基于网络分析的社区女性围绝经期综合征核心症状及相关因素研究  

Core symptoms of perimenopausal syndrome in community-dwelling women and their associated factors:network analysis

作　　者：朱艳艳 罗彩凤[2] 卞泽坤 尚彬 吕妃[3] 孙炜怡 Zhu Yanyan;Luo Caifeng;Bian Zekun;Shang Bin;LüFei;Sun Weiyi(Department of Neurosurgery,Affiliated Hospital of Jiangsu University,Zhenjiang 212002,China)

机构地区：[1]江苏大学附属医院神经外科,江苏镇江212002 [2]江苏大学医学院 [3]江苏大学京江学院护理系

出　　处：《护理学杂志》2024年第21期99-104,共6页Journal of Nursing Science

基　　金：2023年度镇江市政策引导计划(软科学研究)立项项目(RK2023026)。

摘　　要：目的调查社区女性围绝经期综合征症状发生情况,构建症状网络探索核心症状及其相关因素。方法选取628名社区围绝经期女性作为研究对象,采用一般资料调查表、改良版更年期Kupperman量表、围绝经期生存质量量表、D型人格量表、蒙特利尔认知评估量表进行调查。基于R语言和Fruchterman-Reingold算法构建症状网络模型,进行中心性测量、准确性及稳定性验证,识别网络中核心节点。结果社区围绝经期女性围绝经期综合征发生率为79.78%,发生率排名前5位的症状依次为失眠(85.83%)、易激动(83.43%)、疲乏(82.83%)、骨关节痛(66.27%)和性生活状况异常(63.47%);最严重的症状是失眠;强度排名前3的症状分别是骨关节痛(r_(S)=1.18)、感觉异常(r_(S)=1.04)和潮热出汗(r_(S)=0.94);相关因素的强度分别为围绝经期生存质量(r_(S)=2.68)、D型人格(r_(S)=-0.55)、蒙特利尔认知(r_(S)=-1.19)。结论社区围绝经期综合征女性的核心症状是骨关节痛、感觉异常和潮热出汗,围绝经期生存质量是相关因素症状网络中最核心的节点。社区医护人员可基于核心症状及相关因素制订精准化的干预措施,提高社区围绝经综合征女性症状管理水平。Objective To investigate the symptoms of perimenopausal syndrome in community-dwelling women and to identify the core symptoms and their associated factors using network analysis.Methods A cross-sectional survey was conducted in 628 community-dwelling women.A general information questionnaire,the Kupperman Index,the Menopause-specific Quality of Life Questionnaire,the type D scale(DS14),and the Montreal Cognitive Assessment were used to collect data.The network analysis was performed in the R statistical programming language.The Fruchterman-Reingold algorithm was used to place stronger connected nodes closer together and to represent the network graphically.Centrality measures,accuracy and stability were examined to identify the core nodes in the network structure.Results The prevalence of perimenopausal syndrome in women in the community was 79.78%,and the 5 most prevalent symptoms were insomnia(85.83%),agitation(83.43%),fatigue(82.83%),bone and joint pain(66.27%),and sexual abnormality(63.47%).The most severe symptom was insomnia,and the top 3 symptoms listed according to node strength were bone and joint pain(r_(S)=1.18),sensory abnormalities(r_(S)=1.04),and hot flashes and sweating(r_(S)=0.94).The strength of associated factors were menopause-specific quality of life(r_(S)=2.68),type D personality(r_(S)=-0.55),and cognitive function(r_(S)=-1.19).Conclusion The central symptoms of perimenopausal syndrome in community-dwelling women are bone and joint pain,sensory abnormalities,hot flushes and sweating.Menopause-specific quality of life is the most central node in the network structure of associated factors.Community health workers can formulate precise interventions based on the central symptoms and factors,thus to improve symptom management of women with perimenopausal syndrome in the community.

关 键 词：围绝经期综合征 失眠 骨关节痛 生存质量 核心症状 症状网络 网络分析 社区护理 

分 类 号：R473.2[医药卫生—护理学]