基于结构方程模型的围绝经期妇女生活质量影响因素的研究

发布时间：2018-05-25 05:30

本文选题：围绝经期妇女 + 生活质量　；参考：《南华大学》2016年硕士论文

【摘要】：目的了解衡阳市围绝经期妇女抑郁症状和生活质量的现状,探讨广场舞对围绝经期妇女抑郁和生活质量的影响。进而采用结构方程模型,引入中介效应来研究围绝经期妇女生活质量的影响因素,为了解围绝经期妇女精神健康的内在联系,提升其精神健康水平提供理论与数据支持,同时提供有效的干预措施,以进一步加强这一特殊人群的卫生保健工作。方法1.以领悟社会支持量表(PSSS)中的家庭支持分量表、Zung氏抑郁自评量表(SDS)和WHO世界卫生组织生存质量测定简表(WHOQOL-BREF)作为研究工具,抽样调查了衡阳市542名围绝经期妇女(45-59岁)生活质量状况,了解生活质量的现状并分析其影响因素;2.研究对象中广场舞组204例,对照组338例,广场舞组为参与广场舞蹈锻炼3~4次/周,30~44min/次,持续6个月的围绝经期妇女,对照组为居住在相同社区内未参与的同龄未参加体育锻炼的围绝经期妇女;3.数据分析采用SPSS18.0软件和AMOS18.0软件进行,多元逐步回归及构建结构方程模型,进行量表信效度及影响因素的研究。计量资料以??±s的形式表示,计数资料以百分数(%)的形式表示,检验水准α=0.05。结果1.生活质量评价量表和抑郁量表的信度和效度较好,量表的结构设计与问卷数据拟合较好。Zung氏抑郁自评量表与WHO生活质量简明量表之间呈显著负相关(r=-0.85,P0.05),且量表的结构模型假设均成立(P0.05);2.542名围绝经期妇女的生活质量得分为79.95±13.76,处于中等偏上水平,抑郁评分为46.36±8.22,抑郁的发生率为48.17%,程度较严重;3.生活质量影响因素的多元逐步回归结果显示,学历、广场舞锻炼、家庭支持、抑郁是生活质量的影响因素(P0.05),家庭支持和抑郁这两个因素可以解释方程总变异的58.3%。家庭支持得分越高,生活质量越高,同时抑郁程度越轻,生活质量也越高。4.广场舞蹈锻炼能显著提高围绝经期妇女的生活质量,缓解其抑郁程度,差异具有统计学意义(P0.05);5.构建围绝经期妇女生活质量影响因素的结构方程模型,路径:家庭支持→抑郁、家庭支持→生活质量、抑郁→生活质量假设均成立(P0.05),说明家庭支持会影响生活质量,抑郁会影响生活质量,同时家庭支持会通过影响抑郁来影响生活质量,相关系数分别为0.162、-0.758、-0.580,证明了抑郁的中介效应。结论1.WHO生活质量简明量表和Zung氏抑郁自评量表具有很好的信效度,能够应用于评价围绝经期妇女的生活质量和抑郁程度。2.围绝经期妇女生活质量居于中等水平,社会关系领域得分最高,环境领域得分最低;抑郁程度较为严重,精神运动障碍得分较高,情感障碍得分较低。3.广场舞作为当下新兴运动,能显著提高围绝经期女的生活质量,缓解其抑郁程度。4.家庭支持及抑郁能直接影响生活质量,另一方面,家庭支持也能通过影响抑郁来间接影响生活质量。应用结构方程模型不仅能够作为对量表进行验证性因子分析,检验信效度,同时适用于不可观测变量间复杂联系的研究。
[Abstract]:Objective to understand the status of depressive symptoms and quality of life for perimenopausal women in Hengyang, and to explore the influence of square dance on depression and quality of life for perimenopausal women, and then adopt the structural equation model and introduce the mediating effect to study the factors affecting the quality of life of perimenopausal women in order to eliminate the inner connection of the mental health of women in menopause. The Department provided theoretical and data support for improving the mental health level and provided effective interventions to further strengthen the health care work of this particular population. Method 1. to understand the family support subscale in the social support scale (PSSS), the Zung depression self rating scale (SDS) and the WHO WHO quality of life (QOL). WHOQOL-BREF) as a research tool, the quality of life of 542 perimenopausal women (45-59 years old) in Hengyang was sampled and the quality of life was investigated and the influencing factors were analyzed. In 2. subjects, 204 cases of square dance group, 338 control group, and square dance group participated in the square dance exercise for 3~4 times / week, 30~44min/ time and continuous 6 months. Menstrual women, the control group was the non participating perimenopausal women who did not participate in the same age in the same community. The 3. data analysis was carried out by SPSS18.0 software and AMOS18.0 software, multiple stepwise regression and construction of structural equation model, the scale of the reliability and validity and the influence of the factors. The measurement data were expressed in the form of? + s. The number of data was expressed in the form of percent (%), and the reliability and validity of the 1. quality of life assessment scale and the Depression Scale were better. The structure design of the scale and the questionnaire data fit well the significant negative correlation between the.Zung's self rating depression scale and the WHO quality of life concise scale (r=-0.85, P0.05), and the structure model of the scale. The type hypothesis was established (P0.05). The quality of life of 2.542 perimenopausal women was 79.95 + 13.76, at the middle level, the depression score was 46.36 + 8.22, the incidence of depression was 48.17%, and the degree was more serious. The multiple stepwise regression results of the factors influencing the quality of life showed that education, square dance exercise, family support and depression were the quality of life. The two factors such as P0.05, family support and depression can explain the higher 58.3%. family support score, the higher the quality of life, the lower the degree of depression and the higher the quality of life, the higher the quality of.4. square dance can significantly improve the quality of life of the perimenopausal women and alleviate their depression, the difference is statistically significant. Learning significance (P0.05); 5. the structural equation model of the factors influencing the quality of life of perimenopausal women, the path: family support to depression, family support, quality of life, depression and life quality hypothesis were established (P0.05), indicating that family support would affect the quality of life, depression would affect the quality of life, and family support could affect depression by influencing depression. To influence the quality of life, the correlation coefficient was 0.162, -0.758, -0.580, which proved the mediating effect of depression. Conclusion the 1.WHO quality of life concise scale and the Zung depressive self rating scale have good reliability and validity, and can be used to evaluate the quality of life and depression of perimenopausal women. The quality of life of.2. perimenopausal women in.2. is medium water. In the field of social relations, the highest score in the field of social relations, the lowest score in the field of environment, the more serious depression, the higher score of the mental dyskinesia, the lower.3. square dance as the emerging sport, can significantly improve the quality of life of the women in peri menopause, and alleviate the depression degree of.4. family support and depression can directly affect the quality of life, the other is that the quality of life is directly affected by the depression. On the one hand, family support can also affect the quality of life indirectly through the impact of depression. The application of structural equation model can not only be used as a confirmatory factor analysis of the scale, test reliability and validity, but also apply to the study of complex connections between unobservable variables.
【学位授予单位】：南华大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R711.75

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