社区妇女围绝经期综合征流行病学调查

Diagnoses on the quality of life of perimenopausal women in the community

目的:探讨社区妇女围绝经期综合征流行病学特点及其相关因素,以便更好地开展社区妇女围绝经期的全科医疗服务,进行社区诊断。方法:采用分层整群随机抽样的方法对深圳市福田区3个社区围绝经期妇女进行回顾性流行病学调查。结果:社区妇女自然绝经平均年龄49.9岁;围绝经期综合征发生率为44.1%。社区妇女围绝经期综合征与年龄、文化程度、丈夫关系、孕产次数、亲友支持、经济收入、围绝经期知识、慢性病等有相关性。结论:社区妇女围绝经期综合征具有发病率高和群体性的流行特点。患围绝经期综合征的妇女,严重影响了正常的工作和生活,并给社会和家庭造成一定的负担。因此,以妇幼保健进社区为切入点,开展社区妇女围绝经期的全科医疗服务,是防治社区妇女围绝经期综合征的重要措施。

Objective： To analyze the quality of life of perimenopausal women in the community, and to provide better general practice services for them. Methods： While conducting the epidemiology survey of female perimenopause syndromes, carry out a survey on the quality of life of women in the community by means of WHO QOL - BREF tables. Results： The total score for the improved Kupperman was 〉 6, and there were a significant deference in quality of life between women with confirmed perimenopause syndromes and women whose scores were ≤6 （ P 〈 0. 01 ） . Conclusion. Perimenopause syndromes are a major factor that affects the quality of life of community perimenopausal women. Therefore, providing general practice services - which should begin with introduction of children and women care into communities - to perimenopausal women, is one critical measure to improve their quality of life.