女性围绝经期综合征与心理社会因素的相关性研究

发布时间：2018-06-21 14:19

本文选题：围绝经期期综合征 + 压力　；参考：《重庆医科大学》2013年硕士论文

【摘要】：目的了解重庆市女性围绝经期综合征、知觉压力、应对方式和家庭功能状况，探讨知觉压力、应对方式和家庭功能与女性围绝经期综合征的关系，分析影响围绝经期综合征的因素，为临床制定有效的干预措施，改善围绝经期妇女的生活质量提供理论支持和实践指导。方法采用便利抽样的方法，遵循自愿原则，选取2012年3～6月在重庆医科大学附属第一医院妇科门诊就诊或咨询的符合纳入标准的围绝经期女性300人进行问卷调查。调查问卷包括自制一般情况调查表、改良更年期Kupperman量表、中文版知觉心理压力量表（CPSS）、简易应对方式问卷（SCSQ）和家庭关怀度指数问卷。用SPSS16.0统计软件对调查所得数据进行统计分析和处理。运用的统计方法包括描述统计、独立样本t检验、单因素方差分析、Pearson相关分析和多元逐步回归分析等。结果 1.本研究共发放问卷300份，获得有效问卷278份，有效率为92.7%。 2.本次调查对象的Kupperman评分量表得分的平均分为（9.87±7.24），，围绝经期综合征发生率为67.2%。 3.不同年龄、文化程度、工作情况、家庭人均月收入、月经情况的围绝经期女性的Kupperman评分量表得分差异具有统计学意义（P＜0.05）。 4.本组研究对象的知觉压力平均分为23.63±5.76；积极应对方式平均分为20.85±4.66，消极应对方式平均分为10.41±4.35；家庭功能平均分为6.56±2.50，家庭功能障碍者占45%。 5.围绝经期女性的Kupperman评分量表得分与知觉压力得分和消极应对方式得分呈正相关，且有统计学意义（P＜0.01），与积极应对方式得分、家庭功能总分及家庭功能各维度得分呈负相关，且有统计学意义（P＜0.01）。 6.多元逐步回归分析显示月经情况、知觉压力得分、积极应对方式得分、消极应对方式得分和家庭功能得分是影响围绝经期综合征的主要因素。结论 1.重庆市女性围绝经期综合征发生率比较高。 2.年龄、文化程度、工作情况、家庭人均月收入、月经情况对围绝经期综合征有影响。 3.月经情况、知觉压力、积极应对、消极应对、家庭功能均是女性围绝经期综合征的主要影响因素。 4.医护人员应充分评估女性围绝经期综合征发生的影响因素，采取针对性的措施以预防和缓解其围绝经症状，提高其生活质量。
[Abstract]:Objective to investigate the relationship between perceived stress, coping style and family function in women with perimenopausal syndrome in Chongqing, and to explore the relationship between perceived stress, coping style and family function and menopausal syndrome in women. To analyze the influencing factors of peri-menopausal syndrome, to provide theoretical support and practical guidance for clinical effective intervention measures to improve the quality of life of menopausal women. Methods A questionnaire survey was conducted among 300 menopausal women who met the inclusion criteria in gynecological outpatient service or consultation in the first affiliated Hospital of Chongqing Medical University from March to June 2012 by adopting the convenient sampling method and following the voluntary principle. The questionnaires included self-made general situation questionnaire, modified climacteric Kupperman scale, Chinese version of perceived psychological stress scale (CPSS), simple coping style questionnaire (SCSQQ) and family care index questionnaire. SPSS 16.0 statistical software was used to analyze and process the data. The statistical methods used include descriptive statistics, independent sample t-test, single-factor ANOVA Pearson correlation analysis and multivariate stepwise regression analysis. Result 1. In this study, 300 questionnaires were distributed, 278 valid questionnaires were obtained, and the effective rate was 92.72.2. The average score of Kupperman scale was 9.87 卤7.24 and the incidence of peri-menopausal syndrome was 67.2. 3. The scores of Kupperman scale in menopausal women with different age, education, working condition, family average monthly income and menstrual status were significantly different (P < 0.05). The mean perceptual stress was 23.63 卤5.76, active coping style 20.85 卤4.66, negative coping style 10.41 卤4.35, family function 6.56 卤2.50, family dysfunction 45.5. The scores of Kupperman scale in perimenopausal women were positively correlated with perceived stress score and negative coping style score, and were negatively correlated with positive coping style score, family function total score and family function dimension score. There was statistical significance (P < 0.01) and significant difference (P < 0.01). Multiple stepwise regression analysis showed that menstruation, perceived stress score, positive coping style score, negative coping style score and family function score were the main factors affecting perimenopausal syndrome. Conclusion 1. The incidence of peri-menopausal syndrome was higher in women in Chongqing. 2. 2. Age, education, work status, monthly income per family, menstruation have an impact on perimenopausal syndrome. Menstruation, perceptual stress, positive coping, negative coping and family function were all the main influencing factors of menopausal syndrome in women. 4. The medical staff should fully evaluate the influencing factors of female perimenopausal syndrome and take targeted measures to prevent and alleviate the symptoms of menopause and improve their quality of life.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R173

【参考文献】