汉族多囊卵巢综合征(PCOS)患者生命质量状况及影响因素  

Quality of Life and Its Influencing Factors in Han Nationality Patients with Polycystic Ovary Syndrome

作　　者：董正娇 张文悫 杨琳娜[3] 黄学惠[4] 张镱严 张文阳 张京晶 DONG Zheng-jiao;ZHANG Wen-que;YANG Lin-na;HUANG Xue-hui;ZHANG Yi-yan;ZHANG Wen-yang;ZHANG Jing-jing(Dept.of Community Health,School of Public Health,Kunming Medical University,Kunming Yunnan 650500;Dept.of Gynecology,The 6th Affiliated Hospital of Kunming Medical University,Yuxi Yunnan 653100;Dept.of Reproductive and Gynecology,The 1st People’s Hospital of Yunnan Provience,Kunming Yunnan 650034;Dept.of Otolaryngology,The 1st Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]昆明医科大学第六附属医院妇科,云南玉溪653100 [3]云南省第一人民医院生殖妇科,云南昆明650034 [4]昆明医科大学第一附属医院妇科,云南昆明650032

出　　处：《昆明医科大学学报》2021年第5期41-47,共7页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(71974040);云南省哲学社会科学规划基金资助项目(YB2019064)。

摘　　要：目的评价汉族多囊卵巢综合征患者生命质量并探讨其影响因素。方法采用方便抽样的方法,在云南省三级甲等医院妇科门诊及体检中心,选取163名汉族PCOS患者和194名健康女性作为研究对象。采用一般社会人口学和临床特征问卷、WHOQOL-BREF量表进行调查,以进行汉族PCOS患者生命质量现状及影响因素分析。结果PCOS患者和健康女性生命质量的生理领域和心理领域比较,PCOS组低于健康对照组,差异有统计学意义(P<0.05);PCOS患者生命质量得分为5.50~23.25(14.82±2.84)分。各维度得分由低到高依次是心理领域、环境领域、社会关系、生理领域;PCOS患者生命质量及各维度进行多元线性回归显示,PCOS患者生命质量及各维度受不同因素的影响,其中负性生活事件是影响生命质量及生理领域、心理领域的重要影响因素(P<0.05)。结论PCOS患者生命质量降低,主要表现在心理健康状况降低,应关注PCOS患者的心理健康。为了提高PCOS患者生命质量,应重视患者的心理健康,注意对不同社会人口学和临床表现特征的患者采取个性化、有针对性的干预措施。Objective To investigate and evaluate the quality of life and its influencing factors in Han nationality patients with PCOS.Methods Convenient sampling methods were used.163 Han patients with PCOS who were diagnosed in gynaecological out-patient clinics and 194 healthy women were recruitedingradeⅢ-A hospitals of Yunnan Province.Sociodemographic characteristics questionnaire,clinical characteristics questionnaire and WHOQOL-BREF scale were used in the research.Results There were significant differences in the physiological and psychological fields between PCOS patients and healthy women in quality of life,and the PCOS group was lower with the healthy control group(P<0.05).The quality oflife score of PCOS patients were between 5.50 to 23.25,the average value was(14.82±2.84),the score of each dimension from low to high was in order psychological,environmental,social relationship and physiological field.Multiple linear regression analysis showed that the quality of life and its dimension of PCOS patients were influenced by different factors,and the negative life events were the important factors influencing the quality of life as well as physiological and psychological fields(P<0.05).Conclusion The quality of life in PCOS patients was decreasing,which is mainly manifested in the decrease of mental health status.Therefore,attention should be paid to the mental health of PCOS patients and the personalized and targeted measures should be taken according to their social demography and clinical characteristics so as to improve their quality of life.

关 键 词：多囊卵巢综合征 生命质量 影响因素 

分 类 号：R711[医药卫生—妇产科学] R711.75[医药卫生—临床医学]