深圳市围绝经期女性常见症状及影响因素调查  

Survey of common symptoms of peri menopausal women in Shenzhen city and their influencing factors

作　　者：钟凯[1] 曾祥华[1] 洪爱军[1] 汤惠茹[1] 

机构地区：[1]北京大学深圳医院

出　　处：《护理研究（中旬版）》2015年第3期917-920,共4页Chinese Nursing Researsh

基　　金：2013年深圳市科技研发资金知识创新计划基础研究项目;编号:JCYJ20130402112843375

摘　　要：[目的]：探讨深圳地区围绝经期女性的常见症状及影响因素。[方法]2014年1月—2014年6月采用自编的流行病学调查问卷、围绝经期症状评定量表（改良Kupperman症状评分表）、症状自评量表（SCL-90）及社会支持评定量表（SSRS）对458例妇产科门诊就诊的围绝经期女性进行问卷调查。[结果]深圳地区围绝经期女性改良Kupperman症状评分为（12.53±9.27）分,常见症状为骨关节肌肉痛、疲乏、易激动、失眠及头痛。中度、重度围绝经期症状的发生率达12.7%,丧偶、农村合作医疗保险、每月经济收入在5 001元-10 000元、其他商业保险、对围绝经期知识知道很多的女性中重度围绝经期症状的发生率高于其他女性。围绝经期女性在躯体化、敌对、恐怖、总均分及阳性项目数得分高于国内常模,在强迫症状及人际关系敏感方面的得分低于国内常模,出现双向分化现象。社会支持总分、客观支持及对支持利用度显著低于国内常模,社会支持总分、客观支持、主观支持得分与围绝经期症状评分呈负相关。[结论]深圳地区围绝经期女性的护理应针对中重度围绝经期症状的高发人群开展关于骨关节肌肉痛、疲乏、易激动、失眠、头痛等方面的重点干预。Objective：To probe into the common symptoms and influencing factors of menopausal women in Shenzhen city .Methods：A total of 458 cases of perimenopausal women visited in department of obstetrics and gynecology clinic from 2014 January to 2014 June were investigated by using self designed epidemiological sur‐vey questionnaire ,perimenopausal symptom rating scale （modified Kupperman） ,SCL 90 and social support rating scale （SSRS） .Results：The most common symptoms of perimenopausal women in Shenzhen area were joint muscle pain ,fatigue ,irritability ,insomnia and headache .The modified kupperman scale score was （12 .53 ± 9 .27） .The incidence of moderate to severe peri menopausal symptoms was 12 .7% ,the incidence of moderate to severe symptoms in women widowed ,or with rural cooperative medical insurance ,or with the monthly income in 5 001 yuan to 10 000 yuan ,or with other commercial insurance ,or knowing a lot about perimenopause was higher than that of other women .Perimenopausal women scored higher in somatization ,hostile ,terror ,total score and the number of positive items than the national norm ,the scores in obsessive symptoms and interper‐sonal sensitivity were lower than the national norm .It appeared two way differentiation phenomenon .Total so‐cial support ,objective support ,and support availability were significantly lower than domestic norm .The total score of social support ,objective support score and subjective support score had negative correlation with perim‐enopausal symptoms score .Conclusion：The care of perimenopausal women in Shenzhen area should mainly aim at the crowd who were inclined to moderate to severe perimenopausal symptom to carry out the major interven‐tion on joint muscle pain ,fatigue ,irritability ,insomnia and headache .

关 键 词：围绝经期女性 围绝经期综合征 深圳地区 现状调查 影响因素 

分 类 号：R473.71[医药卫生—护理学]