多囊卵巢综合征不孕症妇女的临床特征及社会支持分析

发布时间：2018-05-27 19:06

本文选题：多囊卵巢综合征 + 临床特征　；参考：《安徽医科大学》2014年硕士论文

【摘要】：目的研究多囊卵巢综合征(Polycystic Ovary Syndrome,PCOS)不孕症妇女的临床特征及探讨可能影响到她们获得社会支持的相关因素,从而为该病的治疗和预防提供基础资料。方法采用整群抽样的办法抽取2013年1月-3月在安徽医科大学第一附属医院生殖医学中心就诊的PCOS不孕症女性206例,入选标准:经该中心主诊医生使用鹿特丹诊断标准诊断为PCOS的病人,并排除已生育一个孩子的妇女。被调查妇女在专职调查员的指导下,完成一般资料调查问卷、社会支持量表(SSRS)等数据信息收集,使用SPSS16.0进行统计分析,采用一般描述,t检验,方差分析、卡方检验及多元线性回归分析等统计分析方法。结果PCOS不孕症女性的平均年龄为(26.7±3.2)岁,最大36岁,最小20岁。肥胖率达到18.4%。SSRS社会支持量表分析显示:SSRS总分、客观支持和支持利用度三方面的评分在不同文化程度、职业和家庭月收入水平中的分布有统计学意义。在肥胖与否、流产次数、结婚年限、主要饮食等因素在SSRS各方面的评分中差异没有统计学意义。多因素回归分析结果显示:将单因素有意义的变量引入多因素回归模型,文化程度与SSRS总分有关(b=-4.350,95%CI:-5.834,-2.866,t=-5.779,P0.001);文化程度(b=-1.254,95%CI:-1.874,-0.633,t=-3.983,P0.001)和家庭月收入(b=0.713,95%CI:0.131,1.295,t=2.414,P=0.017)与客观支持评分有关;文化程度(b=-1.829,95%CI:-2.859,-0.799,t=-3.500,P=0.001)与主观支持评分有关;同时文化程度(b=-0.932,95%CI:-1.341,-0.522,t=-4.481,P0.001)和家庭月收入(b=0.508,95%CI:0.124,0.893,t=2.608,P=0.010)又与支持利用度有关联。结论多囊卵巢综合征不孕症妇女的肥胖率高于普通人群,社会支持评分在不同收入,文化程度人群中存在差异,应该针对不同的人群予以不同的社会帮助。
[Abstract]:Objective to study the clinical characteristics of infertile women with polycystic Ovary Syndrome syndrome (PCOS) and to explore the related factors that may affect their access to social support, so as to provide basic data for the treatment and prevention of the disease. Methods A total of 206 PCOS infertile women were selected from the Reproductive Medicine Center of the first affiliated Hospital of Anhui Medical University from January to March 2013 by cluster sampling. Admission criteria: a patient diagnosed with PCOS by the center's attending physician using the Rotterdam criteria and excluding a woman who has given birth to a child. Under the guidance of full-time investigators, the investigated women completed data collection such as general information questionnaire, social support scale and SSRS, and used SPSS16.0 for statistical analysis, general description test and variance analysis. Chi-square test and multiple linear regression analysis. Results the average age of infertile women with PCOS was 26.7 卤3.2 years old, the oldest was 36 years old and the youngest was 20 years old. The analysis of obesity rate to 18.4%.SSRS social support scale showed that the score of total score objective support and support utilization had statistical significance in the distribution of different education level occupation and family monthly income level. There were no significant differences in SSRS scores between obesity, abortion, marriage years and main diet. The results of multivariate regression analysis showed that the significant single factor variable was introduced into the multivariate regression model, and the education level was related to the total score of SSRS. The degree of education was related to the total score of SSRS. The education level was related to the score of objective support, the degree of education was 1.25495: CI-1.8744-0.633t-1) and the monthly income of the family was 0.1331 / 1.295t2.414P0.017). The education level is related to the subjective support score, and the education level is also related to the degree of support utilization. (BU -1.341C -0.522 TU -4.481C P 0.001) and the monthly income of the family is 0.50895 CI: 0.124 0.893t 2.893t 2.608T 0.010) and the degree of education is also related to the degree of support utilization in CIW (-1.341U -0.522) and the family income (0.50895 CI: 0.124t 0.893t 2.608U P0. 010). Conclusion the obesity rate of the infertile women with polycystic ovary syndrome is higher than that of the general population, and the social support score is different among the people with different income and education level, so different social help should be given to different population groups.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R711.75

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