围绝经期及绝经后妇女生活质量分析  

Analysis on perimenopausal quality of life in women

作　　者：常小霞[1] 吴洁[1] 

机构地区：[1]南京医科大学第一附属医院妇产科,210029

出　　处：《江苏医药》2010年第9期1021-1024,共4页Jiangsu Medical Journal

摘　　要：目的研究围绝经期妇女的生活质量及其影响因素。方法将更年期门诊458例妇女分为三组:A组为绝经前妇女,B组为绝经期妇女,C组为绝经后妇女。采用世界卫生组织生活质量测定量简表(WHOQOL-BREF)进行问卷调查,评估总体健康状况、生理领域、心理领域、社会关系领域及环境领域等方面的得分,记录年龄、体重、身高、腰围、臀围、婚姻等情况,对他们的生活质量及可能影响生活质量的因素进行分析。结果 C组的腰臀比明显高于A、B组(P<0.05),B、C组慢性基础疾病的发生率显著高于A组;B组的生活质量总评分最低[(3.48±0.27)vs.(3.51±0.29)(A组)或(3.52±0.30)(C组)](P<0.05);主要影响生活质量的因素是收入、基础疾病及婚姻状况。结论围绝经期妇女的生活质量较低;绝经后妇女有发生中心性肥胖的倾向,且慢性基础疾病的发生率较高。Objective To investigate the quality of life（QOL） in women in the perimenopausal period.Methods A total of 458 women in the climacteric outpatient clinic were investigated by questionnaire and divided into three groups of pre-（group A）,during（group B） and post-menopausal period（group C）.Using WHO′s Quality of Life Instrument Short Version（WHOQOL-BREF）,the health status,physiological,psychological,sociodemographic and environmental informations were evaluated and the age,weight,height,waist circumference,hip circumference and marital status were recorded.QOL-related factors were analyzed as well.Results The waist-hip ratio was significantly higher in group C than that in groups of A and B（P〈0.05）.The incidence rate of chronic diseases was significantly higher in groups of B and C than that in group A.The score of QOL in group B was the lowest／[（3.48±0.27） vs.（3.51±0.29） for group A or （3.52±0.30） for group C／]（P〈0.05）.The main impact factors for all subjects might be the income,chronic diseases and marital status.Conclusion Perimenopausal women have a lower QOL.There is a tendency of central obesity and higher incidence of chronic diseases in postmenopausal women.

关 键 词：生活质量 围绝经期 

分 类 号：R711[医药卫生—妇产科学]