围绝经期女性生活质量影响因素的路径分析  

Path analysis of factors that influence the quality of life of perimenopausal women

作　　者：吕春梅[1] 徐一丹[1] 申思[1] 于莉佳[1] 

机构地区：[1]哈尔滨医科大学附属肿瘤医院门诊化疗科,150086

出　　处：《中华现代护理杂志》2016年第28期4025-4029,共5页Chinese Journal of Modern Nursing

摘　　要：目的：以心理应激模型为理论框架探讨围绝经期女性生活质量的影响因素。方法采用一般资料调查表、生活质量测定量表简表（ SF-12）、自我效能感量表、艾森克人格问卷简式量表中国版（ EPQ-RSC）、简易应对方式问卷及社会支持评定量表对747名围绝经期女性进行调查，并采用路径分析的方法对假设模型进行检验和修正。结果围绝经期女性的生活质量得分为（56.72±8.47）分；消极应对、社会支持利用度、内外向人格特征、围绝经期综合征程度可以直接影响生活质量，也可以通过自我效能间接影响生活质量；自我效能是围绝经期女性生活质量的最重要预测变量。结论围绝经期女性的生活质量有待提高，围绝经期综合征、自我效能、消极应对、社会支持利用度及内外向人格特征是围绝经期女性生活质量的影响因素。Objective To explore the factors that influence the quality of life of perimenopausal women which take the stress model as the theoretical framework. Methods A total of 747 perimenopausal women were investigated with the general questionnaire, SF-12, self-efficacy questionnaire, Eysenck personality questionnaire short scale for Chinese （EPQ-RSC）, the simplified coping style questionnaire, and the social support rating scale. After surveying, the supposition model was confirmed and revised by path analysis. Results The quality of life perimenopausal women was （56.72±8.47）, which was lower than the score of women without perimenopausal syndrome （ 71. 24 ± 5. 66 ） （ P〈0. 05 ） . The correlation analysis and structural equation analysis showed that negative coping, utilization of social support, personality characteristics of outgoing and introvert people and degree of perimenopausal syndrome all can directly influence the quality of life （ P〈0. 05） , and also can indirectly influence the quality of life though self-efficiency. Self-efficiency is the most important predictor variable of quality of life in perimenopausal women.Conclusions Perimenopausal women′s quality of life needs to be improved. Perimenopausal syndrome, self-efficacy, negative coping, utilization of social support and personality characteristics of outgoing and introvert people play an important role in the quality of life of perimenopausal women.

关 键 词：围绝经期 生活质量 自我效能 人格 社会支持 应对方式 

分 类 号：R473.71[医药卫生—护理学]