女性围绝经期综合征相关影响因素及健康管理干预效果分析  

Analysis on the Related Influencing Factors of Perimenopausal Syndrome in Women and the Effect of Health Management Intervention

作　　者：胡萌萌 蔡慧慧[2] 卜德云 张小佳 HU Mengmeng;CAI Huihui;BU Deyun;ZHANG Xiaojia(Qingdao Sanatorium of Shandong Province,Qingdao 266071,China;不详)

机构地区：[1]山东省青岛疗养院,山东青岛266071 [2]青岛大学附属医院

出　　处：《中国医学创新》2020年第16期26-30,共5页Medical Innovation of China

摘　　要：目的:探讨分析女性围绝经期综合征(perimenopausal syndrome,PPS)相关影响因素及健康管理的干预效果.方法:选取2017年6月-2019年2月于山东省青岛疗养院健康查体的女性人群400名,使用Kupperman评分对其进行评估,将评分>15分判定为围绝经期综合征患者,作为研究对象.收集所有研究人群的一般资料及相关情况,使用回归方程来分析影响围绝经期综合征发生的相关风险因素.并对研究对象进行健康管理干预,比较干预前后的Kupperman总评分、单项评分及生活质量评定(GQOLI-74)量表评分.结果:影响女性发生围绝经期综合征的相关独立风险因素为婚姻质量、体质指数、合并慢性疾病以及是否工作(P<0.05).干预前后,失眠、眩晕、乏力、关节肌肉痛评分比较,差异均无统计学意义(P>0.05);干预后,Kupperman总评分、潮热出汗、皮肤感觉异常、烦躁易怒、忧郁多疑、头痛、性交痛及泌尿系统症状评分均低于干预前(P<0.05).干预后,躯体功能、心理功能及社会功能评分均显著高于干预前(P<0.05),干预后的物质生活评分与干预前相比,差异无统计学意义(P>0.05).结论:影响女性发生围绝经期综合征的相关独立风险因素为婚姻质量、体质指数、合并慢性疾病以及是否工作,健康管理干预可显著改善围绝经期综合征患者的临床症状,提高其生活质量.Objective:To explore and analyze the related influencing factors of female perimenopausal syndrome(PPS)and the effect of health management intervention.Method:A total of 400 females were selected for health examinations in Qingdao Sanatorium in Shandong Province from June 2017 to February 2019.Kupperman score was used to evaluate them,and patients with perimenopausal syndrome were judged as scores>15 points as the study objects.General information and relevant information were collected from all study populations and regression equations were used to analyze relevant risk factors affecting the occurrence of perimenopausal syndrome.Health management interventions were conducted,the Kupperman total score,single item score and quality of life assessment(GQOLI-74)scale scores before and after the intervention were compared.Result:The independent risk factors that affected women’s perimenopausal syndrome were marital quality,body mass index,chronic diseases,and whether they worked(P<0.05).Before and after the intervention,the scores of insomnia,vertigo,fatigue and joint muscle pain were not statistically significant(P>0.05);after the intervention,the Kupperman total score,hot flashes and sweating,abnormal skin sensation,irritability,irritability,depression and headache,sexual intercourse pain and urinary symptom scores were lower than those before intervention(P<0.05).After the intervention,physical function,psychological function and social function score were significantly higher than those before intervention(P<0.05),material life score compared with before intervention,the difference was not statistically significant(P>0.05).Conclusion:The independent risk factors affecting women’s perimenopausal syndrome are marital quality,body mass index,chronic diseases and whether they work;health management interventions can significantly improve the clinical symptoms and quality of life of patients with perimenopausal syndrome.

关 键 词：围绝经期综合征 风险因素 健康管理 KUPPERMAN评分 

分 类 号：R473.71[医药卫生—护理学]