福建地区围绝经期女性睡眠质量及心理状态分析

Analysis of Sleep Quality and Mental State of Peri-menopausal Women in Fujian Province

目的调查分析福建地区围绝经期妇女的睡眠质量及心理状态。方法采用问卷调查方式对福建省妇幼保健院妇科门诊就诊符合研究要求的253例围绝经期妇女进行调查,采用匹兹堡睡眠质量指数(PSQI)量表评估围绝经期女性的睡眠情况,采用汉密顿焦虑量表(HAMA)评估围绝经期女性的焦虑严重程度,采用汉密顿抑郁量表(HAMD)评估围绝经期女性的抑郁症状严重程度。结果(1)253例围绝经期女性中,PSQI平均评分为(9.19±3.92)分,其中有144例出现睡眠障碍(56.92%),且年龄越大睡眠障碍发生率及PSQI评分也明显增高。(2)253例围绝经期女性中,HAMA平均评分为(14.67±7.34)分,其中有118例出现焦虑症状(46.64%),且年龄越大焦虑发生率及HAMA评分也越明显增高。(3)253例围绝经期女性中,HAMD平均评分为(16.93±6.94)分,其中有80例出现抑郁症状(31.62%),但围绝经期女性的抑郁发生率及HAMD评分与年龄无明显相关性。结论围绝经期女性睡眠障碍及焦虑发生率相对较高,且睡眠障碍及焦虑的发生及严重程度随着年龄的增长而增高;围绝经期女性抑郁发生率相对较低,且抑郁的发生率及严重程度与年龄无明显相关性。

Objective To analyze the sleep and psychological status of peri-menopausal women in Fujian through a questionnaire survey.Methods Randomly sampled questionnaire surveys of 253 peri-menopausal women who met the research requirements in the gynecological clinic of Fujian Provincial Maternity and Children’s Hospital.Pittsburgh Sleep Quality Index(PSQI)was used to assess the sleep status of per-imenopausal women,and Hamilton Anxiety Scale(HAMA)was used to assess the severity of anxiety in peri-menopausal women,and the Hamilton Depression Rating Scale(HAMD)was used to assess the severity of depressive symptoms in peri-menopausal women.Results(1)The average PSQI score was(9.19±3.92)among the 253 peri-menopausal women,and a total of 144 cases had sleep disorders(56.92%).With the increase of age,the incidence of sleep disorders and PSQI scores of peri-menopausal women increased significantly.(2)The average HAMA score was(14.67±7.34)among the 253 peri-menopausal women.A total of 118 peri-menopausal women experienced anxiety(46.64%).With the increase of age,the incidence of anxiety and HAMA scores of perimenopausal women increased significantly.(3)The average HAMD score was(16.93±6.94)among 253 peri-menopausal women.A total of 80 perimenopausal women experienced depression(31.62%);the incidence of depression and HAMD scores in peri-menopausal women have no significant correlation with age.Conclusion The incidence of sleep disorders and anxiety in peri-menopausal women is relatively high,and the incidence and severity of sleep disorders and anxiety increased with age;the incidence of depression in peri-menopausal women is relatively low,and the incidence and severity of depression are not significantly related to age.