老年慢性阴道炎患者生活质量现状及其影响因素

Current status and influencing factors of quality of life in elderly patients with chronic vaginitis

目的探讨老年慢性阴道炎患者生活质量下降的影响因素。方法选择2020年1月至2022年1月内蒙古医科大学附属医院妇科收治的100例老年慢性阴道炎患者为阴道炎组,同期选择查体中心100例健康老年人为对照组。根据生活质量量表将阴道炎组患者分为生活质量正常组(n=60)和生活质量下降组(n=40),比较各组人群的临床资料。采用SPSS 20.0统计软件进行数据分析。根据数据类型,分别采用t检验或χ^(2)检验进行组间比较。采用多因素logistic回归分析患者生活质量下降的影响因素。结果阴道炎组患者心理领域、生理领域、环境领域、社会领域等评分明显低于对照组,差异有统计学意义(P<0.05)。生活质量下降组患者阴道炎病程、阴道炎病情、合并慢性病、内在能力(IC)下降比例明显高于生活质量正常组;定期锻炼身体比例明显低于生活质量正常组,差异均有统计学意义(P<0.05)。多因素logistic回归分析结果显示,阴道炎病程(OR=2.718,95%CI 1.988~3.723;P<0.001)、病情(OR=1.949,95%CI 1.195~3.182;P=0.007)、合并慢性病(OR=1.988,95%CI 1.199~3.293;P=0.008)及IC下降(OR=2.895,95%CI 1.342~6.246;P=0.007)为影响老年慢性阴道炎患者生活质量的独立危险因素;定期锻炼身体(OR=0.744,95%CI 0.363~1.526;P=0.001)是影响老年慢性阴道炎患者生活质量下降的独立保护因素。结论老年慢性阴道炎患者普遍存在生活质量下降,且阴道炎病程、病情、合并慢性病及IC下降是独立危险因素,应早期筛选危险因素并给予积极预防性干预。

Objective To analyze the influencing factors for decreased quality of life in elderly patients with chronic vaginitis.Methods A total of 100 elderly patients with chronic vaginitis admitted to our department from January 2020 to January 2022 were selected as the vaginitis group,and another 100 healthy elderly individuals undergoing physical examinations simultaneously in our hospital were enrolled as the control group.According to the results of quality of life scale,the patients with chronic vaginitis were divided into normal life quality group(n=60)and declining life quality group(n=40).Their clinical data were compared between the groups and subgroups.SPSS statistics 20.0 was used for data analysis.According to the data type,t test or χ^(2) test was used for data comparison between groups.Multivariate logistic regression analysis was used to analyze the influencing factors for declining quality of life.Results The scores in physical health,psychological health,social relationships,and environmental health domains were significantly lower in the vaginitis group than the control group(P<0.05).The patients from the declining quality of life group had longer course of vaginitis,more severe vaginitis,more comorbid chronic diseases,and larger proportion of declining intrinsic capacity,but lower ratio of regular physical activity than the patients in the normal quality of life group(P<0.05).Multivariate logistic regression analysis showed that duration of vaginitis(OR=2.718,95%CI 1.988-3.723;P<0.001),severity of vaginitis(OR=1.949,95%CI 1.195-3.182;P=0.007),comorbid chronic diseases(OR=1.988,95%CI 1.199-3.293;P=0.008),and decline in intrinsic capacity(OR=2.895,95%CI 1.342-6.246;P=0.007)were independent risk factors,and regular physical activity was an independent protective factor(OR=0.744,95%CI 0.363-1.526;P=0.001)for declining quality of life of elderly patients with chronic vaginal inflammation.Conclusion The duration of vaginitis,severity of vaginitis,comorbid chronic diseases and decline in IC were independent risk factors.Risk factors should be screened as early as possible,and then active preventive interventions should be implemented.