围绝经期女性生活质量及相关因素研究

A Study of WHO Quality of Life and Related Factors in Perimenopausal Women

目的:探讨围绝经期女性生活质量状况及其与抑郁、焦虑和睡眠质量等因素的关系。方法:应用世界卫生组织生活质量测定简表(WHO-QOL-BREF)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、匹兹堡睡眠质量指数(PSQI)和自制一般情况调查表测试320例济南地区围绝经期女性的生活质量。同时测试育龄女性和相同年龄段非围绝经期女性以作对照。结果:围绝经期女性生活质量低于育龄女性和相同年龄段非围绝经期女性(P<0.05～0.01)。不同职业和受教育程度的围绝经期女性生活质量存在显著差异(P<0.05),高知高职的围绝经期女性生活质量较好。抑郁、焦虑和睡眠质量均显著影响围绝经期女性的生活质量(P<0.01)。结论:围绝经期女性生活质量较普通中年女性差,职业、受教育程度、抑郁、焦虑和睡眠质量为其主要影响因素。

Objective： To determine the status of quality of life of perimenopausal women and its relationship with depression、anxiety、sleep quality and other potential factors.Methods： A total of 320 perimenopausal women in Jinan were assessed with the WHO Quality of Life Brief Questionnaire,Self-Rating Depression Scale,Self-Rating Anxiety Scale,Pittsburgh Sleep Quality Index and self-designed general condition questionnaire.Women with regular menses were also assessed and categorized into two control groups.Results： Quality of life of perimenopausal women was poorer than reproductive stage women and non-perimenopausal women aged 40 to 59 years（P0.05～0.01）.Perimenopausal women of different profession or education had different quality of life（P〈0.05）.Those senior intellectuals or senior cadres had better quality of life.Depression,anxiety and sleep quality all affected quality of life in perimenopausal women significantly（P〈0.01）.Conclusion： Quality of life of perimenopausal women would be poorer than ordinary middle-aged women.Profession,education,depression,anxiety and sleep quality are main factors influencing quality of life of perimenopausal women.