中山市绝经后骨质疏松症患者生存质量及其影响因素的相关性分析  

Correlation Analysis of Quality of Life and Its Influencing Factors in Postmenopausal Osteoporosis Patients in Zhongshan City

作　　者：张华[1] 陈世忠[1] ZHANG Hua;CHEN Shi-zhong(Fourth Department of Orthopedics,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan Guangdong 528400,China)

机构地区：[1]中山市中医院骨四科,广东中山528400

出　　处：《中华养生保健》2023年第1期5-8,共4页CHINESE HEALTH CARE

摘　　要：目的调查中山市绝经后骨质疏松症患者生存质量状况,并分析相关影响因素。方法选择2022年1月~2022年6月中山市中医院门诊及住院部收治的200例中山地区绝经后骨密度(BMD)<M-2SD的女性为研究对象,设为研究组,选择同期在中山市中医院体检的200例绝经后BMD>M-1SD的健康女性组成对照组。采用中文版世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评价所有入选者的生存质量,调查一般资料并进行多因素分析。结果研究组患者生理领域、心理领域、独立性领域、社会领域、环境领域等生存质量评分及总分均低于对照组,差异具有统计学意义(P<0.05)。研究组患者婚姻状况、职业等情况与对照组比较,差异无统计学意义(P>0.05),研究组患者年龄、绝经年限、吸烟、受教育年限等情况与对照组比较,差异具有统计学意义(P<0.05)。Spearsman分析显示,研究组患者年龄、绝经年限、吸烟、受教育年限与生存质量总分存在相关性(P<0.05);Logistic回归显示,研究组患者年龄、绝经年限、吸烟、受教育年限为影响患者生存质量的危险因素(P<0.05)。结论中山市绝经后骨质疏松症患者的生存质量相对较低,年龄、绝经年限、吸烟、受教育年限为导致其生存质量低下的危险因素。Objective To investigate the quality of life of postmenopausal osteoporosis patients in Zhongshan City,and to analysis the related infl uencing factors.Methods A total of 200 cases of postmenopausal osteoporosis patients in Zhongshan area who were in the orthopaedic outpatient department and hospitalized in our hospital from January 2022 to June 2022 were selected as the study group(BMD<M-2SD).During the same period,the other 200 cases of healthy postmenopausal patients without osteoporosis who underwent physical examination in our hospital were selectedas the control group(BMD>M-1SD).The Chinese version of the WHOQOL-BREF questionnaire were used to evaluate the quality of life of all the participants,and general data were investigated and multivariate analysis were performed.Results The quality of life scores of the study group were significantly lower than those of the control group(P<0.05).There were no significant differences in marital status,occupation,etc.Compared between the study group and the control group(P>0.05),but there were signifi cant diff erences in age,menopause years,smoking,and years of education compared between the study group and the control group(P<0.05).In the study group,Spearsman analysis showed that age,years of menopause,smoking,years of education were correlated with the total score of quality of life(P<0.05).Logistic regression showed that age,years of menopause,smoking and years of education were risk factors aff ected the quality of life of patients(P<0.05).Conclusion The quality of life of postmenopausal osteoporosis patients in Zhongshan is relatively low,and age,menopause years,smoking,and years of education are the risk factors for the low quality of life of postmenopausal osteoporosis patients in ZhongshanCity.

关 键 词：绝经后骨质疏松症 生存质量 影响因素 绝经年限 

分 类 号：R580[医药卫生—内分泌]