摘要
目的调查上海市静安区社区围绝经期妇女的妇科健康状况及相关因素,为社区围绝经期妇女保健工作提供参考依据。方法选择2013年3月—2015年2月上海市静安区户籍所在的围绝经期妇女,以整群抽样调查,以问卷形式调查其健康状况,采用多元线性回归分析其健康相关因素。结果本次研究共调查1 518人,平均绝经年龄为(50.45±3.34)岁。围绝经期综合征发生率为15.3%(233例)。潮热出汗为64.7%,疲乏感为55.8%、性生活障碍为48.81%,这些是围绝经期最常见的症状,既往或目前患有的慢性疾病居前3位的依次为颈椎病175(11.53%)、乳腺增生127例(8.37%)、阴道炎121例(7.97%)。年龄因素对围绝经期综合征Kupperman总评分无影响,差异无统计学意义(t=-0.009,P=0.992)。绝经年龄(t=7.083,P=0.000)、抑郁总分(t=2.016,P=0.044)、焦虑总分(t=8.429,P=0.000)因素对围绝经期综合征Kupperman总评分有影响,且为正向的影响,差异均有统计学意义。结论绝经年龄越大、焦虑总评分越高则围绝经期综合征Kupperman总评分越大,即围绝经期综合征越严重。我区围绝经期妇女的保健工作急需要加强,依托社区的围绝经保健网络管理值得尝试。
Objective To survey the health condition of perimenopausal women in community and its related factors, and provide the basis for the health care of perimenopausal women in community. Methods The cluster sampling and ques- tionnaires were employed to survey the health condition of perimenopausal women in Jingan District between March 2013 and February 2015. The multivariate linear regression analysis was used in the analysis of healthrelated factors. Results Among the 1518investigated patients ,the average age of menopause was （50.45 -＋ 3.34） years old. The incidence of peri- menopausal syndrome was 15.3% （233 cases）. Hot flushes and sweating （64.7%）, fatigued （55.8%） and sexual dys- function （48.81% ） were the most common symptoms of themenopausal transition period. The top three of chronic disease- sin turn were cervical spondylosis （ 11.53% ）, mammary gland hyperplasia （ 8.37% ） and vaginitis （ 7.97% ）. The age was not the significant factor of the Kupperman value for perimenopausal syndrome （ t = - 0. 009, P = 0. 992 ）. The age of menopause （ t = 7. 083, P 〈0. 001 ）, depression scale （ t = 2. O16, P = 0. 044 ） and anxiety scale （ t = 8. 429, P 〈 0.001 ） were significant positive for the Kupperman value. Conclusions The pausimenia age, depression and anxiety scale are associated to the higher Kupperman value, which reveal a severeperimenopansal syndrome. The health care for perimeno- pausal womenneeds urgently to be strengthened;and the menopause health care network managementrelying on the com- munity is surely an effective approach.
出处
《中华全科医学》
2016年第7期1172-1174,共3页
Chinese Journal of General Practice
基金
上海市静安区卫生计生委课题(JWX K201221)
关键词
围绝经期妇女
健康调查
社区卫生服务
网络管理
Perimenopausal women
Health survey
Community health services
Health care network management
