南京市流产女性生命质量分析  

Quality of life among women with induced abortion in Nanjing city

作　　者：袁春燕[1] 金辉[2] 张云霞[1] 王志兰[1] 

机构地区：[1]东南大学附属中大医院妇产科,江苏南京210009 [2]东南大学公共卫生学院

出　　处：《中国公共卫生》2014年第7期951-953,共3页Chinese Journal of Public Health

摘　　要：目的了解流产女性的生命质量变化及其影响因素。方法在手术前后,采用自行设计的问卷和欧洲五维健康量表(EQ-5D)对江苏省南京市中大医院就诊的361名人工流产女性进行调查,并采用多因素多元线性回归方法分析EQ-5D评分的影响因素。结果调查的361名流产女性中,平均年龄为(30.21±6.44)岁,已婚女性占70.6%(255/361);重复流产率为65.10%(235/361);术前和术后的直观式健康量表(VAS)评分分别为(88.60±11.02)和(93.74±9.09)分,EQ-5D评分分别为(0.84±0.15)和(0.97±0.08)分,无论是VAS评分还是EQ-5D评分,流产术后的生命质量均明显提高(均P=0.000);已婚和文化程度高的女性,在人工流产术前生命质量评分高,而在人工流产术后其生命质量变化小于未婚和文化程度低的女性(P<0.05),流产次数多或认为流产次数多对身体有影响的女性,生命质量在人工流产手术前后变化大(P<0.05)。结论流产次数多会影响到女性的生命质量,应该加强育龄女性的相关知识教育,提高关注自身健康的程度。Objective To examine changes in quality of life and its potential influencing factors among the women after induced abortion. Methods A self-designed questionnaire and European Quality of Life 5-Dimensions （EQ-5D） were used to investigate 361 women with induced abortion before and after the operation in Zhongda Hospital in Nanjing city. Potential influencing factors on quality of life among the women were analyzed with multivariate linear regression. Results The women were at an average age of 30. 21 ± 6.44 years and 70. 6% of them（235/361 ） were married. Repeat abortion rate among the women was 65.1% （ 235/361 ）. Visual Analogue Scale （VAS） scores were 88.60 ± 11.02 before the abortion and 93.74 ± 9.09 after the abortion and EQ-5D scores were 0. 84 ± 0. 15 and 0. 97 ± 0. 08, respectively, among the women. Both EQ-5D score and VAS score were significantly increased after the abortion （P = 0. 000 ）. Married women and the women with higher educaiton level had higher scores of quality of life before the abortion,however the differences in the scores before and after abortion were less than those in the unmarried women and the women with low educational （ P 〈 0. 05）. The women with more abortions or realizing adverse effect of abortion had the biggest changes in the scores before and after the abortion （ P 〈 0. 05 ）. Conclusion Induced abortion could reduce the quality of life of the women and it is necessary for the women of childbearing age to acquire the knowledge about pregnancy and health.

关 键 词：流产 女性 生命质量 欧洲五维健康量表(EQ-5D) 

分 类 号：R195[医药卫生—卫生统计学]