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The Research Of Menopausal Syndrome Of Women And Its Influencing Factors In Shijiazhuang Area

Posted on:2018-10-09Degree:MasterType:Thesis
Country:ChinaCandidate:H WangFull Text:PDF
GTID:2334330536463050Subject:Child and Adolescent Health and Maternal and Child Health
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Objective: To explore the factors that may influence the occurrence and development of menopausal syndrome and to provide the theoretical basis for the government and social institutions to formulate effective intervention measures to prevent and alleviate menopausal syndrome,thereby providing theoretical support and practical guidance to improve the quality of life(QOL)of menopausal women.Therefore,the community and the family are expected to fully understand and alleviate the symptoms of menopausal syndrome,thus improving menopausal women's QOL.Methods: Following the principle of voluntariness,we enrolled the women aged 40 and 60 years who took regular physical examination or presented to the Gynecological Department of the Affiliated Hospital of Hebei Medical University from September 1,2015 to December 31,2015.In the present study,WHOQOL-BREF scale and KI scale were used.Based on the multivariate sample method,the number of samples in this study was estimated to be 15 times of the total number of variables.Twenty-six items in WHOQOL-BREF scale were utilized,therefore,at least 435 patients were recruited;Taking various factors into account,including loss to follow-up,repetition and incomplete information,and following the calculation method of sample size,we dispatched 620 copies of the questionnaire.The subjects were asked to fill in questionnaires,which were subsequently retrieved and sorted out by an investigator for data analysis.Questionnaires with repetition or incomplete information were excluded.All data were expressed as meanąSD and means of two samples were compared using t test.Variance analysis was performed for difference analysis between the two groups.The non-normal distribution analysis was performed by nonparametric test.The count data were described by frequency and percentage,and chi-square test was used for comparison.Multivariate linear regression analysis was performed for multivariate analysis.Results:1 A total of 620 questionnaires were dispatched,and of the questionnaires retrieved,556 were valid,with a valid response rate of 89.67%.2 The morbidity of menopausal syndromeAccording to table2,there are 482 patients with menopausal syndrome in all 556 patients,which takes up 86.70% in all patients.From the petspective of age of onset,the morbidity of menopausal syndrome between 46-50 and 51-55 years of age is higher than the average rate 86.70%.There is no statistical difference between 46-50 years of age and 40-45 years of age(P=0.194)and 51-55 years of age(P=0.110),the others groups have statistical difference.3 Patients with menopausal and non-menopausal syndrome were assessed for their own health status.There were 408(73.38%)women with general self-rated health status evaluation.It was found that women with a better self-rated health status had a lower incidence of menopausal syndrome,compared with those with a general health status evaluation(?2=105.169,P<0.05)and there was a significant difference.Table 2 is available.4 The evaluation of QOL of menopausal women and non-menopausal women.The results shows that the QOL in perimenopausal women is lower than non-perimenopausal women,?2=107.371, P<0.05,there was a significant difference.In the comparision in all latitude,psychological factor gets highest scores,thus we can say it may be the main reason which leads to decrease of the QOL between perimenopausal women.5 Relative factors analysis of leading to decrease of the QOL between perimenopausal womenMulti-factor Logistic regression analysis showed that menopausal syndrome was associated with environmental,psychological,social and physiological factors,having maximal correlation with social factor(?= 1.102),followed by psychological factor(?= 0.921),environmental factor(?= 0.689)and physiological factors(?= 0.366).There was a significant difference between different latitude KI scores comparision(P<0.05).5.1 AgeAge distribution of 556 cases recruited was as follows: 108(40-45 years of age;19.43%);165(46-50 years of age;29.67%);206(51-55 years of age;37.05%);and 77(56-60 years of age;13.85%).Menopausal syndrome occurs at the age of 40-45(n=91),46-50(n=148),51-55(n=194)and 56-60(n=49),accounting for 84.2%(91/108),90%(148/165),94.8%(194/206),and 70%(49/77),respectively.The social factor score of women aged 51-55 years was higher than that of other groups,and the difference was statistically significant(P<0.05).5.2 Marital statusOf 556 questionnaires retrieved,the marital status of the respondents was as follows: unmarried(n=7;1.26%);married(n=508;90.29%);remarried(n=17;3.06%);divorced(n=16,2.87%);widowed(n=8,1.44%).The effect of different marital status on QOL of menopausal women: The social factor score was lower in married women than in unmarried,remarried,divorced,and widowed women,but there was no significant difference(P>0.05).5.3 MenstruationIn the current study,184 and 372 women had normal and abnormal menstruation respectively.Different menstrual conditions led to different scores on their QOL.Statistical analysis showed that QOL score was notably higher in women with normal menstruation than in those with abnormal menstruation.(t= 31.02,P<0.0001).KI scores of menstruation in perimenopausal women were analyzed in terms of physiological,psychological and environmental factors as well as social relationship.KI scores were significantly different in physiological factors(t=2.31,P<0.02),whereas KI scores showed not significant differences in environmental,psychological and social factors.5.4 Other factors5.4.1 Single factor analysis of family friction indicated that the incidence of menopausal syndrome in women with family friction was higher than those without friction(P<0.000)5.4.2 Single-factor analysis of educational background showed different educational backgrounds had a notable impact on prevalence of menopausal syndrome(?2=31.490,P<0.000).Nevertheless,there was no significant difference in the prevalence between the groups of middle school,high school,and higher education(?2=2.348,P=0.125).In addition,the difference was statistically significant in other groups.The incidence in groups of middle school,high school and higher education was remarkably higher,as compared with other groups.5.4.3 Single-factor analysis of appetite revealed that the quality of appetite had a significant impact on the incidence of menopausal syndrome(?2=16.994,P<0.000).Good appetite led to a lower incidence.5.4.4 Single-factor analysis of marital status,menopausal patterns and work suggested no statistical difference in the incidence of menopausal syndrome inConclusions:1 In the survey people : Perimenopausal women in Shijiazhuang area have a higher incidence of menopausal syndrome;2 Women with good QOL are likely to have a lower incidence of menopausal syndrome;3 Women with higher self-rated health status have a lower incidence of menopausal syndrome;4 The incidence of menopausal syndrome is associated with environmental,psychological,social and physiological factors;5 Social relationship,as well as environmental,psychological and physiological factors,have an impact on the KI score;6 Age,family friction,education,appetite and menstrual conditions affect the incidence of menopausal syndrome,which,however,is not remarkably influenced by marriage,menopausal patterns and work;7 The community and the family should pay more attention to the perimenopausal population.Most importantly,medical staff should collect medical history in detail including social relationship and family relationship.Therefore,we will be able to understand various factors affecting the development of the disease,in order to ensure that menopausal women could go through the menopause with confidence,and to guide their positive attitude towards menopausal syndrome,thereby selecting appropriate and effective measures to alleviate menopausal symptoms and improving QOL of perimenopausal women.
Keywords/Search Tags:Menopause, Menopausal syndrome, Physiological factors, Psychological factors, Social factors, Quality of life
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