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多囊卵巢综合征女性健康相关生活质量评估及社会支持在减轻症状严重程度中的作用

Assessment of Health-Related Quality of Life and the Role of Social Support in Reducing the Severity of Symptoms in Women with Polycystic Ovary Syndrome.

作者信息

Hassan Ayan Ahmed, Alotaibi Ahlam Falah, Almatar Fahad Alhamod, Albassam Noura Abdulrahman, AlQuaiz AlJohara M, Kazi Ambreen

机构信息

Women's Health Research Chair, King Saud University, PO Box 320520, 11321 Riyadh, Saudi Arabia.

Family Medicine Senior Registrar, Ministry of Health, Riyadh, Saudi Arabia.

出版信息

J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):206-214. doi: 10.1007/s13224-024-02071-8. Epub 2024 Nov 23.

Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder that affects women's health-related quality of life (HRQoL). This study aimed to assess the HRQoL and identify the significant factors associated with it among women with PCOS in Riyadh, Saudi Arabia.

METHODS

A cross-sectional study was conducted with 250 Saudi women registered with King Khalid University Hospital (KKUH) in Riyadh. Data were collected using the PCOS questionnaire and the social support survey (SSS) questionnaire. Multiple logistic regression analyses were utilized to explore the association between social support and PCOS HRQoL symptoms.

RESULTS

More than 50% of the women reported that PCOS significantly affected their HRQoL. Lack of social support in form of tangible support was significantly associated with severe PCOS symptoms, namely emotions [2.53 (1.01, 6.33)], body hair [2.82 (1.17, 6.84)], weight [2.35 (1.01, 6.09)], and infertility [11.63 (3.94, 34.34)], whereas lack of emotional support was associated with severe menstrual symptoms [1.86 (1.01, 3.76)]. Marital status [3.87 (1.85, 8.10)], aged < 32 years [2.60 (1.27, 5.31)], and housewives [2.69 (1.05, 5.06)] reported severe infertility symptoms. Employed women [2.22 (1.0, 5.06)] reported severe menstrual symptoms, whereas having BMI ≥ 25 kg/m [3.31 (1.80, 6.07)] reported weight-related symptoms.

CONCLUSION

This study highlights the significant impact of social support and sociodemographic factors on women's HRQoL in Saudi Arabia. The study implies the need for tailored interventions to improve the HRQoL of women with PCOS, particularly for those who lack sufficient social support. Health policy should focus on creation of social support groups to provide counseling and support to the women at the community level.

摘要

背景

多囊卵巢综合征(PCOS)是一种常见的内分泌紊乱疾病,会影响女性与健康相关的生活质量(HRQoL)。本研究旨在评估沙特阿拉伯利雅得PCOS女性的HRQoL,并确定与之相关的重要因素。

方法

对利雅得哈立德国王大学医院(KKUH)登记的250名沙特女性进行了横断面研究。使用PCOS问卷和社会支持调查(SSS)问卷收集数据。采用多元逻辑回归分析来探讨社会支持与PCOS HRQoL症状之间的关联。

结果

超过50%的女性报告称PCOS显著影响了她们的HRQoL。缺乏实际支持形式的社会支持与严重的PCOS症状显著相关,即情绪[2.53(1.01,6.33)]、体毛[2.82(1.17,6.84)]、体重[2.35(1.01,6.09)]和不孕[11.63(3.94,34.34)],而缺乏情感支持与严重的月经症状相关[1.86(1.01,3.76)]。婚姻状况[3.87(1.85,8.10)]、年龄<32岁[2.60(1.27,5.31)]和家庭主妇[2.69(1.05,5.06)]报告有严重的不孕症状。职业女性[2.22(1.0,5.06)]报告有严重的月经症状,而BMI≥25kg/m[3.31(1.80,6.07)]报告有与体重相关的症状。

结论

本研究强调了社会支持和社会人口学因素对沙特阿拉伯女性HRQoL的重大影响。该研究表明需要采取针对性的干预措施来改善PCOS女性的HRQoL,特别是对于那些缺乏足够社会支持的女性。卫生政策应侧重于创建社会支持团体,以便在社区层面为女性提供咨询和支持。

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本文引用的文献

1
Effect of polycystic ovary syndrome on the life quality of young women.多囊卵巢综合征对年轻女性生活质量的影响。
Rev Assoc Med Bras (1992). 2024 May 3;70(4):e20231368. doi: 10.1590/1806-9282.20231368. eCollection 2024.
2
Quality of Life of Women with Polycystic Ovary Syndrome.多囊卵巢综合征女性的生活质量。
Medicina (Kaunas). 2024 Feb 9;60(2):294. doi: 10.3390/medicina60020294.
6
Current Guidelines for Diagnosing PCOS.多囊卵巢综合征的现行诊断指南。
Diagnostics (Basel). 2023 Mar 15;13(6):1113. doi: 10.3390/diagnostics13061113.

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