:症状严重程度:(19.00±6.39),担忧:(60.79±26.47),活动:(71.76±23.02),精力/情绪:(54.39±25.14),控制感:(66.52±22.82),自我意识:(77.63±26.39),性功能:(59.40±31.18)。此外,有多次生育史的患者(P = 0.001)、肥胖患者(P<0.001)、经期延长患者(P<0.001)、月经不规律患者(P<0.001)和月经过多患者(P<0.001)的HRQOL得分较低。

结论

子宫肌瘤患者HRQOL各分量表得分均超过50分。这些患者的HRQOL可能会受到某些因素的影响,如月经周期特征、多次生育和肥胖。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f045/11491695/f47780101c0c/JFRH-18-164-g001.jpg

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